UNIVERSITY OF SANTO TOMAS

THE GRADUATE SCHOOL

OPERATING ROOM TEACHING PLAN
SAMPLE CLINICAL TEACHING PLAN ON CARE OF CLIENTS DURING PERIOPERATIVE PERIOD
In partial fulfillment for the requirements in NRS 711 Advance Clinical Teaching







SUBMITTED TO:
Dr. Alita R. Conde, RN, MAN
Instructor/Adviser




SUBMITTED BY:
John Henry O. Valencia, RN, RM
Graduate Student

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CLINICAL TEACHING PLAN ON NCM-103 MEDICAL-SURGICAL NURSING
(PERI OPERATI VE NURSI NG ROTATI ON)

Course Code:
NCM 103
Course Name:
Care of Clients with
Problems in
Oxygenation, Fluids
and Electrolyte
Balance, Nutrition
and Metabolism
and Endocrine
Course Description:
This course deals with the
principles and techniques of
nursing care management of
sick clients across lifespan
with emphasis on the adult
and the older person,
population group in any
setting with
alterations/problems in
oxygenation, fluid and
electrolyte balance, nutrition
and metabolism and
endocrine function.

Area of Exposure:
University of Santo
Tomas Operating
Room Department
Contact Hours:
255 hours
Course Credit:
5 units Related
Learning Experience
General Objectives:
After the course and given actual clients who will undergo a specific surgical intervention, 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 physical examination, and interpretation of laboratory procedures
including diagnostic 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.
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2. Apply knowledge and understanding of perioperative nursing in providing safe and quality care to clients.
3. Ensure a well-organized and accurate documentation system.
4. Relate with client/s and their family and the health team appropriately.
5. Observe bioethical concepts and principles, core values and nursing standards in the care of clients.
6. Promote a personal and professional growth of self and others.

Entry Competencies:
1. Knowledge in the overview of Perioperative nursing
A. Perioperative care:
Preoperative pre-operative medications
Intraoperative anaesthetic agents general, spinal, blocks
Postoperative analgesics, opioids, antipyretics, antibiotics
B. Nursing responsibilities during the perioperative period
Preoperative - physical, psychological, spiritual preparation
Intraoperative circulating nurse functions, scrub nurse functions
Postoperative airway, breathing, circulation priorities.
C. Meeting the physical, psychological and spiritual needs of the client.

2. Skill in doing a comprehensive perioperative nursing care:
Assessment and care during the perioperative period
Techniques in assisting the surgical team during the operation
Principles of safety, comfort and privacy during the perioperative period :

3. Proper attitude of prudence, patience, accuracy, and gentleness in handling clients and his/her relatives/significant others in
stress and anxiety


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OR Orientation Activities for Clinical Instructor:
Must have been completed prior to student exposure and done in coordination with the affiliating hospital training officer or OR head
nurse for a week depending on hospital policies

OR Orientation Activities for Students: (done on the 1
st
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, case study, return demonstrations, evaluation checklist

Daily Protocol after Orientation:
1. Pre-Conference
2. Actual clinical experience
3. Post conference

Last Day of Experience:
Final evaluation of student performance through comprehensive
case presentation and enhancement group activity for the clients
Clinical Experience Requirements:
Case Presentation
Manuscript of the RLE rotation
EBN journals
Performance Evaluation and Peer Tools

Grading System:
Knowledge 30%
Skills 50%
Attitude 20%
TOTAL 100%
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LEARNING OUTCOMES
CLINICAL ACTIVITIES
METHODOLOGY METHODS OF EVALUATION
FACULTY STUDENTS
At the end of one month
rotation the students
should be able to:




1. Familiarize themselves
to the O.R, PACU set-
up, daily activities and
personnel.

2. Identify the duties and
functions of an O.R.
nurse and Recovery
Nurse











1. Orientation to the
RLE course
Expectations
Requirements
Evaluation





2. Discuss with
students the duties
of O.R. Nurse and
R.R. Nurse:
Duties of a scrub
nurse
Duties of a
circulating nurse
Duties of
recovery room
nurse

3. Demonstrate the


1. Review school
policies on
hospital duties







2. Review the duties
and functions of
O.R. and RR nurse












Direct
observation on
patient assistive
intervention

Return
Demonstrations

Case Presentation

Feedback



1. Expectations and Concerns





2. Responses, Quizzes, Journals






3. Direct Observation




4. Direct observation, Performance
Rating Scale and Written O.R
report


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3. Acquaint with and
prepare the different
equipment and
instruments in the
operating room and
recovery room.


4. Assist in different
major and minor
operations

A. Demo skills in:
Scrubbing
Downing of
Gown
Gloving


5. Provide care to
immediate post
operative patients:

A. Assess the health
status of post-
operative patients
through close
monitoring
actual instruments
and equipment
needed




4. Observe students:
Provide guidance









5. Assign students to
post op patients,
confer/discuss with
students and
observe students


3. Identify the actual
instruments and
equipment





4. Perform
instrumentation
and anticipating
the needs of
surgeons during
the operation





5. Perform physical
assessment,
monitoring of
progress,
provision of care





5. Performance Rating Scale

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B. Identify immediate
problem
C. Formulate nursing
care plan
D. Implement nursing
care plan
i. Provision of
physical and
psychological
care
ii. Demo-skills in:
Glasgow
coma scale
Suctioning





Prepared by: Approved by: Noted by:



John Henry O. Valencia, RN, RM Dr. Alita R. Conde, RN, MAN Prof. Marilu R. Madrunio, Ph.D.
Graduate Student Professor Dean UST The Graduate School