CLINICAL TEACHING PLAN ON NCM-105 PSYHCIATRIC NURSING Course Code: NCM 105 Course Name: Care of Clients with

Maladaptive Patterns of Behavior Course Description: Area of Exposure: The course id designed NCMH (Mandaluyong to focus on health and City) illness across the lifespan of clients, population groups with acute or chronic psychosocial difficulties and psychiatric illnesses. Contact Hours: 102 hours Course Credit: 2 units Related Learning Experience

General Objectives: After the course and given actual clients with maladaptive patterns of functioning, the student should be able to: 1. Utilize the nursing process in the care of individuals, families in community and hospital settings. a. Assess with client/s his/her/their condition through mental status examination, physical examination, and interpretation of laboratory procedures. b. Identify actual or at risk nursing diagnosis. c. Plan appropriate nursing intervention with client/s and family for identified nursing diagnosis. d. Implement plan of care with client/s and family. e. Evaluation the progress of clients condition and outcomes of care. 2. Apply knowledge and understanding of maladaptive patterns of behavior in providing safe and quality care to clients. 3. Increase self-awareness and therapeutic use of self in the care of clients. 4. Ensure a well organized and accurate documentation system. 5. Relate with client/s and their family and the health team appropriately. 6. Observe bioethical concepts and principles, core values and nursing standards in the care of clients. 7. Promote a personal and professional growth of self and others.

Entry Competencies : 1. Knowledge in the overview of Psychiatric nursing Evolution of mental health-psychiatric nursing practice Roles and essential qualities of a mental health nurse Effectiveness of the interdisciplinary team in mental health continuum 2. Skill in doing the Nursing Process especially assessment and intervention skills Assessment of mental status, psychopharmacology Interpretation of psychiatric diagnostic examination Therapeutic communication and therapeutic use of self Application of Joharis window to self and to clients Application of different psychotherapy interventions (ECT, individual and group therapy, grieving therapy) Decision making skills/critical thinking skills 3. Proper attitude of prudence, patience, accuracy, and gentleness in handling clients and his/her relatives/significant others in stress and panic ER Orientation Activities for Clinical Instructor: Must have been completed prior to student exposure and done in coordination with the affiliating hospital training officer or ER head nurse for a week depending on hospital policies ER Orientation Activities for Students: (done on the 1st day of clinical exposure) Orientation on the following: Expectations, rules and regulation Facility personnel/organization chart Facility set-up, supplies, instruments, equipments, and psycho drugs Facility protocols, policies and guidelines Facility records and forms (for documentation, requisition, referrals, etc.) Practice of skills Grading system and requirements attendance, NCPs, journal, case study, return demonstrations, evaluation checklist Daily Protocol after Orientation: Last Day of Experience: 1. Pre-Conference Final evaluation of student performance through comprehensive case 2. Actual clinical experience presentation and enhancement group activity for the clients 3. Post conference Clinical Experience Requirements: Grading System: Knowledge 30% Case Presentation Skills 50% Manuscript of the RLE rotation Attitude 20% Journals TOTAL 100% Performance Evaluation and Peer Tools

OBJECTIVES & OUTCOMES After the clinical exposure, the students will be able: 1. To recognize the different concepts and terminologies used in psychiatric nursing. 2. To classify the different theories involving care for clients with mental health alterations 3. To accomplish a sound competency on this specialty in nursing study.

INTERMEDIATE COMPETENCIES The nurse must be competent in the following Key Areas of Responsibility and its respective core competency standards and indicators: 1. Safe and Quality Nursing Care a. Performs comprehensive and systematic nursing assessment

CLINICAL ACTIVITIES FACULTY STUDENTS

METHODOLOGY

METHODS OF EVALUATION

Supervises the student in assessment of clients

4. To attain confidence in the practice of psychiatric nursing. b. Promotes safety and comfort and 5. To develop a sense privacy of clients of commitment in the practice of mental health nursing. 6. To demonstrate a professionally responsible caregiver to patients suffering from mental health alterations. c. Sets priorities in

Identifies wellness potential and mental health problems of the client Gathers data related to health condition through thorough mental status assessment from clients SOs Performs mental condition-specific safety and comfort measures in all aspects of client mental health care Carry out mental condition-specific measures to ensure privacy in all aspects of care interventions Identifies and

Direct observation on patient assistive intervention

Performance checklist Quizzes

Assist students in developing a safe environment for the patient

Evaluates students

7. To build a working environment conducive for mental health rehabilitation.

nursing care based on clients needs

in setting different health problems based on sought problems from the client

8. To ensure a safe clinical practice in mental health institution through upholding ethicod. Administers moral decision making psycho drugs and throughout the care. other health therapeutics

analyzes the priority needs of client Determines appropriate nursing care to address priority needs or problems Conforms to the 10 golden rules in psycho medication administration and health

Assist students in giving patient- & family-focused interventions Assists/supervises the students in carrying out doctors orders Assist students in creating care plan appropriate for the client and family

e. Formulates plan of care in collaboration with clients and other members of the health team

Includes family in plan of care for the patient Develops comprehensive client care plan maximizing opportunities for rehabilitation of problems and enhancing wellness response Accomplishes client-centered discharge plan Explains interventions to client and family Implements nursing

f. Implements planned nursing care to achieve identified outcomes

Provides necessary feedback in the implementation of the care Supports students

throughout the process -

interventions that are safe and comfortable Acts to improve clients mental status Performs nursing activities effectively and time-manner Uses the participatory approach to enhance clientfamily empowering potential for mental health improvement and wellness Monitors effectiveness of nursing interventions Revises care plan based on expected outcomes Orientation to the institutional tools and equipments Performance Checklist

g. Evaluates progress towards expected outcomes

Facilitates with the students the result of the program and provide additional changes before recording

2. Management of Resources and Management a. Organizes work load to facilitate client care

Reviews with the students the concept of management of resources and environment pertaining to the institutional

Identifies tasks or activities that need to be accomplished Plans the performance of tasks or activities based on priorities Finishes work

guidelines

assignment on time Complies with standards and safety codes prescribed by law and by the institution Adheres to policies, procedures and protocols of the institution Obtains learning information through mental status assessment Analyzes relevant information Completes assessment records appropriately Identify priority of needs Develops information educational materials appropriate to the level of the client Applied health education principles in the development of information education Direct observation on patient assistive intervention Health teaching paraphernalia

b. Maintains a safe environment

Supervises students in maintaining a safe environment for better communication and therapeutic care

3. Health Education a. Assesses the learning needs of the client and the SOs

b. Develops learning materials for health education

Guides the students in developing effective teaching plan Assist in giving appropriate teaching strategies Supervises students in giving health education to the clients, groups and families

materials c. Implements the health education plan Provides a conduciveness learning situation in terms of time and place Considers clients and familys preparedness Utilizes appropriate strategies that maximize opportunities for behavior change for wellness and healthy mental status Provides reassuring presence through active listening, therapeutic use of self and effective communication Monitors clients and familys responses to health education Utilizes evaluation parameters Documents outcome of care Revises health education plan based on client and family responses

d. Evaluates the outcome of health education

4. Legal Responsibilities a. Adheres to organizational policies and procedures, local and international

Assists in proper documentation and reporting

Articulates the visions and mission of the institution where one belongs Acts in accordance with the established norms of conduct of the institution and regulatory requirements Utilizes appropriate client care records and reports Accomplishes accurate documentation in all matters concerning client care in accordance to the standards

Discussion of the different protocols within the institution Direct observation

Direct observation on students behavior and attitude towards care

b. Documents care rendered to clients

5. Ethico-Moral Responsibility a. Respects the rights of individual or family or group

b. Accepts responsibility and accountability for own decisions and actions

Serves as role model for students in displaying professional attitudes and values of a good psychiatric nurse Discusses with the students the significance of ethico-moral

Renders nursing care consistent with the clients bill of rights Justifies basis for nursing actions and judgment Projects a positive image of the profession

Direct observation to the students when performing care to clients, groups and families

Direct observation on students behavior and attitude towards care

responsibilities c. Adheres to the national and international codes of ethics Adheres to the Code of Ethics for Nurses and abides by its provisions Reports unethical and immoral incidents to proper authorities Role modeling Direct observation on students behavior and attitude towards care

6. Personal and Professional Development a. Projects a professional image of a nurse

Encourages students to project beginning professionalism

Demonstrate good manners and right conduct at all times Dresses appropriately Demonstrates congruence of words and actions Behaves appropriately at all times Listens to suggestions and recommendations Tries new strategies or approaches Adapts to changes willingly Orientation on the quality assurance protocols and activities Direct observation on students behavior and attitude towards care

b. Possesses positive attitude towards change and criticism

Assist students to accept criticisms and recommendations for improvement

7. Quality Improvement a. Participates in quality improvement

Discusses with the students the need for prompt and

Reports significant changes in clients condition or

activities related to care of patients in the ER including sepsis control and documentation -

accurate reporting of variances, facilitate discussion of ward audit during a post conference Coordinates with proper authority regarding validated reports of variances -

environment to improve stay in the institution Shares with the team relevant information regarding clients condition and significant changes in clients environment Encourages the client to verbalize relevant changes in his/her condition Provides appropriate suggestions on corrective and rehabilitative measures Communicates solution to appropriate group/s Shares or presents results of findings with colleagues, clients and family Involvement in EBN discussion and sampling EBN case presentation

8. Research a. Disseminates results of research findings

b. Applies research findings in nursing practice

Observes analytical discussion of journal reports and researches presented by the student Discusses with students current issues and trends regarding health care services rendered in the

Utilizes findings in research in the provision of nursing care for individuals, groups, family and community

institution

Makes use of evidence-based nursing to enhance nursing practice Assistive coaching on recording and Completes updated documentation documentation of pertinent to care client care Makes record readily available and accessible to facilitate client care Utilizes records system Uses data in decision and policy making activities Maintains confidential in record keeping Maintains an organized system of filling and keeping clients records in a designated area Follows protocol in releasing records and other information Creates trust and confidence Orientation on different means of communication across Performance Checklist Accuracy of documentation and reporting Performance checklist

9. Records Management a. Maintains updates and accurate documentation of client care

Supervises students on proper documentation at the ER Observes accurate documentation in patients chart and other ER records

b. Records outcome of care

c. Observes legal imperatives in record keeping

10. Communication a. Establishes rapport with clients,

Assists the students in

significant others and members of the health team

communicating effectively with clients and members of the health team Supervises students during endorsement

Spends time with the client and SOs and members of the health care team Listens actively to patients concerns and SOs and members of the health care team Interprets and validates clients body language and facial expressions Provides reassurance through therapeutic, touch, warmth and comforting words of encouragement Readily smiles

the institution

b. Identifies verbal and non-verbal cues

c. Responds to needs of individuals, family, group and community

11. Collaboration and Teamwork a. Establishes collaborative relationship with colleagues and other members of the health team

Facilitates collaborative relationship with members of the health team

Contributes to decision making regarding patients needs and concerns Participates actively in patient care management including audit Respect the role of other members of the health team Maintains good

Assistive involvement of the students in the collaboration of care especially endorsement

Direct Observation on students behavior

interpersonal relationship with patients, colleagues and other members of the health team b. Collaborates plan of care with other members of the health team Refers patients to allied health team partners Prepares accurate documentation for efficient communication of services