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College of NursingCity of San Fernando, La Union

S.Y. 2014-2015

Clinical Teaching Plan

Ilocos Training and Regional Medical Center- Delivery Room

Prepared By:Valdez, Mary Grace A.

Sadioa, Mitchell Jeboy T.Ojales, Ara Vincy U.

Dumawa, Ava Kashina D.Rillera, Dharyl S.

Rosario, Jainabelle A.

Checked by:Nisperos, Fe

Head, Level III

Noted by:Teresita A. Ferrer, MAN

Head, Level IV

Approved by:Araceli F. Surat, MANClinical Coordinator

Marites C. Pagdilao, MAN

Acting Dean

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College of NursingCity of San Fernando, La Union

Clinical Teaching PlanSY 2014-2015

VISION of LORMA COLLEGES:We envision Lorma Colleges as an excellent Christian educational Institution with an international scope and reputation whose graduates

reflect Christian values, professional competence and leadership skills relevant to national development.

MISSION of LORMA COLLEGES:To provide quality and Christian education relevant to current and future needs, developing the total person reaching students in the

Philippines and other countries through the use of modern technology.

VISION of the COLLEGE of NURSINGWe envision Lorma Colleges, College of Nursing to be a model of Nursing Education emphasizing quality, Christian values, and leadership

skills locally responsive but relevant for global competitiveness.

MISSION of the COLLEGE of NURSINGConcomitant with nursing Education in the Philippines, Lorma College of Nursing affirms its role in empowering the students to become

competent and compassionate professionals through relevant, innovative, challenging, and effective curriculum and instruction research orientationand caring environment with community services.

OBJECTIVES of the COLLEGE of NURSING1. To train and produce nurses for the staff nurse position in the hospitals, community, and other health agencies that can work cooperatively

with the health team in mobilizing and assisting the individuals, families and communities to become self-reliant.

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2. To provide opportunities for the development of research attitude in nurses for continued improvement of professional competence byundertaking studies on Nursing Education and Practice, Management and Community Health. Further, to encourage dissemination andutilization of the research findings.

3. To establish and sustain linkage with the Alumni as our partners for personal and professional growth as well as for community development.4. To encourage social consciousness of the socio-economic situation of the community through active involvement of community affairs.

Added above is to make the individual conscious of the Almighty God and His power and authority over the lives of men and nations.

Description of Learners:All the learners are level 4 nursing students who have learned the principles, concepts and techniques as well asacquired the necessary skills of caring for women who are pregnant and with gynecological problems in the Delivery Room.

Focus of Clinical Experience:The 4thyear nursing students will concentrate on assisting in the delivery of patients who are admitted in the delivery room. This experience

provides the 4th year nursing students the opportunity to improve their nursing skills and first- hand actual provision of nursing care to pregnant andwith gynecological problem patients.

Setting:Delivery Room is located at Ilocos Training and Regional Medical Center in City of San Fernando, La Union, whose personnel attends to all

women who are experiencing labor, delivery and with gynecological problem patients.

General Objectives:After one month of exposure, the 4thyear nursing students will be able to:

1. Familiarize themselves with the hospital policies, health personnel and Delivery Room set-up, and the SOPs of the institution.2. Apply nursing theories, principles and the nursing procedures in assisting the delivery of pregnant clients and care for patients with gynecologicalproblems.3. Provide care to women during normal and abnormal labor.4. Apply the principle of infection control measures.5. Use of interpersonal communication skills and ethics specific to the care of the parturient woman.

REQUIREMENTS: Grading System: Evaluation Tool FormCore Competencies = 45%

Requirements = 25% Journal reading with summary & Handwritten reaction with nursing theories Quizzes/Exams = 30%

Total = 100% Drug Study (Handwritten)

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Learning Feedback Diary

Reading assignments for the next day discussion

Quizzes

Major Examination

Criteria for journal:Content 50%Completeness and Neatness 20%Organization of thoughts 20%Punctuality 10%

Total 100

Criteria for journal sharing:Mastery 40%

Completeness

30%Organization and presentation 20%Punctuality 10%

Total 100

Criteria for Drug Study:Content 40%Completeness and Neatness 30%Organization and presentation 25%Punctuality 5%

Total 100

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COLLEGE OF NURSING

CLINICAL TEACHING PLAN for Delivery Room

Ilocos Training and Regional Medical CenterSY 20142015

TIME TABLE SPECIFIC OBJECTIVESACTIVITIES EVALUATION

Headnurse Subordinates

WEEK 1DAY 1

Students will be able to:1. Reflect Christian values anddevelop attitudes like, punctuality,respect, humility, neatness and propergrooming in the area.

Pre-Conference & Post-Conference-Lead a devotion andprayer-Observe & enhance their

values and properattitude-Check attendance- Check uniform andgrooming

- Check paraphernalia-Feedbacks andcomments to studentsRLE

Report to duty 15minutes before time

Greet everybody withLorma smile

Wear proper and

prescribed uniform Share their learning

experiences andobservations about thearea

Daily recording ofattendance (time in and out)paraphernalia and grooming

2. Be oriented with staff and personnel,policies, set-up of the intensive careunit.

Familiarize to staffnurses, doctors and othermedical allied teams in

the area Accompany students in

the physical tour

Orient the different

Self-introduction

Ocular survey & tour inthe delivery room.

Identify the labor,

delivery and recoveryroom in the area.

Familiarization of theequipment and facilities

Question and Answeractivity

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equipment/facilitiesencountered in the area.

Discuss briefly thepolicies & SOPs of thedelivery room.

utilized in the area.

Orientation to the policiesand the SOPs of thearea.

3. Develop awareness on the routineactivities of the staff nurses.

Observation on thestudents attitude,performance and focuson the activities done atthe delivery room.

.Observe the routineactivity of the staff nursesin the delivery room.

DAY 2 & 3 4. Apply the theories, concepts,principles, skills and attitude on the careof women who are experiencing labor,delivery and with gynecological problemand to facilitate a more effective

application and student performance inthe area.

Lecture Discussion:a. Review the students

principles, conceptsonthe care of pregnant

clients; facilitate amore effectiveapplication on studentperformance in thedelivery room

Supervise students onthe actual performance ofassisting delivery.

Actual application of thetheories, principles onthe performance ofnursing procedures inhandling patients at the

delivery room.

Quiz on :a) Leopolds Maneuverb) Return demo of the

procedure.

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9. Share and discuss to group membersand patients significant othersthe newinformation about labor and delivery thatcan be acquired through internet sources.

Supplement knowledgeor information to thegroup

Active listening to thejournal sharing.

Facilitate major

examination

Individual sharing ofjournals

Learn the updates ofnursing procedures usingnew information derivedfrom research findings.

Question and AnswerActivity

Journal Sharing

Major Examination

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Week 1 Day 1

Time Table Specific Activities Specific Objectives Methodology/Strategies/Techniques

Evaluation

6:45-7:30am

7:30-8:00am

8:00-8:15am

8:15-8:45am

Devotion

Checking of attendance

Group acquaintance (Getting toknow each other)

Checking of paraphernalia

Pre-conference :o Goals and objectiveso Expected activitieso Announcement of

requirements Orientation to institution set-up,

personnel, equipment, andadmission procedures done inthe area.

Giving individual taskso Assign sequence of

students to be the actualand assist.

o Assign students tomonitor vital signs atlabor room, maternalintensive unit andrecovery room.

o Join the endorsementand rounds.

o Schedule ofbreak time

Supervises in:o Dealing with clientso Taking vital signs

At the end of the shift, thestudents will gain andenhance their clinical skills

as well as strengthen theirself-confidence in assistingand performing differentnursing procedures withprofessional behaviorsincluding: Being oriented with the

institutions policies andarea set-up.

Being acquainted with theinstitutions personnel.

Knowing the importance

of building rapport toclients. Giving due respect to

clients in all aspects.

Assessing correctly theclients condition anddocumenting importantdata.

Observing the basicrights of the client inperforming procedures.

Self-Introduction

Individual Checking

Individual and Group Sharing Presentation of Personnel

Performance Observation

Lecture and discussions

Brain storming of the conceptslearned.

Presentation of personnel

Students are assigned to theirresponsibilities.

Evaluation of stuby asking feedbacomments.

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8:45-9:00am

9:00-9:15am

9:15-12:00pm

12:00-12:30pm

12:30-1:00pm

1:00-2:30pm

2:30-3:00pm

o Complying doctors order.o Updating patients individual

folder

Send 1stbatch for snack break

Send 2ndbatch for snack break

Continue supervising studentsin providing care to differentclients and assisting in laborand delivery.

Send 1stbatch for lunch

Send 2nd batch for lunch

Continue supervising studentsin providing care to differentclients and assisting in laborand delivery.

Post conference

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Day 2


Evaluation

6:45-7:30am

7:30-8:00am

8:00-8:15am8:15-8:35am8:35-8:45am8:45-9:00am

Devotion

Checking of attendance Group acquaintance (Getting to

know each other)

Checking of paraphernalia

Pre-conference :o Expected activities

Giving individual taskso Assign sequence of

students to be the actualand assist.

o Assign students tomonitor vital signs atlabor room, maternal

intensive unit andrecovery room.

o Join the endorsementand rounds.


Supervise students in:a. Dealing with clientsb. Taking vital signsc. Complying doctors order.d. Updating patients individual

folder

e. Lecture on Leopolds Maneuver

At the end of the shift, thestudents will gain andenhance their clinical skills

as well as strengthen theirself-confidence in assistingand performing differentnursing procedures withprofessional behaviorsincluding:

Being more familiar withthe institutions policiesand unit set-up.

Being acquainted withthe institutionspersonnel.

Knowing the importanceof building rapport toclients.

Giving due respect toclients in all aspects.

Assessing correctly theclients condition anddocumenting importantdata.

Observing the basicrights of the client inperforming procedures.

Individual Checking

Individual and Group Sharing Performance Observation




Sharing of signifilearning experien

and citing lifeapplication

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9:00-9:15am

9:15-9:30am

9:30- 10:00am

10:00-12:00pm

12:00-12:30pm

12:30-1:00pm

1:00-2:30pm

2:30-3:00pm

Send 1stbatch for snack.

Break Send 2ndbatch for snackbreak.

Quiz on Leopolds Maneuverwith rationale

Continue supervising students inproviding nursing care.



Assisting Labor and delivery

Post conference

Closing prayer

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Day 3


Evaluation

6:45-7:15am

7:15- 7:30 am

7:30-9:00am

Devotion

Checking of attendance Checking of

paraphernalia Pre-conference

Passing of therequirements

Giving individual taskso Assign sequence

of students to bethe actual andassist.

o Assign students tomonitor vital signsat labor room,

maternal intensiveunit and recoveryroom.

o Join theendorsement androunds.


Supervise subordinatesin:

a. Dealing with clientsb. Taking vital signs

c. Complying doctorsorder.d. Updating patients

At the end of theshift, the students willgain and enhance

their clinical skills aswell as strengthentheir self-confidencein assisting andperforming differentnursing procedureswith professionalbehaviors including: Strengthening of

knowledge on theinstitutionspolicies and areaset-up.

Being acquaintedwith theinstitutionspersonnel.

Knowing theimportance ofbuilding rapport toclients.

Giving duerespect to clientsin all aspects.

Assessing

correctly theclients conditionand documentingimportant data.

Individual Checking



Quiz on stages of labor.

Sharing of significant leaexperiences and citing l

application

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9:00-9:15am/10:00-10:15am

10:15-11:00 am

11:00-12:00pm

12:00-12:30/12:30-1:00pm

1:00-2:45pm

2:45-3:00 pm

individual foldere. Giving oral/ parenteral

meds or treatmentf. Endorsing patient in the

respective area.

Send first batch for snackbreak

Send 2ndbatch for snackbreak

Lecture and quiz aboutStages of labor

Continue supervisingsubordinates inproviding care andassisting labor anddelivery.



Continue supervisingstudents in providing careto labor and delivery.

Post conference

Observing thebasic rights of theclient inperformingprocedures.

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WEEK 2 Day 1


Evaluation

6:45-7:15am

7:15- 8:00am

8:00-9:00am

Devotion

Checking ofattendance

Checking ofparaphernalia

Pre-conferenceo Passing of

journal readings

Giving individual taskso Assign

sequence ofstudents to be

the actual andassist.o Assign students

to monitor vitalsigns at laborroom, maternalintensive unitand recoveryroom.

o Join theendorsementand rounds.

o Schedule of

break time Supervises in:o Dealing with clients

At the end of theshift, the students willgain independence in

performing differentnursing procedures ina correct manner aswell as develop theirself-confidence.Specifically:

The students willbe able toenhance theirspiritual beliefs asthey go alongwith their differentclinical duties.

The students willdevelop self-discipline when itcomes to propergrooming.

The students willbe able toprepare on theircorrespondingarea.

To guide thestudents as theydeal with theirpatients.

The students willbe able to render

Individual Checking





Evaluation of students by askinfeedback and comments.

Quiz

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9:00-:915am

9:15-9:30am

9:3010:20 am

10:2012:00 pm

12:0012:30 pm

12:301:00 pm

1:002:45 pm

2:453:00 pm

o Taking vital signso Complying doctors

order.

Updating patientsindividual folderSupervise students in:

a. Dealing with clients


order.o Updating patients

individual foldero Giving oral/ parenteral

meds or treatmento Endorsing patient in

the respective area.

Send 1stbatch forsnack break

Send 2ndbatch forsnack break

Lecture and quiz aboutUnang Yakap andBreastfeeding

Continue supervisingstudents in providingnursing care.

Send 1stbatch forlunch

Send 2nd batch forlunch

Assisting labor and

delivery Post conference

the care neededby each client.

The students willbe able toenhance theirabilities morewhen performing

the differentnursingprocedures.

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Week 2 Day 2


Evaluation

6:45-7:30am

7:30-8:00 am

Devotion


Group acquaintance(Getting to know eachother)


Pre-conference :o Expected

activities


sequence of

students to bethe actual andassist.

o Assign studentsto monitor vitalsigns at laborroom, maternalintensive unitand recoveryroom.



The studentsbelief will bestrengthened

making them ableto render holisticcare to theirclients.

The students willdevelop self-discipline allowingthem to becomeeffectiveprofessionals inthe future.

The students willbe able to

prepare on theirassigned area.

Assessingcorrectly theclients conditionand documentingimportant data.

Observing thebasic rights of theclient inperformingprocedures.

Individual Checking

Individual and Group Sharing Performance Observation Journal Sharing Brain storming of the concepts

learned. Students are assigned to their

responsibilities.

Evaluation of students asking feedback and comments.

Quiz on Pregnancy Illne(Urinary Tract Infection and Anemia)

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8:15-8:35am

8:45-9:00am

9:00-9:15am

9:15-9:45am

9:4512:00 pm

12:0012:30 pm

12:301:00 pm

Supervise students in:a. Dealing with clientsb. Taking vital signsc. Complying doctorsorder.

d. Updating patientsindividual folder

e. Lecture aboutpregnancy complications(Urinary Tract Infectionand Anemia)

Send 1stbatch forsnack.

Break Send 2ndbatchfor snack break.

Quiz on pregnancycomplications (Urinary

Tract Infection andAnemia) with rationale Continue supervising

students in providingnursing care.



Assisting Labor anddelivery

The students willbe guided in allthe nursingprocedures to bedone. This willenable them tolearn new clinical

experiences.

The studentsability to reactand defend theirtopic will beenhanced. Theircommunicationskills will also bedeveloped.

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1:00 - 2:45pm

2:453:00 pm

Post conferenceClosing prayer

Week 2 Day 3


Evaluation

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6:45-7:15am

7:15- 7:30 am

7:30-9:00am

Devotion Checking of attendance


Pre-conference

Passing of therequirements

Giving individual taskso Assign sequence

of students to bethe actual andassist.

o Assign students tomonitor vital signsat labor room,maternal intensiveunit and recoveryroom.

o Join theendorsement androunds.


Supervise subordinatesin:

a. Dealing with clientsb. Taking vital signsc. Complying doctorsorder.d. Updating patientsindividual folder

g. Giving oral/ parenteralmeds or treatmenth. Endorsing patient in the

At the end of theshift, the students willgain and enhancetheir clinical skills aswell as strengthentheir self-confidencein assisting and

performing differentnursing procedureswith professionalbehaviors including: Strengthening of

knowledge on theinstitutionspolicies and areaset-up.

Being acquaintedwith theinstitutionspersonnel.

Knowing theimportance ofbuilding rapport toclients.

Giving duerespect to clientsin all aspects.

Assessingcorrectly theclients conditionand documentingimportant data.

Observing thebasic rights of theclient inperforming

Individual Checking Individual and Group Sharing



Quiz about Prenatal Ch

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WEEK 3 Day 1


Evaluation

9:00-9:15am/10:00-10:15am

10:15-11:00 am

11:00-12:00pm

12:00-12:30/12:30-1:00pm

1:00-2:45pm

2:45-3:00 pm

respective area.

Send first batch for snackbreak

Send 2ndbatch for snackbreak

Lecture and quiz aboutImportance of Prenatal

Check-up Continue supervising

subordinates inproviding care andassisting labor anddelivery.



Continue supervisingstudents in providing careto labor and delivery.

Post conference

procedures.

Knowing moreabout the recenttrends in thedelivery roomthrough journalsharing

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6:45-7:15am

7:15- 8:00am

8:00-9:00am

Devotion Checking of

attendance



journal readings


sequence ofstudents to bethe actual andassist.




Supervises in:o Dealing with clientso Taking vital signso

Complying doctorsorder.

Updating patients

At the end of theshift, the students willgain independence inperforming differentnursing procedures ina correct manner aswell as develop their

self-confidence.Specifically:


The students willdevelop self-discipline when itcomes to proper

grooming. The students will

be able toprepare on theircorrespondingarea.


The students willbe able to renderthe care needed

by each client. The students will

be able to

Individual Checking Individual and Group Sharing






Quiz

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9:00- 9:15am

9:15- 9:30am

9:3010:20 am

10:2012:00 pm

12:0012:30 pm

12:301:00 pm

1:002:45 pm

2:453:00 pm

individual folderSupervise students in:

a. Dealing with clientso Taking vital signso Complying doctors







Lecture and quiz aboutPlacenta Previa

Continue supervisingstudents in providing

nursing care. Send 1stbatch for

lunch


Assisting labor anddelivery

Post conference

enhance theirabilities morewhen performingthe differentnursingprocedures.

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7:15- 8:00am

8:00-9:00am



journal readings



o Assign studentsto monitor vitalsigns at laborroom, maternalintensive unitand recovery

room.o Join the

endorsementand rounds.


Supervises in:o Dealing with clientso Taking vital signso Complying doctors

order. Updating patients

individual folder

Supervise students in:o Dealing with

performing differentnursing procedures ina correct manner aswell as develop theirself-confidence.Specifically: The students will

be able toenhance theirspiritual beliefs asthey go alongwith their differentclinical duties.



prepare on theircorrespondingarea.


The students willbe able to renderthe care neededby each client.


enhance theirabilities morewhen performing

Lecture and discussions Brain storming of the concepts

learned.


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9:00-:915am

9:15-9:30am

9:3010:20 am

10:2012:00 pm

12:0012:30 pm

12:301:00 pm

1:002:45 pm

2:453:00 pm

clients





the respective area. Send 1stbatch for

snack break


Lecture and quiz aboutCervical Cancer





Post conference

the differentnursingprocedures.

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WEEK 3 Day 3


Evaluation

6:45-7:15am Devotion


Checking of

paraphernalia Pre-conference

o Passing of

At the end of theshift, the students willgain independence inperforming different

nursing procedures ina correct manner aswell as develop their

Individual Checking

Individual and Group Sharing





Quiz

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7:15- 8:00am

8:00-9:00am

journal readings






Supervises in:o Dealing with clientso Taking vital signso Complying doctors

order. Updating patients


a. Dealing with clientsb. Taking vital signs

c. Complying doctorsorder.d. Updating patients

self-confidence.Specifically:




To guide the

students as theydeal with theirpatients.


The students willbe able toenhance theirabilities morewhen performingthe different

nursingprocedures.


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9:00-:915am

9:15-9:30am

9:3010:20 am

10:2012:00 pm

12:0012:30 pm

12:301:00 pm

1:002:45 pm

2:453:00 pm

individual foldere. Giving oral/ parenteral

meds or treatmentf. Endorsing patient in



Send 2nd

batch forsnack break Lecture and quiz about

Breast Cancer





Post conference

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WEEK 4 Day 1


Evaluation





journal readings

At the end of theshift, the students willgain independence inperforming differentnursing procedures ina correct manner aswell as develop theirself-confidence.

Specifically: The students will

Individual Checking




Students are assigned to their

responsibilities. Journal Sharing


Quiz

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7:15- 8:00am

8:00-9:00am






Supervises in:o Dealing with clients

a. Taking vital signs

b. Complying doctors

order.

Updating patientsindividual folderSupervise students in:

Dealing with clientso Taking vital

signs

o Complyingdoctors order.

be able toenhance theirspiritual beliefs asthey go alongwith their differentclinical duties.





The students willbe able toenhance theirabilities morewhen performingthe differentnursingprocedures.

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9:00- 9:15am

9:15- 9:30am

9:3010:20 am

10:2012:00 pm

12:0012:30 pm

12:301:00 pm

o Updatingpatientsindividual folder

o Giving oral/parenteralmeds ortreatment

o Endorsing

patient in therespective area.



Lecture and quiz aboutHyperemesisGravidarum,Hydatidiform Mole andEctopic Pregnancy

Continue supervising

students in providingnursing care.




Post conference

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1:002:45 pm

2:453:00 pm

WEEK 4 Day 2


Evaluation





journal readings

Giving individual tasks

At the end of theshift, the students willgain independence inperforming differentnursing procedures ina correct manner aswell as develop theirself-confidence.Specifically:

The students will

be able toenhance theirspiritual beliefs as

Individual Checking

Individual and Group Sharing






Quiz

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9:00- 9:15am

9:15-9:30am

9:3010:20 am

10:2012:00 pm

12:0012:30 pm

12:301:00 pm

1:002:45 pm

2:453:00 pm

parenteralmeds ortreatment

o Endorsingpatient in therespective area.



Lecture and quiz aboutAbruptio Placenta andDeep vein thrombosis



Send 2nd batch for

lunch Assisting labor and

delivery

Post conference

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WEEK 4 Day 3

Time Table Specific Activities Specific Objectives Methodology/Strategies/

Techniques

Evaluation

6:45-7:15am

7:15- 8:00am

Devotion




journal readings


sequence of

At the end of theshift, the students willgain independence inperforming differentnursing procedures ina correct manner aswell as develop theirself-confidence.Specifically:

The students willbe able toenhance their

spiritual beliefs asthey go alongwith their different

Individual Checking






Major Examination

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8:00-9:00am

students to bethe actual andassist.

o Assign studentsto monitor vitalsigns at laborroom, maternalintensive unit

and recoveryroom.



Supervises in:o Dealing with

clientso Taking vital

signso Complying

doctors order. Updating patients


a. Dealing with clientso Taking vital

signso Complying

doctors order.o Updating

patientsindividual folder

o Giving oral/parenteralmeds or

clinical duties.





The students will

be able toenhance theirabilities morewhen performingthe differentnursingprocedures.

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9:00- 9:15am

9:15-9:30am

9:3012:00 pm

12:0012:30 pm

12:301:00 pm

1:002:15 pm

2:15- 2:45pm

2:453:00 pm

treatmento Endorsing

patient in therespective area.






Major Examination withRationale

Computation of gradesand distribution of

classcards Post conference

ctp dr 2 (1)

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