Republic of the Philippines
Mindanao State University
COLLEGE OF HEALTH SCIENCES
Marawi City
Summary of Clinical Teaching Guide and Plan of activities
Course Code: NSG 134 (Medicine/Surgery Ward)
Course Description: This course deals with the principles and techniques of nursing care management of sick clients across lifespan in any setting with alterations/problems In
Oxygenation, Fluid and Electrolyte Balance, Infectious, Inflammatory and Immunologic Response. Students are expected to utilize the nursing process in the
care of individuals, families in community and hospital settings; ensure a well-organized and accurate documentation system; relate with clients and their family
and the members of the healthcare team; observe bio-ethical concepts and principles, core values and nursing standards in the care of clients; and promote
personal and professional growth of self and others.
Course Outcome: At the end of the course, a group of learners will be able to utilize the nursing process in the care of individuals, families in medicine ward, 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 and
evaluates the progress of his/her/their client’s condition and outcomes of care.
Learning Outcome:
• Apply knowledge of physical, social, natural, sciences and humanities in formulating appropriate nursing care plans for clients with alterations/problems In
Oxygenation, Fluid and Electrolyte Balance, Infectious, Inflammatory and Immunologic Response.
• Utilizes the nursing process in managing patients with with alterations/problems In Oxygenation, Fluid and Electrolyte Balance, Infectious, Inflammatory and
Immunologic Response.
• Apply guidelines and principles of evidence-based practice in nursing management.
• Communicate effectively in establishing rapport with the patient, providing health teaching and nursing interventions
• Report and document data gathered honestly and accurately.
• Apply principles of coordination, partnership with other members of the health care team.
• Utilize techno-intelligent tools in providing nursing care to patients with alterations/problems In Oxygenation, Fluid and Electrolyte Balance, Infectious,
Inflammatory and Immunologic Response. such as development in the respiratory care modalities, advancement in the pharmacological and non-
pharmacological approach in providing individualized plan of care.
• Uphold the nursing core values in the delivery of care to patients with alterations/problems In Oxygenation, Fluid and Electrolyte Balance, Infectious,
Inflammatory and Immunologic Response.
Grading System:
Daily Efficiency 30%
Terminal Efficiency 20%
Case Presentation 20%
Project/Requirements 20%
Long Exam (Pre & Post test) 10%
100% (Passing: 75%)
Prepared By: JAMAL TANGO P. ALAWIYA, MAN, MAEd, LPT, RN
PROF. HAMDONI K. PANGANDAMAN
Day Activities Time Frame Expected Output
I. General orientation & Pre-Conference 6:15am - 6:30am 1. Individual GOSO, Time & Motion.
• Attendance, checking of uniform and paraphernalia 2. Group Clinical Rotation Activities.
• Introduction of C.I. and students 3. Group rotation Plan.
• Designation of team leader for the day 4. Group TPR Sheet.
• Statement of clinical focus for the day. 5. Drug Studies
6. Priority FDAR
II. Medicine Ward 6:30am – 7:30am
• Courtesy call to the station supervisor and staff nurses
• Attending Endorsements and nurse’s rounds.
• Discuss hospital policies and procedures with the Training Officer if
applicable.
• Familiarization of the area physical set-up and facilities.
1 • Orientation on the ward routines and nursing procedures.
• Identification of hospital personnel and their different roles and
responsibilities.
III. Pre-test 7:30am – 8:00am
IV. Patient Loading 8am – 10:00am
• Patient allocation
• Taking of vital signs
• Perform history taking and initial health assessment including
physical examination.
• Bedside care
• Identifying priority FDAR.
V. Viewing of Patient’s Chart 10:00am – 11:00 am
• Taking notes of Patient’s Prognosis: Medical Diagnosis; Diagnostic
Findings; Medical Management (Pharmacological & Surgical).
• Introduction of Kardex
• TPR Charting.
VI. FDAR Revision 11:00am – 12:00nn
VII. Lunch Break 12:00nn – 1:00pm
VIII. Continuing Bedside Care 1:00pm – 2:00pm
• Vital sign taking
• Monitoring Patient’s intake and output
• TPR Charting
IX. Post Conference 2:00pm – 2:30pm
• Sharing of experiences, difficulties, suggestions and evaluation of
CI and peers.
• Designation of team leader for the next duty
• Selecting of possible cases for case presentation.
• Giving of requirements to be submitted for the next duty
I. Pre-Conference 6:15am – 6:30am 1. Individual SO, Time & Motion.
• Attendance, checking of uniform and paraphernalia 2. Updated Group Clinical Rotation Activities.
• Statement of clinical focus for the day. 3. Updated Group rotation Plan.
• Patient’s Loading 4. Group TPR Sheet.
5. Medication Sheets.
II. Medicine Ward 6:30am – 7:am 6. Drug Studies
• Attending Endorsements and nurse’s rounds. 7. NA 1, Physical Examination, Drug, & 3 priority
NCPs.
2 III. Bedside Care 7:00am – 8:00am 8. Updated KARDEX
• Initial Vital signs taking. 9. Priority FDAR
• Implementation of individual NCP then evaluation.
• Continuing assessment of individual patient.
• Monitoring patient’s intake and output.
• Medication preparation (Med Nurse together with the C.I only)
• Drug defense.
• FDAR making
IV. Medication administration (Med Nurse together with the C.I only) 8:00am – 9:00am
• Close observation of patient’s 14 rights of medication
administration.
• Submission of FDAR
• Continuing Bedside care
V. Viewing of Patient’s Chart, Medication preparation, & FDAR Revision. 9:00am – 10:00am
• Updating of patient’s Kardex
• TPR charting
VI. Medication administration (Med Nurse together with the C.I only) 10:00am – 11:00am
• Close observation of patient’s 14 rights of medication
administration.
• Submission of FDAR
• Continuing Bedside care, and Case defense.
VII. Medication preparation & Submission of Revised FDAR 11:00am – 12:00nn
• Drug defense
• Continuing Individual case defense
• Continuing chart viewing.
• TPR charting
12:00nn – 1:00pm
VIII. Lunch Break (by half) & Medication administration (Med Nurse together
with the C.I only)
• Close observation of patient’s 14 rights of medication
administration.
1:00pm – 2:00pm
IX. FDAR, TPR, I&O charting, and Medication preparation
• Continuing bedside care and assessment
• Drug defense
2:00pm – 3:00pm
X. Medication administration (Med Nurse together with the C.I only)
• Close observation of patient’s 14 rights of medication
• Chart Closing
XI. Post Conference 3:00pm – 3:30pm
• Sharing of experiences, difficulties, suggestions and evaluation of
CI and peers.
• Designation of team leader for the next duty
• Finalization of the topics for ward class.
• Giving of requirements to be submitted for the next duty
I. Pre-Conference 6:15am – 6:30am 1. Individual SO, Time & Motion.
• Attendance, checking of uniform and paraphernalia 2. Group time and motion
• Statement of clinical focus for the day. 3. Updated Group Clinical Rotation Activities.
• Patient’s Loading 4. Updated Group rotation Plan.
5. Group TPR Sheet.
II. Medicine Ward 6:30am – 7:am 6. Medication Sheets.
• Attending Endorsements and nurse’s rounds. 7. Anaphy & Pathophysiology
8. Updated Kardex
III. Bedside Care 7:00am – 8:00am 9. Priority FDAR
• Initial Vital signs taking. 10. RU forward class
• Implementation of individual NCP then evaluation.
• Continuing assessment of individual patient.
• Monitoring patient’s intake and output.
• Medication preparation (Med Nurse together with the C.I only)
• Drug defense.
• FDAR making
3
IV. Medication administration (Med Nurse together with the C.I only) 8:00am – 9:00am
• Close observation of patient’s 14 rights of medication
administration.
• Submission of FDAR
• Continuing Bedside care
V. Viewing of Patient’s Chart, Medication preparation, & FDAR Revision. 9:00am – 10:00am
• Updating of patient’s Kardex
• TPR charting
10:00am – 11:00am
VI. Medication administration (Med Nurse together with the C.I only)
• Close observation of patient’s 14 rights of medication
administration.
• Submission of FDAR
• Continuing Bedside care, and Case defense.
VII. Medication preparation & Submission of Revised FDAR 11:00am – 12:00nn
• Drug defense
• Continuing Individual case defense
• Continuing chart viewing.
• TPR charting
VIII. Lunch Break (by half) & Medication administration (Med Nurse together 12:00nn – 1:00pm
with the C.I only)
• Close observation of patient’s 14 rights of medication
administration.
IX. FDAR, TPR, I&O charting, and Medication preparation
• Continuing bedside care and assessment 1:00pm – 2:00pm
• Drug defense
X. Medication administration (Med Nurse together with the C.I only)
• Close observation of patient’s 14 rights of medication 2:00pm – 3:00pm
• Chart Closing
XI. Post Conference
• Sharing of experiences, difficulties, suggestions and evaluation of 3:00pm – 3:30pm
CI and peers.
• Designation of team leader for the next duty
• Giving of requirements to be submitted for the next duty
I. Pre-Conference 6:15am – 6:30am 1. Individual SO, Time & Motion.
• Attendance, checking of uniform and paraphernalia 2. Group time and motion
• Statement of clinical focus for the day. 3. Updated Group Clinical Rotation Activities.
• Patient’s Loading 4. Updated Group rotation Plan.
5. Group TPR Sheet.
II. Medicine Ward 6:30am – 7:am 6. Medication Sheets.
• Attending Endorsements and nurse’s rounds. 7. Priority FDAR
8. Final RU forward class and program
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. 9. RU for Case Presentation
III. Patient Loading 7:00am – 8:00am 10. Narrative Report
• Patient allocation
• Taking of vital signs
• Perform history taking and initial health assessment including
physical examination.
• Bedside care
IV. Medication administration (Med Nurse together with the C.I only) 8:00am – 9:00am
• Close observation of patient’s 14 rights of medication
administration.
• Submission of FDAR
• Continuing Bedside care
V. Carrying out doctor’s order, Viewing of Patient’s Chart, Medication
preparation, & FDAR Revision. 9:00am – 10:00am
• Updating of patient’s Kardex
• TPR charting
VI. Medication administration (Med Nurse together with the C.I only)
• Close observation of patient’s 14 rights of medication 10:00am – 11:00am
administration.
• Submission of FDAR
• Continuing Bedside care, and Case defense.
VII. Medication preparation & Submission of Revised FDAR
• Drug defense 11:00am – 12:00nn
• Continuing Individual case defense
• Continuing chart viewing.
• TPR charting
VIII. Lunch Break (by half) & Medication administration (Med Nurse together
with the C.I only) 12:00nn – 1:00pm
• Close observation of patient’s 14 rights of medication
administration.
IX. FDAR, TPR, I&O charting, and Medication preparation
1:00pm – 2:00pm
• Continuing bedside care and assessment
• Drug defense
X. Medication administration (Med Nurse together with the C.I only)
2:00pm – 3:00pm
• Close observation of patient’s 14 rights of medication
• Chart Closing
XI. Post Conference
• Sharing of experiences, difficulties, suggestions and evaluation of 3:00pm – 3:30pm
CI and peers.
• Designation of team leader for the next duty
• Giving of requirements to be submitted for the next duty
I. Pre-Conference 6:15am – 6:30am 1. Individual SO, Time & Motion.
• Attendance, checking of uniform and paraphernalia 2. Group time and motion
• Statement of clinical focus for the day. 3. Updated Group Clinical Rotation Activities.
• Patient’s Loading 4. Updated Group rotation Plan.
5. Group TPR Sheet.
II. Medicine Ward 6:30am – 7:am 6. Medication Sheets.
• Attending Endorsements and nurse’s rounds. 7. NA 1, Physical Examination, Drug, & 3 priority
NCPs.
III. Bedside Care 7:00am – 8:00am 8. Final RU for Case presentation
• Initial Vital signs taking. 9. Final Program for ward class (pamphlet,
• Implementation of individual NCP then evaluation. backdrop, sound systems, props, prizes, etc.)
• Continuing assessment of individual patient.
• Monitoring patient’s intake and output.
• Preparation for ward class
IV. Medication administration (Med Nurse together with the C.I only) 8:00am – 9:00am
• Close observation of patient’s 14 rights of medication
5 administration.
• Continuing Bedside care
V. Viewing of Patient’s Chart, Medication preparation, 9:00am – 10:00am
• TPR charting
• Allocation of Participants for ward class.
VI. Ward Class proper & Medication administration (Med Nurse together 10:00am – 11:00am
with the C.I only)
• Close observation of patient’s 14 rights of medication
administration.
VII. Medication preparation 11:00am – 12:00nn
• Drug defense
• Continuing bed side care, and individual case defense
• TPR charting
VIII. Lunch Break (by half) & Medication administration (Med Nurse together 12:00nn – 1:00pm
with the C.I only)
• Close observation of patient’s 14 rights of medication
administration.
IX. TPR, I&O charting, and Medication preparation 1:00pm – 2:00pm
• Continuing bedside care and assessment
• Drug defense
X. Medication administration (Med Nurse together with the C.I only)
• Close observation of patient’s 14 rights of medication 2:00pm – 3:00pm
• Chart Closing
XI. Post Conference
• Sharing of experiences, difficulties, suggestions and evaluation of 3:00pm – 3:30pm
CI and peers.
• Inputs for Case presentation
• Giving of requirements to be submitted for the next duty
I. Case Presentation 9:00am – 2:00pm 1. Program and visual aids
• Feedbacks and further questions will be provided by the CI and 2. Final RU
panel members. 3. Narrative report
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II. Post Conference 2:00pm – 4:00pm
• Each student will be given the opportunity to share their
experiences in the virtual clinical duty.
• Summative evaluation (Post-test)
DUTY FUNCTIONS
Role Functions
• Making and updating the Clinical Rotation Activities; Group Time and motion; TPR Sheet.
• Facilitating patients loading.
Team Leader
• Monitoring Time and Motion
• Supervising the primary nurses.
• Preparing Medication sheets
Medication Nurses (at least 3) • Drug studies
• Medication preparations and administrations
• Monitoring vital signs
• Perform bedside care and other necessary nursing procedures
Primary Nurses
• Making FDAR for charting
• Carrying out doctor’s order
