College of Nursing

City of San Fernando, La Union

S.Y. 2014-2015

Clinical Teaching Plan

Lorma Medical Center: Operating Room
Prepared By:
Gaerlan, John Matthew R.
Labiano, Regina Grace S.
Lictaoa, Ed Tennyson C.
Sabanal, Rayamark G.
Timbreza, Korina Candle S.
Checked by:
Nisperos, Fe
Head, Level III
Noted by:
Teresita A. Ferrer, MAN
Head, Level IV

Approved by:
Araceli F. Surat, MAN
Clinical Coordinator
Marites C. Pagdilao, MAN
Acting Dean

College of Nursing
City of San Fernando, La Union
Clinical Teaching Plan
SY 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 NURSING

We 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 NURSING
Concomitant 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 orientation and caring environment with community services.

OBJECTIVES of the COLLEGE of NURSING

1. 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.
2. To provide opportunities for the development of research attitude in nurses for continued improvement of professional
competence by undertaking studies on Nursing Education and Practice, Management and Community Health. Further, to
encourage dissemination and utilization 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 as acquired the necessary skills of caring critically illed patients and their families in the Intensive Care Unit
Focus of Clinical Experience:
The 4th year nursing students will concentrate on the provision of nursing care to the critically ill patients who are admitted in
the ICU. This experience provides the 4th year nursing students the opportunity to improve their nursing skills and to experience
first- hand actual provision of nursing care to critical patients and their families.

Setting:
Intensive Care Unit is located at the 2nd floor Lorma Medical Center,Carlatan, City of San Fernando , La Union and Ground floor
of Ilocos Training Regional Medical Center, City of San Fernando, La Union, whose personnels attends to all critically ill patients
experiencing various health problems.
General Objectives:
After one month of exposure, the 4th year nursing students will be able to:
1. Familiarize themselves with the hospital policies, health personnel and ICU set-up, and the SOPs of the institution.
2. Apply nursing theories, principles and the nursing procedures in the care of critically ill patients.
3. Continue to care effectively through communication between the clinical instructor, student nurses and coworkers.
4. Identify and assess the manifestations of the different diseases that afflict the patient in the ICU
5. Utilize the nursing process to provide preventive, curative and promotive health needs of the critical patients.
REQUIREMENTS:
Grading System: Evaluation Tool Form
Nursing Health History & Physical Assessment
Core Competencies = 50%
Learning Feedback Diary
Requirements = 20%
Journal reading with summary & Handwritten reaction with nursing theories
Quizzes/Exams = 30%
NCP & Drug Study
Total = 100%
Mini Case Study
Case Analysis
Essay

Sample Criteria for case study:

Content
40%
Completeness
30%
Organization and presentation 20%

Punctuality
Total

10%
100

COLLEGE OF NURSING
CLINICAL TEACHING PLAN for Intensive Care Unit
Ilocos Training and Regional Medical Center/Lorma Medical Center
SY 2014 2015

TIME TABLE

ACTIVITIES

SPECIFIC OBJECTIVES
Headnurse

WEEK 1
DAY 1

Students will be able to:

1.Reflect Christian values and develop
attitudes like, punctuality, respect, humility,
neatness and proper grooming in the area.

2. Be oriented with staff and personnel,

policies, set-up of the intensive care unit.

3. .Develop awareness on the

activities of the
staff nurses.

routine

Pre-Conference & PostConference

-Devotion/Prayer
-Observe & enhance their
values and proper attitude
Check attendance
,complete and clean
uniform, paraphernalias
and grooming
-Feedbacks and comments
to studentsRLE
Introduce staff nurses,
doctors and other medical
allied teams
Accompany students in the
physical tour &,Orient the
different
equipments/facilities
encountered in the area.
Discuss briefly the policies
& SOPs of the ICU.
Observation on the
students attitude ,
performance and focus on
the activities done at the
ICU

EVALUATION
/subordinates

Report to duty 15 minutes

before time
Greet everybody with
Lorma smile
Lead a devotion and
opening prayer
Wear proper and prescribed
uniform
Share their significant
learning experiences

Daily recording of attendance

(time in and out)
paraphernalias and grooming

Self introduction
Ocular survey &
presentation of the ward
set-up of the ICU as they
identify equipments,
/facilities together with their
uses
Orientation to the policies
and the SOPs of the ward

Question and Answer activity

Paper and pen examination

.Observe the routine

activities of the staff nurses
in the ICU

DAY 2 & 3

4. Apply the theories, concepts, principles,

skills and attitude on the care of critically ill
patients
on
the care
of critically ill patients, to facilitate
a more effective application and student
performance in the unit.

5. Assess & plan for the care of critically ill

patients.

Lecture Discussion:
a. Review the students
principles, concepts on
the care of critically ill
patients; facilitate a
more effective
application on student
performance in the
intensive care units
Supervise students on the
actual performance of
different nursing procedures
Guide students on the
assessment process.
Supervise students on the
performance of the actual
procedures such as
admission and discharge
care,
Guide students in carrying
out doctors orders and
updating the patients
kardex & documentation.
Supervise students on the
proper preparation &
administration of drugs, IVF
and BT, oxygen inhalation
and nebulization..

Actual application of the

theories, principles on the
performance of nursing
procedures in handling
patients at the ICU.

Quiz on :
a. theories of the care of
critically ill patients
b. Return demo on the
different nursing
procedures.

Actual participation on the

following routine activities:
a. Receiving endorsement
& joining the nurses
rounds.
b. Assessing correctly
patients condition such
as the GCS, NVS/VS,
and documenting
important data.
c. Routine admission and
discharge care
d. Complying doctors
orders
e. Updating the kardex
f. Proper handling and
administration of the
right drugs, IVF & BT,
oxygen inhalation,
nebulization.

Oral discussion on different

procedures done by the
students based on actual
clients in the unit
Sample Charting
Comments and responses from
patients, significant others,
group members and other
health team

WEEK 2,3&4

6. Able to implement effectively the plan of

care of a critically ill patient

DAY 1&2

7. Demonstrate effectively the skills,

competence needed in rendering a quality
nursing care of critically ill client.
.

Week 4
DAY 3

Observe and listen while

they interact to patients
and significant others

8. Provide health teachings on the care of

patients
.
at the ICU.

9. Share and discuss to group members

and patients significant others the new
information about diseases/ ICU cases
that are acquired from the internet or
other resources

Guidance in the
performance of actual
nursing procedures done to
the patient,
Emphasis on the skills &
competence needed in the
care of critically ill patient.
Guide students in the actual
performance of proper
suctioning procedure and
the NGT gavage & lavage/
PEG.

Supplement knowledge or
information to the group
Active listening to the
journal & mini case or article
sharings on updates
regarding ICU.

Actual performance of
nursing interventions/care
done in the ICU.
Perform morning &
bedside care
Monitor VS/NVS & GCS
Monitor the IVF & BT if any
Perform the following
nursing procedures such as
suctioning,NGT Gavage &
Lavage/ PEG

Giving feedbacks to students

Health teachings on the

different cases/ and
diseases of the patients.

Giving feedbacks to students.

Individual sharing of
journals or articles
Mini Case Presentation
Performance of nursing
procedures using new
information derived from
research findings

Question and Answer Activity

Mini Case Study Defense
Quiz on new updates as
discussed by the students

Oral drills on basic concepts

regarding the care of critically
ill patients.
Checking students output

Quiz on Suctioning & NGT gavage

and lavage/ PEG

Week 1 Day 1
Time Table
5:45-6:15am/
6:45-7:15am

6:15-7:00am/
7:15- 8:00am

7:00-7:15am/
8:00-8:15am

7:15-9:00am/
8:15-10:00am

Specific Activities
Devotion
Checking of attendance
Group acquaintance (Getting
to know each other)
Checking of paraphernalia
Pre-conference :
o Goals and objectives
o Expected activities
o Announcement of
requirements
Orientation to institution
set-up, personnel,
equipment, and admission
procedures done in the area.
Giving individual tasks
o Distribute the
patients per student
to handle within the
shift.
o Join the endorsement
and rounds.
o Schedule of
break time
Supervises in:
a. Dealing with clients
b. Taking vital signs
c. Complying doctors order.

Specific Objectives
At the end of the shift, the
students will gain and
enhance their clinical
skills as well as
strengthen their selfconfidence in assisting
and performing different
nursing procedures with
professional behaviors
including:
Being oriented with the
institutions policies
and area set-up.
Being acquainted with
the institutions
personnel.
Knowing the
importance of building
rapport to clients.
Giving due respect to
clients in all aspects.
Assessing correctly the
clients condition and
documenting
important data.
Observing the basic
rights of the client in

Methodology/Strategies/
Techniques
Self Introduction
Individual Checking
Individual and Group Sharing
Presentation of Personnel
Performance Observation
Lecture and discussions
Brain storming of the concepts
learned.
Presentation of personnel
Students are assigned to their
responsibilities.

Evaluation

Evaluation of
students by asking
feedback and
comments.
Quiz
Identification about
the orientation

9:00-9:15am/
10:0010:15am
9:15-9:30am/
10:1510:30am

9:30-12:00/
10:30-1:00
12:00-12:30/
12:30-1:00pm
1:00-1:55pm/
2:00-2:55pm
1:55-2:00pm/
2:55-3:00pm

d. Updating patients individual

folder
e. Giving oral/ parenteral meds
or treatment
f. Endorsing patient in the
respective area
Send 1st batch for snack
break
Send 2nd batch for snack
break
Continue supervising
students in providing
nursing care to different
patient with different cases.
Send 1st batch for lunch
Send 2nd batch for lunch
Continue supervising
students in providing care to
different clients and
checking of sample charting.
Post conference

performing procedures.

Knowing more about

the disease, Myocardial
Infarction /CVA
through a simple
discussion and the
Glasgow Coma Scale

Day 2
Time Table
5:45-6:15am/
6:45-7:15am

6:15-7:00am/
7:15- 8:00am

Specific Activities

Devotion
Checking of attendance
Checking of paraphernalia
Pre-conference
Reminding of the
requirements to be passed on
the following day.
Giving individual tasks
o Distribute the patients
per student to handle
within the shift
o Join the endorsement
and rounds.

Specific Objectives
At the end of the shift, the
students will gain and
enhance their clinical
skills as well as
strengthen their selfconfidence in assisting
and performing different
nursing procedures with
professional behaviors
including:
Being more familiar
with the institutions
policies and unit set-

Methodology/Strategies/
Techniques
Individual Checking
Individual and Group Sharing
Performance Observation
Lecture and discussions
Brain storming of the concepts
learned.
Students are assigned to their
responsibilities.

Evaluation

Reporting
Sharing of significant
learning experiences
and citing life
application

7:00-7:15am/
8:00-8:15am

7:15-9:00am/
8:15-10:00am

o Schedule of
break time.
Supervise students in:
a. Dealing with clients
b. Taking vital signs
c. Complying doctors order.
d. Updating patients individual
folder
e. Giving oral/ parenteral meds
or treatment
f. Endorsing patient in the
respective area.

9:00-9:15am/
10:00-10:15am
9:15-9:30am/
10:15-10:30am
9:30-12:00/
10:30-1:00

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

Send 1st batch for snack.

Break Send 2nd batch for

snack break.

Continue supervising
students in providing nursing
care to different patient with
different cases.

Send 1st batch for lunch

Send 2nd batch for lunch

up.
Being acquainted with
the institutions
personnel.
Knowing the
importance of building
rapport to clients.
Giving due respect to
clients in all aspects.
Assessing correctly the
clients condition and
documenting
important data.
Observing the basic
rights of the client in
performing
procedures.

1:00-1:55pm/
2:00-2:55pm

1:55-2:00pm/
2:55-3:00pm

Continue supervising
students in providing care to
different clients.

Post conference
Closing prayer

Day 3
Time Table

Specific Activities

Specific Objectives

Methodology/Strategies/
Techniques

Evaluation

5:45-6:15am/
6:45-7:15am

6:15-7:00am/
7:15- 8:00am

7:00-7:15am/
8:00-8:15am

7:15-9:00am/
8:15-10:00am

Devotion
Checking of attendance
Checking of
paraphernalia
Pre-conference
Passing of the
requirements
Giving individual tasks
o Distribute the
patients per
student to
handle within
the shift.
o Join the
endorsement
and rounds.
o Schedule of
break time
Journal Sharing (first
batch)

Supervise subordinates
in:
a. Dealing with clients
b. Taking vital signs
c. Complying doctors
order.
d. Updating patients
individual folder
e. Giving oral/ parenteral

At the end of the

shift, the students
will gain and
enhance their
clinical skills as
well as strengthen
their selfconfidence in
assisting and
performing
different nursing
procedures with
professional
behaviors
including:
Strengthening
of knowledge on
the institutions
policies and
area set-up.
Being
acquainted with
the institutions
personnel.
Knowing the
importance of
building rapport
to clients.
Giving due
respect to
clients in all

Individual Checking
Individual and Group Sharing
Performance Observation
Students are assigned to their
responsibilities.
Journal Sharing
Students are assigned to their
responsibilities.
Criteria on journal sharing
Content of reaction
5pts
Knowledge
5pts
Total=
10pts

Background knowledge
probe.
Quiz on the Report

9:00-9:15am/
10:00-10:15am
9:15-9:30am/
10:15-10:30am
9:30-12:00/
10:30-1:00

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

1:00-1:55pm/
2:00-2:55pm

1:55-2:00pm/
2:55-3:00pm

meds or treatment
f. Endorsing patient in
the respective area.
Send first batch for
snack break
Send 2nd batch for
snack break
Continue supervising
students in providing
nursing care to
different patient with
different cases.
Send 1st batch for
lunch
Send 2nd batch for
lunch
Continue supervising
students in providing
care to different
clients.
Post conference

aspects.
Assessing
correctly the
clients
condition and
documenting
important data.
Observing the
basic rights of
the client in
performing
procedures.
Knowing more
about the
recent trends in
emergency
nursing
through journal
sharing

WEEK 2, 3 & 4

Day 1

Time Table
5:45-6:15am/
6:45-7:15am

Specific Activities

6:15-7:00am/
7:15- 8:00am

7:00-7:15am/
8:00-8:15am

7:15-9:00am/

Devotion
Checking of
attendance
Checking of
paraphernalia
Pre-conference

Giving individual tasks

o Distribute the
patients per
student to
handle within
the shift.
o Join the
endorsement
and rounds.
o Schedule of
break time

Specific Objectives
At the end of the
shift, the students
will gain
independence in
performing
different nursing
procedures in a
correct manner as
well as develop
their self
confidence.
Specifically:
The students
will be able to
enhance their
spiritual beliefs
as they go along
with their
different clinical
duties.

Methodology/Strategies/
Techniques
Individual Checking
Individual and Group Sharing
Performance Observation
Lecture and discussions
Brain storming of the
concepts learned.
Students are assigned to their
responsibilities.

Evaluation

Major Exam

8:15-10:00am

a.
b.
c.
d.
e.

f.

9:00-9:15am/
10:00-10:15am
9:15-9:30am/
10:15-10:30am

9:30-12:00/
10:30-1:00

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

1:00-1:55pm/
2:00-2:55pm

Supervise students
in:
Dealing with clients
Taking vital signs
Complying doctors
order.
Updating patients
individual folder
Giving oral/
parenteral meds or
treatment
Endorsing patient in
the respective area.
Send 1st batch for
snack break
Send 2nd batch for
snack break
Continue
supervising students
in providing nursing
care to different
patient with different
cases.
Send 1st batch for
lunch
Send 2nd batch for
lunch
Continue
supervising students
in providing care to

The students
will develop self
discipline when
it comes to
proper
grooming.
The students
ability to
compute
dosages of
drugs will be
enhance letting
them to avoid
mistakes while
preparing the
medications.
The students
will be able to
prepare on their
corresponding
area.
To guide the
students as
they deal with
their patients.
The students
will be able to
render the care
needed by each
client.
The students

1:55-2:00pm/
2:55-3:00pm

different clients.
Post conference

will be able to
enhance their
abilities more
when
performing the
different
nursing
procedures.

Day 2
Time Table
5:45-6:15am/
6:45-7:15am

Specific Activities

6:15-7:00am/
7:15- 8:00am
7:00-7:15am/
8:00-8:15am

Devotion
Checking of
attendance
Checking of
paraphernalia
Pre-conference
Giving individual
tasks
o Distribute the
patients per

Specific Objectives

The students
belief will be
strengthened
making them
able to render
holistic care to
their clients.
The students
will develop self
discipline
allowing them

Methodology/Strategies/
Techniques
Individual Checking
Individual and Group Sharing
Performance Observation
Journal Sharing
Brain storming of the concepts
learned.
Students are assigned to their
responsibilities.

Evaluation

Complete the data from the

patient for the case study.

7:15-9:00am/
8:15-10:00am

a.
b.
c.
d.
e.

f.

9:00-9:15am/
10:00-10:15am
9:15-9:30am/
10:15-10:30am
9:30-12:00/
10:30-1:00

student to
handle within
the shift.
o Join the
endorsement
and rounds
o Schedule of
break time
Supervise students
in:
Dealing with clients
Taking vital signs
Complying doctors
order.
Updating patients
individual folder
Giving oral/
parenteral meds or
treatment
Endorsing patient in
the respective area.
Send first batch for
snack break
Send 2nd batch for
snack break
Continue
supervising students
in providing nursing
care to different
patient with different
cases.

to become
effective
professionals in
the future.
The students
will be able to
prepare on their
assigned area.
Assessing
correctly the
clients
condition and
documenting
important data.
Observing the
basic rights of
the client in
performing
procedures.

The students
will be guided
in all the
nursing
procedures to
be done. This
will enable
them to learn
new clinical

experiences.

12:00-12:30/
12:30-1:00pm
1:00-1:55pm/
2:00-2:55pm

1:55-2:00pm/
2:55-3:00pm

Journal Sharing
(Second Batch)
Send 1st batch for
lunch
Send 2nd batch for
lunch
Continue
supervising students
in providing care to
different clients.

The students
ability to react
and defend
their topic will
be enhanced.
Their
communication
skills will also
be developed.

Post conference

Week 4 Day 3
Time Table

Specific Activities

Specific Objectives

Methodology/Strategies/
Techniques

Evaluation

5:45-6:15am/
6:45-7:15am

6:15-7:00am/
7:15- 8:00am
7:00-7:15am/
8:00-8:15am

7:15-9:00am/
8:15-10:00am

a.
b.
c.
d.
e.

f.

Devotion
Checking of
attendance
Checking of
paraphernalia
Giving individual
tasks
o Distribute the
patients per
student to
handle within
the shift.
o Join the
endorsement
and rounds.
o Schedule of
break time
Supervise students
in:
Dealing with clients
Taking vital signs
Complying doctors
order.
Updating patients
individual folder
Giving oral/
parenteral meds or
treatment
Endorsing patient in
the respective area.

The students
faith will be
strengthened
enabling them
to perform their
duties
effectively.
The students
will develop the
attitude of being
a professional
by being self
disciplined in
terms of
grooming and
time of arriving
on their duties.
Giving due
respect to
clients in all
aspects.
Assessing
correctly the
clients
condition and
documenting
important data.
Observing the
basic rights of
the client in
performing

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 by
asking feedbacks and
comments.

procedures.
9:00-9:15am/
10:00-10:15am
9:15-9:30am/
10:15-10:30am
9:30-12:00/
10:30-1:00

12:00-12:30/
12:30-1:00pm
1:00-1:55pm/
2:00-2:55pm

Case presentation

Send 1st batch for

lunch
Send 2nd batch for
lunch
Continue
supervising students
in providing care to
different clients.
Post conference
Giving and Signing of
Grades

1:55-2:00pm/
2:55-3:00pm

Send 1 batch for

snack break
Send 2nd batch for
snack break
Continue
supervising students
in providing nursing
care to different
patient with different
cases.
st

This will help

the students for
they will be
assisted when
problems in the
area occurs.
To know their
comments and
feedbacks about
the clinical
head nursing.
The students
feelings
regarding their
two-week duty
will be
expressed.

ATTENDANCE: Date Week 1

NAMES /Year & Section

Day 1
Time in for duty /Signature

Snack time =
Time out /signature

15 minutes
Time in /signature

Meal time =

30 minutes

Time out /signature

Time in /signature

Meal time =

30 minutes

Time out /signature

Time in /signature

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

ATTENDANCE: Date Week 1

NAMES /Year & Section
1.
2.
3.

Day 2
Time in for duty /Signature

Snack time =
Time out /signature

15 minutes
Time in /signature

4.
5.
6.
7.
8.
9.
10.

ATTENDANCE: Date Week 1

NAMES /Year & Section
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

ATTENDANCE: Date -

Day 3
Time in for duty /Signature

Snack time =
Time out /signature

15 minutes
Time in /signature

Meal time =

30 minutes

Time out /signature

Time in /signature

Week 2
NAMES /Year & Section
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Day 1
Time in for duty /Signature

Snack time =
Time out /signature

15 minutes
Time in /signature

Meal time =

30 minutes

Time out /signature

Time in /signature

TIME ATTENDANCE: Date -

Week 2

Day 2

Snack time =

15 minutes

Meal time =

30 minutes

NAMES /Year &

Section

Time in for duty

/Signature

Time out
/signature

Time in
/signature

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Time in
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Day 3

Snack time =

15 minutes

Meal time =

30 minutes

Time in for duty

/Signature

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/signature

Time in
/signature

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Time in
/signature

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ATTENDANCE: Date Week 2

NAMES /Year &
Section
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