LI KA SHING FACULTY OF MEDICINE SCHOOL OF NURSING THE UNIVERSITY OF HONG KONG Bachelor of Nursing (Full-time) Class 2015, Year I Revised: 15 May 2012 21 May to 15 June 2012 Information Package: NURS1205: Nursing Practicum I (Introduction to Nursing Practice)
36
Embed
Information Package-Nursing Practicum I STUDENT[1]
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
LI KA SHING FACULTY OF MEDICINE
SCHOOL OF NURSING
THE UNIVERSITY OF HONG KONG
Bachelor of Nursing (Full-time)
Class 2015, Year I
Revised: 15 May 2012
21 May to 15 June 2012
Information Package:
NURS1205: Nursing Practicum I
(Introduction to Nursing Practice)
Table of Content
1. Nursing Aim & Learning Outcomes – Nursing Practicum I
2. Core Learning Outcomes
3. Departmental Infection Control Guidelines
4. Nursing Practicum Schedule with Names of Students and Clinical Supervisors
5. Notes to Supervisors and Students
6. Student Group List
7. Signatures and Initials of Students & Supervisors
(for All parties except students & Clinical Instructors)
8. Guidelines for Needlestick Injury
9. Arrangement During Bad Weather
10. Record of Absence from Nursing Practicum
11. Record of Absence
12. Appendix - Health Surveillance Form for Attending Clinical Practicum
13. Incident Report
14. Clinical Tutor’s Evaluation Form on Nursing Practicum
I) NURSING PRACTICUM I – Introduction to Nursing Practice
Aim
The aim of this practicum is to provide opportunities for students to integrate basic nursing
knowledge and skill into clinical practice in non-acute care settings.
Learning outcomes On completion of this component of the practicum, students will be able to:
1. be familiar with the environment (e.g. emergency exit, location of facilities, general ward
routine);
2. understand at a beginning level investigations, diagnostic and therapeutic procedures,
instruments used, and ethical and legal issues that are likely to arise in non-acute care
settings;
3. demonstrate safe practice and competence in performing basic nursing care (e.g. routine
and vital observation (TPR), lifting of patient, bed making, bed bathing and feeding);
4. demonstrate safe practice in performing complex nursing care (e.g. insertion of naso-
gastric tubes, urinary bladder catheterization, drug administration, and oxygen
administration, oro-pharyngeal suctioning);
5. demonstrate understanding of the bio-psycho-social implications of physical illness on the
client, family and community;
6. contribute knowledgably and skilfully to the care of clients and their family in the non-
acute hospital settings;
7. assess the needs of clients for health education in regard to self-care and, assist in
planning and implementation of a teaching programme that demonstrates appropriate
teaching skills;
8. evaluate the outcomes and effectiveness of care and suggest alternatives for
improvements; and
9. identify the Community Health Care services that are available to promote and maintain
the health of clients upon their discharge from non-acute hospital.
II) CORE LEARNING OUTCOMES – Professional Behaviours
Items
Year I
Nursing Practicum I
Introduction to Nursing Practice
Professional Behaviours: Achieved Not Achieved
1. Demonstrate punctuality
2. Demonstrate a professional appearance
3. Demonstrate good preparation for clinical practice
4. Set own goals for learning and actively seek opportunities
to learn
5. Accept new responsibilities as appropriate
6. Seek advice appropriately
7. Demonstrate accountability for own nursing practice
8. Identify own strengths and weaknesses
9. Display good team spirit and cooperate well with
colleagues
No. of Items Achieved:
Remarks (if any)
Result of Assessment: (Pass = Achieved ≥ 7 items) Pass / Fail
Signature of Clinical Instructor:
Signature of Student:
Date:
Please tick the appropriate column
CORE LEARNING OUTCOMES – Total Patient Care
Items
Year I
Nursing Practicum I
Introduction to Nursing Practice
Nursing Process: Achieved Not
Achieved Not
Observed
Assessment:
1. Collect patients’ history & relevant data comprehensively
2. Perform accurate nursing assessments including focused and comprehensive physical examination
3. Identify health needs of patients and/or significant others (including psychological and social aspects)
Planning:
4. Identify nursing goals/interventions
Intervention:
5. Implement care with priorities
*** Specific interventions to be added as appropriate (item
16 onward)
6. Ensure effectiveness and efficiency of nursing care
7. Perform care with legal considerations
8. Protect patients’ rights, dignity and interests
9. Communicate with patients/families/health team appropriately
10. Monitor patients’ progress
11. Report patients’ condition appropriately and promptly
12. Assess and provide health education to patients appropriately
Evaluation:
13. Evaluate outcome of care
14. Modify care as appropriate
Documentation:
15. Perform documentation completely and appropriately
Please tick the appropriate column
CORE LEARNING OUTCOMES – Total Patient Care
Items
Year I
Nursing Practicum I
Introduction to Nursing Practice
Nursing Process: Achieved
Not Achieved Remarks
Intervention:
*** Ensure correct and safe nursing practice in the following psychomotor skills (refer to the Reference List in Section 10)
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
CORE LEARNING OUTCOMES – Total Patient Care
Items
Year I
Nursing Practicum I
Introduction to Nursing Practice
Nursing Process: Achieved
Not Achieved Remarks
Intervention:
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
No. of Items Achieved: Remarks:
Result of Assessment: Pass / Fail (Pass = Achieved ≥ 75% of the assessed items)
Signature of Clinical Instructor:
Signature of Student:
Date:
LI KA SHING FACULTY OF MEDICINE
THE UNIVERSITY OF HONG KONG
Infection control guidelines for MBBS, Chinese Medicine,
Nursing, and Pharmacy undergraduate students
SUMMARY
1 Standard precautions must be observed at all times for all patients regardless of
their infection status.
2 Perform hand hygiene either by hand-rubbing with alcohol-based hand rub or
hand washing with soap and water in accordance with the WHO Five Moments
of Hand Hygiene. This includes:
(a) before touching the patient;
(b) after touching the patient;
(c) before clean or aseptic tasks;
(d) after risk of body fluid exposure; and
(e) after contact with inanimate surfaces and objects (including medical
equipment) in the immediate vicinity of the patient.
3 One must NOT touch his/her mucous membrane (mouth, nose and eyes)
without cleaning his/her hands with alcohol-based hand rub or soap and water.
4 Wear surgical masks in clinical or patient areas in accordance to the current
infection control guidelines of those areas. Dispose of the masks and perform
hand hygiene before you leave the clinical or patient areas.
5 Use other personal protective equipment (such as gloves, respirators, protective
gowns, and eye shields) according to the instructions or guidelines in specific
settings, such as the type of ward visiting, nature of clinical procedures being
performed and the infective risks of the patients.
6 Report all accidents sustained in health care facilities immediately.
7 Do not come to class if you are suffering from a communicable disease or having
symptoms of a viral illness. Seek medical advice if necessary.
8 Make sure that you have received all the necessary vaccines including the
seasonal influenza vaccine.
9 Consult your supervisor if there is any uncertainty.
PRINCIPLES OF STANDARD PRECAUTIONS IN INFECTION CONTROL
1 Standard precautions must be observed at all times for all patients regardless of
their infection status.
2 Wear gloves whenever you come into contact with mucus membranes, blood and
body fluids including secretions and excretions. Cover wounds on your hands
with appropriate dressings.
3 Wearing gloves is not a substitute for hand hygiene. Perform hand hygiene after
removal of sterile or non-sterile gloves.
4 Remove gloves after caring for a patient. Do not wear the same pair of gloves for
the care of more than one patient.
5 When wearing gloves, change or remove gloves during patient care if you are
moving from a contaminated body site to another body site within the same
patient or the environment.
6 Use of personal protective equipment (PPE) depends on the overall infection
precaution level required at that time, and the specific setting of contact. There
may be additional requirements from specific units or institutions, so please
consult your teacher, supervisor, or staff in charge of the specific unit if
necessary.
7 Needles must never be recapped. Sharp objects must be disposed into sharps box
properly.
8 Do not come to class if you are suffering from a communicable disease. Seek
medical attention as soon as possible.
GOVERNMENT RESPONSE LEVELS IN HOSPITAL AUTHORITY HOSPITALS
1 The Hospital Authority (HA) is currently using a three-level alert response
system depending on the potential impact of an infectious disease outbreak
to the hospital system and the community. These include the Alert (level one),
Serious 1 and 2 (level two), and Emergency 1 and 2 (level three) responses.
2 Clinical attachment and teachings may be restricted or suspended when the
serious 2 level is in effect or under extraordinary circumstances. Please refer to
the announcements made by the Faculty or individual departments under such
situations.
INFECTION CONTROL GUIDELINES IN HOSPITAL SETTINGS
General wards and other patient areas
1 Clean white coat or uniform should be worn in patient areas.
2 Hand hygiene either by hand rubbing with alcohol-based hand rub or hand
washing with soap and water must be performed in the following circumstances:
(a) before touching the patient,
(b) after touching the patient,
(c) before clean or aseptic tasks,
(d) after risk of body fluid exposure, and
(e) after contact with inanimate surfaces and objects (including medical
equipment) in the immediate vicinity of the patient.
3 Alcohol-based hand rubs should be used for hand disinfection. They should be
used only if the hands are not visibly soiled.
4 Wear surgical masks in clinical or patient areas in accordance to the current
infection control guidelines of those areas. Dispose the masks and perform hand
hygiene before you leave the clinical or patient areas.
5 Additional PPE such as gloves, masks, or respirators may be used when coming
into contact with patient’s secretions, excreta, wounds, or during aerosol-
generating procedures and resuscitation. (See ‘High-risk areas’ below.)
High-risk areas
1 These include the Accident and Emergency Department triage stations, isolation
wards, isolation rooms, and cohort areas.
2 Surgical masks must be worn before entering these areas.
3 Protective gowns (disposable or reusable) must be worn before entering these
areas. Gowns must be put on and taken off in dedicated areas of the wards.
4 Additional PPE is used under special circumstances:
a N95 respirators must be worn when:
i Aerosol-generating procedures are being performed. Examples include
resuscitation, bronchoscopy, sputum suction, and high-flow oxygen
therapy;
ii You need to have close contacts with patients infected with diseases that
are transmissible via the airborne route.
b Gloves should be worn for contacts with patients with suspected or
confirmed infectious conditions of the skin, or when contacting the mucous
membranes, open wounds, blood, or body fluids. Wearing gloves is not a
substitute for hand hygiene. Perform hand hygiene after removing the gloves.
c Face shields or goggles should be worn during aerosol-generating
procedures.
5 Perform hand hygiene in accordance to the WHO Five Moments of Hand
Hygiene and after removal of PPE. (http://www.who.int/entity/gpsc/tools/Pocket-
Leaflet.pdf)
6 Different wards may have different requirements and protocols. You should
consult the teacher, supervisor, or the staff in charge of the wards if you are not
certain.
Private practitioner clinics and other outpatient clinics, private community centres, and
nursing homes
1 The principles of infection control and the use of PPE are similar to those listed
above.
2 Standard precautions must be observed at all times if there is patient contact.
3 Masks and other PPE should be used when there is a substantial risk for
communicable diseases in the community setting. Consult your supervisor or the
staff in charge centre if you are not certain.
Autopsy rooms
1 Surgical masks, gloves, disposable protective gowns, shoe covers, and clip cap
will be provided prior to the autopsy sessions. These should be worn during the
sessions.
2 Goggles should be worn by students who do not wear glasses.
3 Consult the pathologists in charge of the session if there is any doubt.
PERSONAL HEALTH AND PRECAUTIONS
Vaccination
1 All students should receive the hepatitis B and varicella vaccines and have the
post-vaccination hepatitis B surface antibody level checked unless there are
specific contraindications. The vaccination schedule will be distributed by the
Faculty Office.
2 All students should take the seasonal influenza vaccination unless there are
specific contraindications.
3 Students should ensure that they have completed the childhood immunization
schedule and received the required booster doses (e.g. tetanus, diphtheria) unless
there are specific contraindications.
Precautions
1 Students should wear a surgical mask if they are suffering from respiratory
illnesses.
2 If the student is suffering from an infection and the condition is clinically
deteriorating or not responding to standard treatments, he or she should not
attend classes or enter the health care facilities and should seek medical advice as
soon as possible.
3 Any accident (e.g. percutaneous injuries or mucosal exposures) sustained in the
health care facilities must be reported to the teacher or supervisor, and the
infection control unit of that facility immediately.
Arrangements for distribution of PPE to students
1 Masks and disposable protective gowns will be provided by the Faculty for
clinical teaching sessions.
2 PPE can be obtained from the following locations.
a Medical students: Faculty Office, 2/F, William MW Mong Block, Faculty of
Medicine Building.
b Nursing students: School of Nursing, 4/F, William MW Mong Block, Faculty
of Medicine Building.
c Chinese Medicine students: School of Chinese Medicine, G/F, Estates
Building.
d Pharmacy students: Department of Pharmacology & Pharmacy, 2/F,
Laboratory Block, Faculty of Medicine Building.
e A small supply of pocket-sized alcohol-based hand rub, surgical masks, and
gowns will be made available in clinical areas in case individual students
forget to bring their own. The exact sites of placement will be arranged with
class/groups representatives. However, students are reminded that they
should obtain and use their individual supply obtained from the Faculty
Office as much as possible.
*Students are advised to access the student portal for any update communications and Notices of The Centre for Health Protection frequently.
Updated: September 2011
THE UNIVERSITY OF HONG KONG SCHOOL OF NURSING
Bachelor of Nursing (Full Time) 2011-12
Class 2015, Year I
NURS1205: (Medical/Surgical Nursing Practicum)
Tung Wah Hospital 21 May 2012 to 1 June 2012 (From Mon to Fri)
Time Schedule
* Male students
Mon – Fri (21 May to 1 Jun) Venue Name of Students Clinical
Instructor
Mon Tue Wed Thu Fri TWH
Ward L6
Mixed
Medical
Ward
Group 1 Leung Yuet Yi Shirley
Li On Na
Mar Sin Yee
Ngan Janet
So Chun Yee Serana
Tsang Wai Kin*
Ho King Hung*
Remedial Nursing Practicum Year IV
Hui Ka Ka (21/5/2012)
Lui Yi Yan (22/5/2012)
Cheung Yee Yan (23-24/5/2012)
Ms Maggie
Chan 21/5 22/5 23/5 24/5 25/5
9-5 8-4 8-4 8-4 8-4
28/5 29/5 30/5 31/5 1/6
8-4 8-4 8-4 8-4 8-4
Mon Tue Wed Thu Fri TWH
Ward C7
Male
Surgical
Ward
Group 2 Au Ka Yi
Lam Hung Ting
Lee Ka Yan
Li Lori
Tsang Sai Leong*
Kwan Chun Yiu Charles*
Ma Ka Yee
Remedial Nursing Practicum Year IV
Liu Lap Hang* (21/5/2012)
Poon Kok Cheong Kenny* (22-24/2012)
Wong Yip Sing (25/5/2012)
Ms Chole Yan
21/5 22/5 23/5 24/5 25/5
9-5 8-4 8-4 8-4 8-4
28/5 29/5 30/5 31/5 1/6
8-4 8-4 8-4 8-4 8-4
Mon Tue Wed Thu Fri TWH
Ward L2
Mixed
Medical
Ward
Group 3 Chan Hiu Suet
Chan Ho Tin*
Chan Hoi Ki
Chan Vicky Wing Ki
Cheng Wai Keung*
Chung Chi Fong
Remedial Nursing Practicum Year IV
Tong Ka Ping (21/5/2012)
Law Man Shan (22/5/2012)
Ko Pak Fung*(23/5/2012)
Lai Ka Ki(24/5/2012)
Ms Kathy Kan
21/5 22/5 23/5 24/5 25/5
9-5 8-4 8-4 8-4 8-4
28/5 29/5 30/5 31/5 1/6
8-4 8-4 8-4 8-4 8-4
Mon Tue Wed Thu Fri TWH
Ward C6
Female
Surgical
Ward
Group 7 Lam Cheuk Ying Green
Ho Long Kwan
Wong Chau Ping
Chow Hiu Yan
Chuk Tak Ching
Chan Ching Yu
Tang Ka Hei
Remedial Nursing Practicum Year IV
Kong Wing Yin (21/5/2012) Lee Chui Ting (22/5/2012)
Ms Carol Chan
21/5 22/5 23/5 24/5 25/5
9-5 8-4 8-4 8-4 8-4
28/5 29/5 30/5 31/5 1/6
8-4 8-4 8-4 8-4 8-4
Clinical Mentor’s contact
Name Contact Telephone No. Mobile Number
Ms Maggie Chan 2819 2618 6089 5062
Ms Chole Yan 2819 2670 9365 4555
Ms Kathy Kan 2819 2642 5198 2389
Ms Carol Chan 2819 2642 9635 6528
Year I Clinical Placement Coordinator
Ms Maureen Chui 2819 2696 6272 2759
Clinical Coordinator
Dr Elizabeth Hui 2819 2682 6207 7162
Address: 12 Po Yan Street, Sheung Wan
THE UNIVERSITY OF HONG KONG SCHOOL OF NURSING
Bachelor of Nursing (Full Time) 2011-12
Class 2015, Year I
NURS1205: (Medical/Surgical Nursing Practicum)
Tung Wah Hospital 4 June 2012 to 15 June 2012 (From Mon to Fri)
Time Schedule
* Male students
Clinical Mentor’s contact
Name Contact Telephone No. Mobile Number
Ms Maggie Chan 2819 2618 6089 5062
Ms Chole Yan 2819 2670 9365 4555
Ms Kathy Kan 2819 2642 5198 2389
Ms Maggie Pun 2819 2691 6089 9587
Year I Clinical Placement Coordinator
Ms Maureen Chui 2819 2696 6272 2759
Clinical Coordinator
Dr Elizabeth Hui 2819 2682 6207 7162
Address: 12 Po Yan Street, Sheung Wan
Mon – Fri (4 June 2012 to 15 June) Venue Name of Students Clinical Instructor
Mon Tue Wed Thu Fri TWH
Ward L6
Mixed
Medical
Ward
Group 15 Cheung Hiu Fung*
Lam Pui Pui
Lee Kwan Yee
Lee Mei Ting
Lee Po Po
Lee Ting Wei
Ms Maggie Chan
Ms Zoe Ng (8/6 only) 4/6 5/6 6/6 7/6 8/6
9-5 8-4 8-4 8-4 8-4
11/6 12/6 13/6 14/6 15/6
8-4 8-4 8-4 8-4 8-4
Mon Tue Wed Thu Fri TWH
Ward C7
Male
Surgical
Ward
Group 16 Suen Kai Wa*
Hui Tung Hei Andy*
Wong Kung Shan
Fu Chik Yu*
Wai Sze Man
Lui Ka Wai
Ms Chole Yan
4/6 5/6 6/6 7/6 8/6
9-5 8-4 8-4 8-4 8-4
11/6 12/6 13/6 14/6 15/6
8-4 8-4 8-4 8-4 8-4
Mon Tue Wed Thu Fri TWH
Ward L2
Mixed
Medical
Ward
Group 17 So Wing Yee
Yam Ka Yi
Tam Lik Yi
Tsai Ka Hei*
Tsang Nga Ping
Tsoi Ka Yi Fiona
Ms Kathy Kan
4/6 5/6 6/6 7/6 8/6
9-5 8-4 8-4 8-4 8-4
11/6 12/6 13/6 14/6 15/6
8-4 8-4 8-4 8-4 8-4
Mon Tue Wed Thu Fri TWH
Ward C6
Female
Surgical
Ward
Group 21 Lee Yi Lam
Leung Lok Lam Natalie
Leung Miu Yin
Leung Sin Yu
Wan Suet Yi
Wong Yuk Ping
Ms Maggie Pun
4/6 5/6 6/6 7/6 8/6
9-5 8-4 8-4 8-4 8-4
11/6 12/6 13/6 14/6 15/6
8-4 8-4 8-4 8-4 8-4
THE UNIVERSITY OF HONG KONG SCHOOL OF NURSING
Bachelor of Nursing (Full Time) 2011-12
Class 2015, Year I
NURS1205: (Medical/Surgical Nursing Practicum) Wong Chuk Hang Hospital
21 May 2012 to 1 June 2012 (From Mon to Fri)
Time Schedule
* Male students
Clinical Mentor’s contact
Name Contact Telephone No. Mobile Number
Ms Michelle Pang 2819 2618 6276 1369
Ms Hellene Yiu 2819 2694 9635 8562
Ms Rebecca Lee 2819 2687 6275 2325
Mr William Lam 2819 2694 6075 7021
Ms Zoe Ng 2819 2618 6085 7121
Year I Clinical Placement Coordinator
Ms Maureen Chui 2819 2696 6272 2759
Clinical Coordinator
Dr Elizabeth Hui 2819 2682 6207 7162
Address: 2 Wong Chuk Hang Path, Wong Chuk Hang
Mon – Fri (21 May to 1 Jun) Venue Name of Students Clinical Instructor
Mon Tue Wed Thu Fri WCHH
Ward 1B
Male
Ward
Group 4 Cheng Wai Wing*
Cheng Yuen Yee Melvina
Cheung Wing Kwan
Chung Yi Ting
Pang Kin Sum
Tai Chin Hong*
Kong Kin Wa*
Remedial Nursing Practicum
Year IV
Lau Sin Yee (21-25, 28/5/2012)
Ms Michelle Pang
21/5 22/5 23/5 24/5 25/5
9-5 8-4 8-4 8-4 8-4
28/5 29/5 30/5 31/5 1/6
8-4 8-4 8-4 8-4 8-4
Mon Tue Wed Thu Fri WCHH
Ward 2A
Mixed
Ward
Group 5 Leung Kwai Wah
Li Hiu Wai*
Sit Yan Lam*
Siu Lee Hung
Shing Yuen Kiu
Chung Ka Ping
Siu Hon Sang Jeffrey*
Remedial Nursing Practicum
Year IV
Lam Pui Man (21-24/5/2012)
Ms Zoe Ng
(21-23/5)
Mr William Lam
(24-25/5)
Ms Rebecca Lee
(28/5-1/6)
21/5 22/5 23/5 24/5 25/5
9-5 8-4 8-4 8-4 8-4
28/5 29/5 30/5 31/5 1/6
8-4 8-4 8-4 8-4 8-4
Mon Tue Wed Thu Fri WCHH
Ward 3A
Female
Ward
Group 6 Suen Siu Lai
Tam Wing Chi
Tang Chor Kiu
To Ho Ying
Chan Miu Hin
Poon Ka Man
Siu Po Yi
Remedial Nursing Practicum
Year IV
Law Sze Man (21/5/2012)
Lee Hoi Ling (22/5/2012)
Ms Hellene Yiu
21/5 22/5 23/5 24/5 25/5
9-5 8-4 8-4 8-4 8-4
28/5 29/5 30/5 31/5 1/6
8-4 8-4 8-4 8-4 8-4
THE UNIVERSITY OF HONG KONG SCHOOL OF NURSING
Bachelor of Nursing (Full Time) 2011-12
Class 2015, Year I
NURS1205: (Medical/Surgical Nursing Practicum) Wong Chuk Hang Hospital
4 June 2012 to 15 June 2012 (From Mon to Fri)
Time Schedule
* Male students
Clinical Mentor’s contact
Name Contact Telephone No. Mobile Number
Ms Carol Chan 2819 2642 9635 6528
Ms Hellene Yiu 2819 2694 9635 8562
Ms Rebecca Lee 2819 2687 6275 2325
Year I Clinical Placement Coordinator
Ms Maureen Chui 2819 2696 6272 2759
Clinical Coordinator
Dr Elizabeth Hui 2819 2682 6207 7162
Address: 2 Wong Chuk Hang Path, Wong Chuk Hang
Mon – Fri (4 Jun to 15 June) Venue Name of Students Clinical Instructor