SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES

NBNC 2607 CLINICAL PRACTICE 14 (RENAL NURSING)

CLINICAL PRACTICE COURSE KIT

CLINICAL PRACTICE COURSE KIT SPECIALIZATION: RENAL NURSING STUDENTS PARTICULAR:Name: Matrix No: Semester & Year: Code and Course: NBNC 2607 Clinical Practice 14 (RENAL NURSING) Ward / Area of Practice:a. General Practicum: b. Specific Practicum: Coordinator: a. Name: b. Corresponding e-mail / Tel: Preceptors Particular:a. Name: b. Designation: c. Corresponding e-mail / Tel:

INTRODUCTION NBNC2607: Clinical Practice 14 on Renal Nursing course will focus on application of theory from the theoretical course subject NBNS3504: Renal Nursing into practicum. In order to achieve 7 credit hours, you would have to undertake BOTH the General Practicum and Specific Practicum as stipulated in the table below: CLINICAL PLACEMENT 1. General Practicum: Practicum takes place in your respective area of practice. Your official working duty or shift is considered as the practicum hour. There is no preceptor for general practicum. You are self-directed in implementing your learning activities. You are expected to apply or practice skills that you have learned from the specific practicum whenever possible. PRACTICUM DURATION 324 hours Recommended practicum hours: 54 days per semester. At least 6 hours per day and 5 days per week.

2. Specific Practicum: Placement will be in a Renal / Urology setting. You must set aside the practicum hours separately from your official working hours. A Clinical Preceptor will be assigned for you. TOTAL : 7 credits =

96 hours Recommended practicum hours: 8 hours per week in a time frame of 12 weeks.

14 weeks / 420 hours

Instruction: Please read NBNS3504: Renal Nursing for theoretical input for your practicum in addition to this module. Health assessment is an integral part of nursing. You may find it beneficial to revisit and review the module NBHS1103: Advanced Nursing Assessment to guide you in conducting assessments on clients with renal problems. Additionally, you are also encouraged to apply all the knowledge and skills gained from your previous learning, especially relating to nursing management and professionalism.

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COURSE OBJECTIVES At the end of the General Practicum, you should be able to:I. Perform skills learned from the specific practicum where applicable. II. Nurse the clients using the nursing process approach. III. Communicate with clients as well as their families and relatives with caring and empathy.

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At the end of the Specific Practicum, you should be able to:II. Utilise the nursing process approach in caring for clients with renal disorders and their families / caregiver. III. Acquire skills in Renal Nursing:a. Conducting initial health assessments on clients with renal disorders. b. Conducting focused assessments on clients with renal disorders: i. Assessing the renal function ii. Assessing the fluid balance iii. Assessing the electrolyte balance iv. Assessing the acid-base balance v. Assessing the psychosocial responses c. Delivering nursing care for client undergoing dialysis treatment: i. Nursing clients undergoing hemodialysis or continuous renal replacement therapy. ii. Nursing clients undergoing peritoneal dialysis. d. Delivering nursing care for clients and family/caregiver in undergoing various investigations and treatments. e. Performing various nursing procedures common to clients with renal disorders. f. Delivering health education to the client and family/caregiver with renal disorders. III. Delivering health education to the client and family / caregiver in managing the care of the client.

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ASSESSMENT / EVALUATION METHODS

You will be evaluated for the course NBNC 2607: Clinical Practice 14 as follows: GRADED ASSESSMENT 1. CLINICAL PRACTICE RECORD a. Clinical practicum hours: Achieved minimum 324 hours of General Practicum with roster / record of working time attached = 2% Achieved minimum 96 hours of Specific Practicum = 2% b. Procedures log (see Section 3) Acquired at least 90% of the compulsory nursing procedures = 4% c. Clinical Conference / Bedside Teaching log Attended all Bedside Teaching sessions (4 topics) = 2% 2. CLINICAL PORTFOLIO Case Study completed and submitted by the dateline. 3. PRACTICAL EXAMINATION Final Examination on practical nursing at the end of semester TOTAL ALLOCATION OF MARKS

10%

40%

50%

= 100%

NON-GRADED ASSESSMENT 4. Clinical Performance Evaluation ( by Clinical Preceptor) You will receive a non-graded feedback or evaluation from your Clinical Preceptor for your clinical performance. 5. Students Evaluation of Clinical Practicum You are required to provide feedback by evaluating your clinical experience. Students Evaluation of Clinical Preceptor You are required to provide an evaluation of your Clinical Preceptor.

6.

IMPORTANT INSTRUCTION TO THE STUDENTS Please compile a complete set of the following documents: Clinical Practice Record Clinical Portfolio (Case Study) Clinical Performance Evaluation Form (by the Clinical Preceptor) Please submit the compilation of your Clinical Practice 11 (NBNC1307) to your Tutor before or on the 5TH TUTORIAL (T5)

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CLINICAL PORTFOLIO (40%) All students are required to complete a Written Assignment of a Case Study of a Client with Renal Disorder as Clinical Portfolio

CLINICAL PRACTICE 14 NBNC 2607 SPECIALIZATION: RENAL NURSING

Title of the Clinical Portfolio: The Nursing Care and Management of a Client with . Instructions: 1. Identify ONE Renal Client that you have nursed. Discuss your plan of care using the nursing process approach. 2. Complete the write-up of the Case Study in 3,000 words. 3. Compile your portfolio into the following arrangement:i. Cover page (soft cover). ii. Section 1: Introduction. iii. Section 2: Presentation of the case. iv. Section 3: Summary/ Conclusion. v. Section 4: References. vi. Section 5: Appendixes.

The recommended framework or heading are: i. Section 1: Introduction ii. Section 2: Presentation of the case: - Demographic data - General health history - Assessment findings - Management of the client - Nursing care plan using nursing process approach. iii. iv. v. Section 3: Conclusion /summary Section 4: References Section 5: Appendixes

Format of Assignment: i. Words: 3,000 words ii. Font: Arial, Size 12 iii. Spacing: 1.5 iv. Binding: combed

Evaluation will be based on the following criteria: a. Skilful in assessing data: Collecting comprehensive and accurate data. Performing accurate diagnostic reasoning of the data. b. Skilful in formulating nursing diagnoses and intervention: Identifying problems from data. Prioritising problems and plan of care. Setting specific, realistic and measurable objectives. Identifying nursing intervention based on relevant data. Formulating comprehensive, systematic and individualised nursing care. c. Meeting the general requirements: Logical and systematic organisation of information. Correct and appropriately referencing. Punctuality in submission of assignment. CLINICAL PRACTICE RECORD (10%) You must process the documentation of the Clinical Practice Record with your Clinical Preceptor on a regular basis. You must document the following:i. ii. Record of minimum 324 hours of General Practicum with photocopies of Roster / Record of Working Time attached. (Marks = 2%) Complete requirement of Specific Practicum: a. Achieved a minimum of 96 Practicum Hours (Marks = 2%) b. Attended ALL (4) Bedside Teaching Sessions (Marks = 2%) c. Acquired AT LEAST 90 % of the listed Nursing Procedures (marks = 4 %)

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PRACTICAL EXAMINATION (50%) At the end of the semester, you will be designated to a Clinical Skill Lab in an Institution or Nursing College to sit for your Practical Examination. You will be tested on skills acquired for NBHS 1103 Advanced Nursing Assessment and a clinical specialty of NBNC 2607 Clinical Practice 14 (Renal Nursing). Tentatively 5 stations is expected (subjected to change) and it will comprised of i. Nursing Assessment ( health assessment interview / physical examination/ assessment of records or investigation results) ii. Skills specific to the clinical specialty which can be any of the combinations: a. Nursing procedures b. Clinical decision making skills c. Communication skills

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REMINDER TO CLINICAL PRECEPTOR: This Course Kit must go hand-in-hand with the module NBNC 2607: Clinical Practice 14. You MUST HAVE BOTH COPIES for your reference in planning and implementing your teaching and learning activities with the students CLINICAL PRACTICE RECORD BEDSIDE TEACHING TOPICS (RENAL NURSING) S/N Topic Providing physical, emotional and psychosocial care which includes communicating with clients and family/caregiver. The significant of health assessment in Renal Nursing. Assessing, analysing and planning individualised care of clients with renal dysfunction. The psycho-social effects of renal dysfunction and developing appropriate attitudes toward clients and family/caregiver. Date Preceptors Students Signature Signature

Note: You may document additional topics by attaching additional paper if necessary. PLEASE KEEP A PHOTOCOPY FOR YOUR RECORD KEEPING

CLINICAL PRACTICE RECORD NURSING PROCEDURES FOR RENAL NURSING NO. NURSING PROCEDURES Performing comprehensive Initial Health Assessment Performing Focused Assessment:2.1 Assessing the renal function 2.2 Assessing body fluid balance 2.3 Assessing serum electrolytes balance DATE PRECEPTORS STUDENTS SIGNATURE SIGNATURE

1.
2.

2.4 Assessing acid-base balance 2.5 Assessing psychosocial responses 3. Performing pre-dialysis observations (blood pressure, pulse, temperature, respiration, weight and others) Nursing client on hemodialysis (HD) or Continuous Renal Replacement Therapy (CRRT):4.1 Initiating HD/CRRT 4.2 Delivering HD/CRRT 4.3 Terminating HD/CRRT 4.4 Caring for the Arteriovenous Fistula (AVF) / vascular access site Nursing client on Peritoneal Dialysis (PD) OR Continuous Ambulatory Peritoneal Dialysis (CAPD) 5.1 Initiating and delivering IPD/CAPD 5.2 Terminating IPD/CAPD 5.3 Caring for IPD/CAPD puncture site 6. Performing dressing of catheter site double lumens catheter (Internal Jugular Catheter/Subclavian Catheter/Femoral Catheter/Cuff Catheter) Performing urinary catheterization Administering injection of anti-anemic agent (Epoetin) Delivering health education to the client and family/caregiver 9.1 Teaching client/family about CAPD 9.2 Teaching client/family about renal diet and medication Nursing clients undergoing renal procedures (renal biopsy, contrast media studies, renal transplant and others) Total compulsory procedures Y = ...................... procedures (from a grand total of 20) % of procedures X = ...................... % (The formula is X = Y/20 x 100%)

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5.

7. 8. 9.

10.

Note: You may document additional procedures by attaching additional paper if necessary Date of Submission: Students Signature: Local Preceptors Signature: Preceptor Coordinators Signature:

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SUMMARY OF CLINICAL PRACTICE HOURS (GENERAL PRACTICUM) Please record the summary of your Clinical Practice Hours in the table below. Make sure that you have a minimum of 324 hours of General Practicum. No. Date & Time Total Hours Superiors Signature (e.g. Matron/Sister/Director)

TOTAL HOURS

Attach with additional paper if necessary. Attach the photocopies of your Roster / Records of Working Time (e.g. Punch Card) SUMMARY OF CLINICAL PRACTICE HOURS (SPECIFIC PRACTICUM)

Please record the summary of your Clinical Practice Hours in the table below. Make sure that you have a minimum of 96 hours of Specific Practicum. No. Date & Time Total Hours Local Preceptors / Coordinators Signature

TOTAL HOURS

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CLINICAL PERFORMANCE EVALUATION Instructions to Local Preceptor: This is a non graded evaluation on student performance. Tick () the level of performance for each criteria based on the scale. You may include additional points on the comments provided. Please complete the form at the end of the clinical placement. Please inform the student regarding the evaluation of his/her performance to enable them to improve. Have the student to acknowledge his/her performance. This form is part of the Clinical Practice Record and should be given to the student for compilation. Your evaluation is highly appreciated as an important feedback to students as well as to the School. Name: Year: Area of Specialized Practicum: Name of Local Preceptor: Preceptors Designation: Scale: 1= poor 2= average 3= good 4= excellent Matrix No: Semester: Course Code:

No Performance Criteria 1. Appearance and Discipline:1.1. Maintain cleanliness and neatness 1.2 Follow dress code of the organization 1.3 Punctual 1.4 Manage time effectively 2. Communication Skills:2.1 Communicate in a clear ,concise and fluent manner 2.2 Able to express sound opinion 2.3 Project appropriate non verbal communication Attitude : Responsibilities 3.1 Adheres to protocol, policies and procedures of the organization 3.2 Follow standard practice and code of conduct 3.3 Understand the importance of preserving clients privacy and confidentiality Attitude: Assertiveness 4.1 Demonstrate leadership skills 4.2 A team player / team participation

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4.

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4.3 Accept constructive comments / criticism 4.4 Responsiveness to supervision 5. Attitude: Establishing Relationship 5.1 Able to function with other health care professional. 5.2 Good rapport with staff, clients and family. 5.3 Understanding multicultural issues/ individual differences. Attitude: Initiatives 6.1 Able to search for learning activities. 6.2 Search further information when needed. 6.3 Seek supervision / consultation when needed. Knowledge and Skill:7.1 Apply theory to practice appropriately 7.2 Identify clients needs or problems. 7.3 Demonstrate ability to solve problems. 7.4 Plan, implement and evaluate care. Documentation: 8.1 Accurate documentation 8.2 Assess and report abnormal data

6.

7.

8.

Comments:

Date of Submission to School: Students Signature: Local Preceptors Signature:

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CLINICAL EXPERIENCE EVALUATION Clinical Practice 14 Specialization Renal Nursing Instructions to Student: You need to evaluate your learning experience in the SPECIALIZED PRACTICUM. Tick () your level of agreement for each statements based on the scale. You may express your opinion or suggestions in the comments. Please complete the form at the end of the clinical placement. This form is part of your Clinical Practice Record which should be compiled with other documents. Your evaluation is highly appreciated. It is crucial for continuous improvement of our programme and to enable us to provide the best for you Matrix No: Semester:

Name: Year: Area of Specialized Practicum:

Scale: 1=strongly disagree 2= disagree 3= indifferent 4= agree No Statement 1. I have adequate opportunities to enhance my clinical skills and knowledge. 2. I have adequate opportunities to strengthen my communication skills. 3. I have adequate opportunities to achieve my learning outcomes. 4. The length of clinical placement was adequate. 5. The staff members were supportive of my learning needs. 6. The School was able to address my concerns / problems / questions. Comments: 1

5= strongly agree 2 3 4 5

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EVALUATION OF LOCAL PRECEPTOR Clinical Practice 14 Specialization Renal Nursing Instructions to Student: Tick () your level of agreement for each statements based on the scale. You may express your opinion or suggestions in the comments. Please complete the form at the end of the clinical placement. This form is part of your Clinical Practice Record which should be compiled with other documents. Your evaluation is highly appreciated. It is crucial for continuous improvement of our programme and to enable us to provide the best for you Name: Year: Area of Specialized Practicum: Name of Local Preceptor: Matrix No: Semester:

NO 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

CRITERIA Impart knowledge to students effectively. Motivated to conduct bedside teaching. Have good clinical skills. Establish good rapport with ward/hospital staff and client. Speak and give clear instructions. Responsible. Give regular and prompt feedback constructively. Sensitive and responsive to students needs. Give supervision when needed. Demonstrate procedure as necessary. Check students records & attendance regularly. Supportive, approachable and available. Helpful in guiding student to achieve learning outcomes. Appear pleasant and presentable. Give fair and objective evaluation. Always punctual

YES

NO

COMMENTS

Date of Submission to School: Students Signature:

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