CLINICAL ROTATION PLAN

INTRODUCTION:-
Clinical rotation plan refers to regular successive and current postings of various groups of
nursing students belonging to different classes in specific nursing fields. I.e. OPDS, specially,
wards, OT, delivery room, clinical, community health fields-Clinics outreach centre, sub centre,
health centre, schools.

DEFINITION:-
Clinical rotation plan is a statement which explains the order of the Clinical postings of various
groups of nursing students belonging to different classes in relevant clinical areas and
community health settings as per the requirements laid down by the statutory bodies.

FACTORS TO BE CONSIDERED IN PLANNING ROTATION:-

 The objectives of the course have to be clearly stated.
 Number of students in each class.
 Number and size of the departments, agencies, areas, technical units or wards where
students will be, should give opportunity for giving clinical experience.
 Presence of students of others programme on the same field.
 The agency and authority's concern should be considered.
 The duration of clinical experience in each area.
 Number of person available for clinical supervision.
 Indian nursing council requirements i.e. the individual schools have the freedom to
organize the clinical experience the way they choose but all must meet the minimum
prescribed by the council.
 Number of staff nurse employed to provide nursing services in the hospital/field.
 Sectors that is solely dependent on student services during day and night.
 Sequence of experience required.
 Select wards depending on learning experiences to be provided.
 Adhere to rotation plan.

BASIC PRINCIPLES IN PLANNING CLINICAL ROTATION:-

 The clinical rotation plan must be in accordance with the total curriculum plan.
 It must be made in advance.
 Theoretical instructions should precede closely as possible with clinical experience
simultaneously the ward teachings, case presentations, bed side clinics etc can be
conducted.
  The teacher and student ratio will be 1:4 or as prescribed by INC or according to the
types of patients nursed e.g.: in critical care unit 1: 1
 Select the type of learning experience from simple to complex.
 Clinical supervisors must be familiar with the rotation plan; a copy of rotation plan
should be available in each area.
 The students should be posted where they will get maximum supervision from clinical
supervisors and qualified nursing staff
 Each student should get all the experience on rotation wise.
 Overcrowding in any clinical area should be avoided.
 Avoid overlapping of work.
 All students should enter and leave the particular clinical area at the same time and
should complete the assignments in time.
 Continuity in clinical area is needed.

CRITERIA FOR ORGANIZING CLINICAL EXPERIENCE

Continuity

Refers to the vertical organization of major curriculum events.

Sequence

Each successive experience builds upon the proceeding one, but go more broadly and deeply in
the matters involved. It is a logical order, based on psychology and educational needs and
standards of curriculum the student experiences has to be planned.

Integration

Refers to the horizontal relationship of the curriculum, to get a unified view and unified behavior
in relation to the elements dealt with. The courses are going so organized that they reinforce one
another and point toward general objectives. E.g. integration of medical-surgical nursing to
nutrition and psychology. Co-ordination Between one area to another arca theory has to co-
ordinate with practical experience. Integration is possible, when good understanding between
teachers to have intermingling of the courses.

NEEDS OF THE STUDENTS IN THE CLINICAL AREA

➤ The student needs to identify the objectives, assignments, work allotment, clinical area, staff
has to be clearly explained by the teachers, before placing them into the clinical area.

➤ Facilities made available to each student for the practice of good nursing, where he can
correlates theory with practice.

➤ Guidance and supervision should be provided to each student.Assignments should be given

based on level of learning acquired by each student...
➤ Make the student to perform the activities independently or practicing alone. The teacher has
to protect, guide the student until they can obtain proficiency in acting independently and
appropriate decision making.

➤ Students must have the opportunity to work in a team.

➤ Teacher has to observe the performance discuss and evaluate the activities.

➤ Provide accessibility of library or to the reference materials which are meaningful to the
clinical areas of their placement.All the staff has to recognize the student participation and
purpose of posting, they have to give cooperation with the students for their effective
learning.Students should have an opportunity to practice high standards and qualitative nursing
care. Appropriate prioritization of values is required.

RESPONSIBILITIES OF THE NURSING STAFF IN CLINICAL AREA

 The success of the clinical experience will depend to a great extent on the standard of
patient care being practiced in the clinical area.
 No amount of teaching in the classroom can equal the benefit the students derive from
observing the consistent practice of good nursing..
 The standards of nursing care services they render. To improve their own knowledge and
skills level to provide standard care.
 Role models they present have a paramount place in shaping the students, for their future
professional roles and in giving them the right direction in nursing.
 Cooperative planning, collaboration of experiences between hospital staff and school
staff, they must share the responsibility and accountability of preparing the student
nurses, so that they become good professional nurses and great advantage for the students
placed in their units.
 To demonstrate a high standard of patient care. It will help to gain the knowledge and
skills to improve their standard develop advance standard in nursing care
 To create an atmosphere which encourage learning. To assist the nursing faculty in
preparation of the clinical rotation plan.
 To ensure that the student receives maximum learning experiences. To have well
organized and accurate nursing record system.
 To participate in orientation program of students. To make evaluation reports in
connection with students clinical experience.
 To guide, supervise and evaluate the students performance wherever feasible.
 To participate the cooperate in clinical teaching programes through daily report, nursing
rounds, daily conference, and ward clinic.
  To hold the periodic joint conference with nursing faculty considered with students
clinical experience. To cooperate in maintaining record of practical experiences

ADVANTAGES:-
1. Every student should be exposed to all experiences.

2. Supervision will be easy.

3. Overcrowding can be avoided.

4. Reduce confusion among teachers and students.

5. Easy for evaluation

6. Students can fulfill all the objectives.

CONCLUSION:-
It is prepared well in advance for the whole year so that it gives complete and clear picture about
student's placement either in theory or field during an academic session. For each year, it can be
prepared separately and or total programme one can be prepared so that every faculty will be
aware of students' placements. Thus is helps both the students and teachers to prepare themselves
for working in their consecutive areas.

BIBLIOGRAPHY:-
In book:-
1.A Bbatt F.R. Teaching For Better Learning, 2d Edition, Who, Geneva 1992, P-183

2.Neerja, K.P. Textbook Of Nursing Education, I' Edition 20056, New Delhi, Jaypeee Brothers,

P-185-188

3.M. Narang, Technique Of Teaching, Volume 1 2005, Anmol Publication, P-404-405

4.Gailbert, J.J. Educational Handbook For Health Personnel, 6th Edition Pp 19-29

5.Bt Basvanthappa (2007), "Community Health Nursing", Second Edition, Publisher Jaypee

Brother, New Delhi, Page No246-248

6. S. Sankaranarayanan B, Sindhu B. Learning and Teaching Nursing, Barinfil publisher Calicut

(2004), 1 st edition, Pp: 77-78.

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