AREA: Pediatric Ward
ENTRY COMPETENCY: Basic knowledge in Anatomy and Physiology, communication skills, basic nursing procedures, PHC I and II, NCM 100 and 101.
TERMINAL COMPETENCY: Utilize and apply technically; psychologically the proper techniques and basic nursing procedures in rendering nursing care for pediatric clients.
GENERAL OBJECTIVE: At the end of the clinical experience, the team members will be able to develop knowledge, skills, and attitude in the care of pediatric clients.
Given the opportunity in the area, the team members will be able to:

a. Attend the orientation and acquaint with the ward personnel, policies, physical set-up, patients, and necessary routine activities and equipment in the ward.

Conduct orientation regarding:
· personnel
· policies and regulations
· physical set-up

Tour the team members in the area

· Attend area orientation
· Attend the ward tour
· acquaint with personnel, patients, physical set-up
b. Demonstrate professional behavior in the clinical area · Be a role model
· Permit members to work independently but with supervision
· Demonstrate adequate preparation for clinical experience
· Wear proper uniform and decorum
· Independently assume responsibility completing the care of assigned patients
SAFE AND QUALITY NURSING CARE a. Use nursing assessment skills to determine the health status of assigned patient through the use of
· inspection
· palpation
· percussion
· auscultation
· Closely monitor team members in performing different assessment techniques
· Supervise team members in actual performance of IPPA
· Perform appropriate assessment techniques (IPPA)
· Identify signs and symptoms of alterations in the health condition of assigned patient
· Identify abnormal physical assessment findings and proper recording of these findings.
· Document alterations in patient’s health status
b. Formulate individualized list of nursing diagnoses in the development of nursing care plans · Explore with the members useful techniques in formulating appropriate nursing diagnoses.
· Instruct members to prioritize their patients’ needs
· Encourage team members to verbalize questions regarding NCPs
· utilize assessment data as basis for problem identification
· correctly state problems to formulate nursing diagnoses
· state the rationale for prioritizing stated nursing diagnoses
c. Prepare a plan of care to meet the individualized needs of assigned patients · conduct initial conferences
· hold mini case analyses
· Act as facilitator in discussions
· verbalize an appropriate plan of action for each assigned patient
· identify common alterations in the health status of assigned patient which interfere with basic needs
· develop an individualized plan of care based on an understanding of growth and development and cultural diversity
d. Demonstrate competency in the performance of nursing interventions when caring for patients · work closely and supervise in the actual performance of nursing interventions
· require team members to submit or recite drug study
· supervise in medication preparation and administration
· provide learning opportunities for team members
· implement planned nursing interventions with guidance of the CI or team leader
· modify nursing care using the patient’s physical condition as a guide
· assess vital signs
· verbalize pertinent knowledge about drugs prior to administering medications
· seek opportunities to perform nursing skills
e. Evaluate the effectiveness of the NCP. · Assess the patient if expected outcomes were achieved or met
· if unmet, explore with the team member to modify the NCP
· correctly state outcome criteria for each patient goal
· report the response of patient to nursing care rendered
· identify ways to modify care
MANAGEMENT OF RESOURCES AND ENVIRONMENT Organize workload to facilitate patient care · devise a daily plan of activities
· assist members with clients requiring special or critical care
· attend the orientation and preconference
· identify the health needs of clients
· attend and participate in case discussions
HEALTH EDUCATION Formulate client teaching plans · facilitate team members in choosing appropriate teaching strategies
· require team members to submit teaching plans
· identify simple learning needs of the patient and the family
· offer sample explanations to clients
· recognize behaviors that indicate need for further teaching
Apply nursing theory, concepts and principles when caring for clients · require members to participate in nurses’ and doctors’ rounds
· encourage oral recitations
· relate results of diagnostic tests to the disease process and therapeutic plan of care
· demonstrate an understanding of underlying principles when performing nursing skills
· seek answers to theoretical questions independently
Evaluate learning experience based on objectives

· encourage members to verbalize feelings regarding the learning experience
· conduct post conferences
· confer with the team leader for evaluation of performance
· attend the exit evaluation after the exposure
ETHICO-LEGAL AND MORAL RESPONSIBILITIES Act as a client advocate · facilitate the discussion of the Patient’s Bill of Rights
· Close monitoring of patient-nurse interaction
· Active participation in group discussions
· Attend to clients’ concerns
PERSONAL AND PROFESSIONAL DEVELOPMENT Identify own learning needs · Provide opportunities for self-awareness and self-evaluation
· Administer written examinations for evaluation
· Verbalize strengths, weaknesses, limitations, goals, aspiration
· Pass the written evaluation exam
QUALITY INVOLVEMENT Recommend actions for implementation · Encourage evaluation of physical set-up and system of client care in the unit · Based on analysis of data gathered, recommend practical solutions appropriate for the problem
COMMUNICATION/ RECORD MANAGEMENT Use the principles of therapeutic communication · observation
· supervise team member on how to use therapeutic communication techniques
· be a role model
· check team members’ sample and final charting
· require team members to perform process recording
· independently initiate contact with patient
· relate with the patient in an understanding non-judgmental manner
· communicate appropriately with staff nurses
· contribute useful information in group conferences
· precisely and concisely chart information and observations regarding patients health condition
LEGAL RESPONSIBILITY Adhere to organizational policies, procedures, local and national · Require the members to memorize the department’s mission and vision
· Be a role model
· State the mission and vision of the institution
· Behave in accordance with the established norms of conduct in the institution
COLLABORATION AND TEAMWORK Collaborate plan of care with other members of the health team · Instruct proper patient referral
· Orient members with the health team members
· Refer clients to allied health partners
· Act as a liaison advocate of the client
· Prepare adeaquate documentation for efficient communication of services