CENTRAL MINDANAO UNIVERSITY

College of Nursing
University Town, Musuan, Bukidnon

CLINICAL TEACHING PLAN

for
NCM 67.1- Care of Clients with Problems in
Cellular Aberrations, Acute Biologic Crisis
including Emergency and Disaster Nursing

Bachelor of Science in Nursing

NCM 67.1
CARE OF MOTHER, CHILD, AND FAMILY
Related Learning Experience
CLINICAL TEACHING PLAN

Prepared by:
MEVELLE L. ASUNCION, MN, RN
Clinical Instructor/Level IV Coordinator

Reviewed by:
FIDELITO S. ACOJEDO, MN, RN
Level IV Coordinator

Approved by:
PILAR V. DOMAGSANG, MAN, RN
Dean, College of Nursing

May 2015

Central Mindanao University

COLLEGE OF NURSING
University Town, Musuan, Maramag, Bukidnon
CLINICAL TEACHING PLAN
I.

COURSE INFORMATION
COURSE NUMBER:

Nrsg 67.1

COURSE NAME:

CARE OF CLIENTS WITH PROBLEMS IN CELLULAR

ABERRATIONS, ACUTE BIOLOGIC CRISIS, EMERGENCY AND
DISASTER NURSING (RLE)
It deals with the principles and techniques of nursing care
management of sick clients across the lifespan with
emphasis on the adult and older person with
alteration/problems in cellular aberration, acute biologic
crisis, including emergency and disaster nursing and IV
Therapy.

COURSE DESCRIPTION:

PRE-REQUISITE:
NUMBER OF UNITS:

NCM 104-Care of clients with problems in inflammatory and

immunologic response, perception and coordination; NCM
105-Care of clients with maladaptive patterns of behavior
6 units lecture, 5units RLE (2units Skills Lab ; 3units Clinical)

TIME DURATION:

108 lecture hours, 255 RLE Hours

PLACEMENT:

4th Year, First Semester

II. OBJECTIVES
A. GENERAL
At the end of the 4th year, given actual clients/situations the student shall be able
to demonstrate competencies in all the key areas of responsibility such as safe and
quality nursing care, communication, collaboration and teamwork, health education,
legal responsibility, ethico-moral responsibility, personal and professional development,
quality improvement, research, management of resources and environment, and records
management.
B. SPECIFIC
Specifically, the student shall:
a. utilize the nursing care process in caring for clients across the lifespan with
problems in cellular aberrations and acute biologic crisis, disaster/emergency
situations;
b. apply a nursing theory in the management of care of a client for case study;
c. observe the core values cherished by the nursing profession such as love of
God, country, people and caring, and the bioethical principles and legal
dimensions in the care of clients; and,
d. demonstrate leadership and management skills in the care of a group of
clients in the community and hospital setting utilizing research findings.
e. Provide opportunities to demonstrate the procedures for inflammatory and
immunologic response, perception and coordination.
f. Utilization of standardized documentation, a prescribed form shall be
completed
right after the related clinical experience.
g. Provide opportunities for actual clinical hospital experiences to ensure
competencies are developed.

h. Provide opportunities to demonstrate procedures needed in acute biologic

crisis.
i.
j. For Disaster Situations: You may provide simulated scenarios/ situations for
these experiences
IV Therapy:
Faculty member handling the course must have a current
certificate as IV Therapist

SKILLS:
1.
2.
3.
4.

Assess the patients health care needs and problems through data collection.
Apply the correct techniques of the basic nursing procedures/functions.
Practice accurate taking and recording of vital signs.
Administer all oral medications, IV medications with Clinical Instructors
guidance.
5. Assess the clients health care needs and problems through data collection.
6. Demonstrate correct ways of using monitoring devices.
7. Apply the principles of aseptic techniques.
8. Provide opportunities for demonstration/return demonstration through the use
of an IV dummy arm and one-on one intravenous insertion.
9. Acute Biologic Crisis: Provide experience opportunities for actual experience to
ensure competencies in caring for clients with acute biologic crisis and those
with emergency situations are developed.
10. For Disaster Situations: Practice simulated scenarios/ situations for these
experiences
KNOWLEDGE
At the end of the course, and given actual clients with problems in cellular
aberrations, acute biologic crisis and emergency, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in community and
hospital settings.
- Assess with client/s his/her/their condition/health status through interview,
physical examination, interpretation of laboratory findings
- Identify actual and potential nursing diagnosis.
- Plan appropriate nursing interventions with client/s and family for identified
nursing diagnosis.
- Implement plan of care with client/s and family
- Evaluate the progress of his/her/their clients condition and outcomes of care
2. Reproduce a well organized and accurate documentation system.
3. Formulate and implement the nursing care plan/discharge plan.
4. Relate the laboratory and diagnostic tests to the patients condition.
5. Discuss important concepts related to drug administration.
6.Identify the instruments and equipments used.
7. Describe the pharmacologic and non-pharmacologic methods used to promote comfort
during labor and birth.
ATTITUDE:
1. Demonstrate requirements on time, work efficiently and effectively, and shows
courtesy at all times.
2. Appreciate the different functions and responsibilities of a nurse in varied
settings.
3. Comply with the standard operating procedures.
4. Value the importance of accurate data collection and documentation.

5. Listen to the concerns of the client who will deliver.

6. Integrate spiritual care as part of the healing ministry.
7. Recognize the importance of informed consent.
8. Show sensitivity to cultural differences.
9. Be aware o responsibilities related to medico-legal cases.
10. Recognize the importance of administering vitamin K injection and Credes
prophylaxis.
11. Comply with the standard operating procedures.
12. Appreciate the importance of accurate data collection and documentation.
13. Internalize new knowledge learned.
14. Integrate spiritual care as part of the healing ministry.
15. Relate with client/s and their family and the health team appropriately.
16. Observe bioethical concepts/ principles, core values and nursing standards in
the care of clients
17. Promote personal and professional growth of self and others
C. TERMINAL COMPETENCIES
At the end of the course, and given actual clients with problems in cellular
aberrations, acute biologic crisis and emergency, the student should be able to:
1. Utilize the nursing process in the care of individuals, families in community and
hospital settings.
Assess with client/s his/her/their condition/health status through interview,
physical examination, interpretation of laboratory findings.
Identify actual and potential nursing diagnosis.
Plan appropriate nursing interventions with client/s and family for identified
nursing diagnosis.
Implement plan of care with client/s and family.
Evaluate the progress of his/her/their clients condition and outcomes of care.
2. Ensure a well organized and accurate documentation system.
3. Relate with client/s and their family and the health team appropriately.
4. Observe bioethical concepts/ principles, core values and nursing standards in the
care of clients
5. Promote personal and professional growth of self and others.
III. STUDENT DESCRIPTION
The students are BSN IV who have taken necessary prerequisite courses and currently
enrolled in NCM 67.1. They are assigned in Emergency Room, Out-Patient Department,
Intensive Care Unit, Isolation Unit, Medical Area, and Surgical Area, and Pediatric Area.
They will have their clinical exposure in Bukidnon Provincial Hospital-Maramag, 8-4 shift
for the month of July to October, and Bukidnon Provincial Medical Center-Malaybalay
Bukidnon. The students age range from 18-19. The will be exposed in the clinical area
twice a week, 16-hours-hospital duty.
IV. FOCUS OF CLINICAL EXPERIENCE
The focus will be on caring clients having cellular abberations, multi-organ diseases
across the lifespan. Furthermore, they will be exposed to emergency nursing and clients
undergoing acute biological crises. The clinical experience will be centered on enhancing
the student nurses on the application of the Nursing Process in meeting the promotive,
preventive, and curative needs of patients through provision of guidance, assistance,
and supervision in enhancing critical thinking and problem solving skills, an in their
implementation of nursing interventions. Application of leadership and management
concepts and philosophy in the clinical area. The following are the competencies for their
level:
A. Health Assessment
B. Administration of Medications in Various route.

C.
D.
E.
F.

Bedside Care/Nursing Procedures

Charting
Assisting minor surgical cases.
Competency Appraisal by Practicing Clinical Instructors.

V. SETTING
The level IV students will have their clinical exposure in Bukidnon Provincial HospitalMaramag and Bukidnon Provincial Medical Center-Malaybalay. They are assigned in
Emergency Room, Out-Patient Department, Intensive Care Unit, Isolation Unit, Medical
Area, and Surgical Area, and Pediatric Area. They will have their clinical exposure in
Bukidnon Provincial Hospital-Maramag, 8-4 shift for the month of July to October, and
Bukidnon Provincial Medical Center-Malaybalay Bukidnon. A supplementary Workshop on
Hemodialysis Concepts will be added.
VI. REQUIREMENTS
The students are required to conduct a health assessment prior to the day of duty. The
Problem-Oriented Nursing Record (PONR) are submitted during the day of duty. Corrected
PONR are completed and to be submitted on a Monday of the succeeding week. The
following are the requirements of the course:
A. Completed Workbook
B. Completed Procedure Checklist
C. Case Presentation
D. Practical Exam
E. Oral Revalida
VII.

GRADING SYSTEM

The students will be evaluated using the following criteria:

CLINICAL PERFORMANCE:
Attitude
Knowledge
Skills

20%
40%

40%
100%

ATTITUDE:
Rate each item using the scale below:
Scale:
5
4
3
2
1

Performs expectations perfectly or almost perfect, and complies

with the maximum requirements of the assigned task.
Performs expectations very satisfactorily most of the time.
Complies satisfactorily more than the minimum requirements of
assigned tasks.
Complies less than the minimum requirements of the assigned
tasks.
Performs expectations poorly most of the time.

a) Reports to the area on time.

b) Demonstrate refinement in speech and manner.
c) Reports to the area with complete uniform, neat, tidy, without jewelries
and with complete paraphernalia.
d) Courteous and works harmoniously with CI, hospital personnel and
classmates.
e) Accepts suggestions and criticism constructively.

f) Shows awareness of ones own strength and weakness.

g) Utilizes appropriate resources to prepare self and comply with RLE
requirements.
h) Observe clinical policies religiously and conscientiously.
i) Submits requirements on time.
j) Demonstrates qualities such as honesty, respect, self-directed,
interested, diligence and responsible.
Note: Attitude is 20% of the percentile rate of the above parameters.
KNOWLEDGE:

10%

Written requirements (Clinical Workbook by area)

Case Presentation

20%

Quizzes

10%

40%
SKILLS:
Procedures performed in clinical area
Performance Evaluation (key areas of responsibility)

10%
30%

40%
TERM GRADE:
80%
20%

Clinical Performance
Term Exam.

100%
FINAL GRADE:
=

33.33%

66.67%

Midterm Grade

1/3

Final Grade

2/3

100%
VIII.

PRECONFERENCE

Preconference is done a day prior to duty to orient students on the clinical rules, duty
requirements, and the strategies that we will apply during clinical exposure. Another
preconference is done during the day of duty just before the duty starts. Practicing
Clinical Instructors will be having
IX.

STRATEGIES OF TEACHING-LEARNING STRATEGIES/ METHODS

The following are strategies used:

A. Practical learning
B. Cooperative learning
C. Lecture-Discussion
D. Evaluation
E. Examination

X. POSTCONFERENCE
Post conference is done every after the clinical duty. This is allotted to discuss what the
students learned during the exposure. Clinical instructors and those from Practicing
Clinical Instructors observations are discussed with the students. Any problems and
difficulties are also taken into consideration. Practicing Clinical Instructor of the day may
give a quiz after the duty. Evaluation for the Practicing Clinical Instructor will then
following.
XI. PLAN OF ACTIVITIES
OBJECTIVES
1. Formulate and
IEC material for
Earthquake
and Fire Drill to
at least 25%
level of Activity

TEACHERS ACTIVITIY
Discuss Disaster Nursing
Concepts

STUDENTS
ACTIVITY
Fire Drill and
Earthquake Drill IEC
making, Disaster
Nursing Concepts

EVALUATION
At the end of the
discussion the
student will be
able to make an
IEC material about
the concept to at
least 75% level of
competency.
At the end of the
activities, the
student will be
able to appreciate
the value of
continual
preparation for
the Battery
examination every
semester and
transcribe given
Doctors order to
at least 75% level
of mastery.

2. Appraise
through
Battery
examinatio
n to at least
75% level
of Mastery
3. Transcribe
given
Doctors
order to at
least 75%
level of
mastery

Construct Battery
Examinations with topics
from the Fundamentals of
Nursing, Maternal and Child,
Community, Medical-Surgical
Nursing and Psychiatric
Nursing and Research.
Discuss the Clinical Rotation
Plans
Drills for Transcribing
Doctors Orders

Battery Examinations,
Orientation of the
Clinical Orientation
Plans
Drills for Transcribing
Doctors Orders

4. Assist
during
orientation
Program of
Hospital
staff from
Bukidnon
Provincial
Medical
Center.

Hospital Orientation by
Bukidnon Provincial Medical
Center Malaybalay Staff and
Officers
Review of Clinical Rules and
Regulations, Policies

Hospital Orientation
by Bukidnon
Provincial Medical
Center Malaybalay
Staff and Officers
Review of Clinical
Rules and
Regulations, Policies

At the end of the

activities, the
student will be
able to assist
during orientation
Program of
Hospital staff
from Bukidnon
Provincial Medical
Center.

Hospital Orientation by
Bukidnon Hospital- Maramag
Staff and Officers
Drills for the requirements of
Practicing Clinical Instructors
and different Hospital forms

Hospital Orientation
by Bukidnon HospitalMaramag Staff and
Officers
Drills for the
requirements of
Practicing Clinical
Instructors and
different Hospital
forms

At the end of the

activities, the
student will be
able to:
Assist during
orientation
Program of
Hospital staff
from Bukidnon
Provincial

5. Assist during
orientation
Program of
Hospital staff
from Bukidnon
Provincial
HospitalMaramag.
6. Practice drills
of filling-out

OBJECTIVES

TEACHERS ACTIVITIY

STUDENTS
ACTIVITY

the hospital
forms to at
least 75%
level of
competency.

EVALUATION
Hospital-Maramag
Practice drills of
filling-out the
hospital forms to
at least 75% level
of competency.
At the end of the
activities, the
student will be
able to:
Demonstrate
knowledge, skills
and attitude in
rendering nursing
care to clients in
ICU, ER, OPD, and
Isolation area to
at least 75% level
of mastery.
At the end of the
activities, the
student will be
able to:
Schedule the
activities as
expected during
the semester

7. Demonstrate
knowledge,
skills and
attitude in
rendering
nursing care
to clients in
ICU, ER, OPD,
and Isolation
area to at
least 75%
level of
mastery.
8. Schedule the
activities as
expected
during the
semester.

Supervise Hospital duty to

special areas (ICU, ER, OPD,
Isolation Area) with
Practicing Clinical Instructors

Hospital duty to
special areas (ICU, ER,
OPD, ICU) with
Practicing Clinical
Instructors

Attend Faculty
conference/Student General
Assembly

Attend Faculty
conference/Student
General Assembly

9. Conduct
Hemodialysis
Seminar to at
least 75% level
of Mastery.

Conduct Hemodialysis
Seminar

Hemodialysis
Concepts Seminar

At the end of the

activities, the
student will be
able to conduct
Hemodialysis
Seminar to at
least 75% level of
Mastery.

10. Demonstrate
knowledge,
skills and
attitude in
rendering
nursing care to
clients in ICU,
ER, OPD, and
Isolation area
to at least 75%
level of
mastery.

Hospital duty to special

areas (ICU, ER, OPD,
Isolation Area) with
Practicing Clinical Instructors

Hospital duty to
special areas (ICU, ER,
OPD, ICU) with
Practicing Clinical
Instructors

Construct Midterm
Examinations

Take Midterm Exam

At the end of the

activities, the
student will be
able to
demonstrate
knowledge, skills
and attitude in
rendering nursing
care to clients in
ICU, ER, OPD, and
Isolation area to
at least 75% level
of mastery.
At the end of the
activities, the
student will be
able to:

11. Assess their

level of
learning of
the
concepts
learned in

Facilitate making of the

Prototype Manual of Special

Construction of
Prototype Manual of
Special Areas in ICU,

1. Assess their

OBJECTIVES

Areas in ICU, ER, OPD and

Isolation Area .

STUDENTS
ACTIVITY
ER, OPD and Isolation
Area

Supervise Surgical/Pediatric
Ward Area Hospital Duty
(BPH & BPMC)

Surgical/Pediatric
Ward Area Hospital
Duty (BPH & BPMC)

At the end of the

activities, the
student will be
able to:
Demonstrate
knowledge, skills
and attitude in
rendering nursing
care to clients in
Surgical and
Pediatric Area to
at least 75% level
of mastery.

14. Demonstrate
knowledge,
skills and
attitude in
rendering
nursing care
to clients in
Surgical and
Pediatric Area
to at least
75% level of
mastery.

Supervise Medical Area

Hospital Duty (BPHMaramag)

Medical Area Hospital

Duty (BPH-Maramag)

At the end of the

activities, the
student will be
able to
demonstrate
knowledge, skills
and attitude in
rendering nursing
care to clients in
Surgical and
Pediatric Area to
at least 75% level
of mastery

15. Assess the

level of
knowledge of
the Level IV
students.

Conduct Final Examination

Take Final
Examination

At the end of the

activities, the
student will be
able to:
Assess the level of
knowledge of the
Level IV students
and achieve at

the ICU, ER,

OPD, and
Isolation
Area
Concept to
at least
75% level
of mastery.
12. Compose
an
prototype
of Manual
in the ICU,
ER, OPD
and
Isolation
Section at
least 75%
level of
Mastery
13. Demonstrate
knowledge,
skills and
attitude in
rendering
nursing care to
clients in
Surgical and
Pediatric Area
to at least 75%
level of
mastery.

TEACHERS ACTIVITIY

EVALUATION
level of
learning of the
concepts
learned in the
ICU, ER, OPD,
and Isolation
Area Concept
to at least
75% level of
mastery.
2. Compose an
prototype of
Manual in the
ICU, ER, OPD
and Isolation
Section at
least 75%
level of
Mastery.

OBJECTIVES

TEACHERS ACTIVITIY

STUDENTS
ACTIVITY

EVALUATION
least 75% level of
competency.

XII.

16. Present their

Case Study to
at least 75%
level of
Mastery.

Critique Case Presentation

Case Presentation

At the end of the

activities, the
student will be
able to present
their Case Study
to at least 75%
level of Mastery.

17. Defend their

learning of the
various nursing
concepts to at
least 75% level
of mastery.
18. Demonstrate
nursing
procedures at
least 75% level
of competency.

Conduct Oral Revalida

Defend Oral Revalida

At the end of the

activities, the
student will be
able to:

Conduct Practical
Examination

Demonstration of
Nursing Skills during
Practical Examination

At the end of the

activities, the
student will be
able to
demonstrate
nursing
procedures at
least 75% level of
competency.

SCHEDULE OF CLINICAL DUTY

TIME OF
ACTIVITIES
7:00-7:30 am
7:30-7:45 am
7:45-8:00 am
8:00-8:30 am

8:30-9:00 am
9:00-10:00 am
10:00-11:30 am

11:30-12:00 nn
12:00-12:30 pm
12:30-1:30 pm

DAY 1
Time of travel from CMU to BPH-Maramag/
Preconference and checking of paraphernalia together with
Practicing Clinical Instructor
Logging-in and endorsement
Listen to endorsements
Entrances into the ward/ICU/Isolation/OPD-ER
Establish rapport with the patient and significant others
Assessment of the patient and Initial vital signs taking
Morning care and bedside care
Check available medications and IVs
Drug Study
Preparation and administration of medications
Assist in the Doctors Rounds and carrying out of doctors order
Continue morning care and bedside care
Construction of the DAR sample charting
Checking and plotting of vital signs for 10 am
Continue morning care and bedside care
Drug Study, preparation and administration of medications
Construction of Final DAR sample charting
Carrying out of Doctors Order
Lunch Break 1st batch (Endorse patient)
Preparations/Administrations of Medications for 12 nn and 1 pm
Lunch Break 2nd batch (Endorse patient)
Construction and Checking of DAR sample charting

1:30-2:00 pm
2:00-2:30 pm
2:30-4:00 pm
4:00 pm

Preparations of medications for 2 pm

Transcription of DAR charts, checking and plotting of VS for 2pm
Review of the special orders/ endorsements during the shift
Close charting, checking and signing of charts by the clinical
instructor.
Endorsement to Nurse-on-Duty
Exit from ward and Post conference