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UNIVERSITY OF SAN JOSE-RECOLETOS

College of Nursing
Magallanes St., Cebu City

CLINICAL INSTRUCTION PROGRAM

Care for Infants and Toodlers
Asilo Dela Milagrosa
LEVEL III

I. Philosophy:

The USJR College of nursing Pediatric Nursing Program will be

guided by Erickson’s Pyschosocial Theory, Havinghurst’s
Developmental Tasks, Piaget’s Cognitive Development,
Freud’s Psychosexual Theory, Sullivan’s Interpersonal Theory,
Kohlberg’s Moral Development Theory and the normal
developmental milestone of the child. The program is based
on the following concepts:
1. Pediatric understanding on the child’s growth and
development from birth through adolescence.
2. Pediatric nursing is to promote the highest possible state of
health in each child.
3. Children are highly susceptible to diseases throughout the
health – illness continuum.

II. Description of Asilo dela Milagrosa:

The infant and toddler department of Asilo dela Milagrosa

provides a warm, nurturing atmosphere where the child will learn, play
and grow. Children who are two weeks to two years old are eligible for
infant and toddler child care program.

III.Specific Objectives

At the completion of the required related learning experience in

Pediatrics a level III student will be expected to:
1. Demonstrate an understanding of the ways children change
from birth through adolescence and how these changes are
reflected in physiology, pathology and growth and development
(physical, psychosocial and behavioral).
2. Communicate effectively with infants, toddlers and children.
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3. Demonstrate respect for patient and family confidentiality.

4. Participate as part of the health care team and demonstrate
respect for the individual members of the team.
5. Assume responsibility for self directed learning.
6. Obtain a Pediatric history using effective interview techniques

RLE Activities

Day RLE Activities Expected Outcome

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Day 1 General Orientation Discuss philosophy and

 Orientation to the RLE Program objectives of care to be
for practiced in the clinical
Care of infants and toddlers in Asilo setting.

1. Philosophy and Objectives Formulate expectations

2. Clinical Hours and one’s learning
3. Plan of Activities objectives to be
4. Requirements accomplished within the
• Daily plan of activity clinical exposure.
• Nursing history
assessment
• Nursing Care Plan
• Reporting of assigned
topics
• Separate notebook
where all the topics to be
reported will be written
• Annotated readings
related to the care of
infants and toddlers
5. Expectations
6. Method of Evaluation

 Library research topics

This is for Day 1 only. Each
student is assigned to report a
topic/topics
Topics:
1.Principles of growth and
development
2.Theories of growth and
development
 Psychosocial (Erik Erikson)
 Psychosexual (Sigmund
Freud)
Day 2 - 5  Development Stages
(Havighurst)
 Cognitive (Piaget) Submission of physical lay-
 Moral Development out of the medical and
(Gilligan) dental clinics
 11 Developmental Stages
(Ex. Prenatal, Neonatal, Identify complete name of
Toddler, Pre-Schooler, the health care staff.
etc.)

Report to the area of assignment Conduct an accurate and

a. Get oriented to the following:
- physical set-up
- policies
- routine activities
efficient assessment with
the emphasis on growth
and development.
Performance of MMDST.

- members of the health
team
b. Get patient load from the clinical
instructor and perform the ff:
• Obtain a Pediatric history
• Perform complete physical
examination
Day 6 -12 • Perform developmental
screening using Denvers
Screening Test.
• Execute health education
regarding proper
grooming and hygiene
c. Provide routine infant and toddler
care:
• Health supervision
• Proper Nutrition
• Prevention of illness and
injury
d. Perform and actively participate
structured activities for toddlers.
A. Art Sessions
B. Film Showing
C. Storytelling
D. Song and Dance
Consciousness Raising Activities
a. Educational Field trips
Test evaluation (Pre and Post Tests)
Submission of requirements
Individual reporting on the
assigned topics
Suggested Topics for Discussion /
Reporting:
Theories of Growth and Development
Neonates and Infants:
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Submission of pediatric
assessment, analysis of
the developmental tasks of
infants and toddlers based
on the different
developmental theories.
Submission of teaching
plan per health education
executed. (See attached
form)
Demonstrate attitudes and
behaviors that ensure
effective nursing care.
These include but are not
limited to caring,
compassion, empathy,
personal honesty, and
sensitivity.
Perform health care
procedures that are within
the scope of nursing
practice.
Submission of program
plan for each activity. (See
attached form)
Learning Feedback
Diary and documentation
of Activities.
Provide anticipatory
guidance aimed at
prevention of injury for
different ages.(Optional)
Mentally assess the
learning gained from the
clinical exposure.
Oral and written reports of
topics assigned by the CI.
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 Infant Screening and

Immunization (EPI)
 Infant Safety
 Choking and Chemical
Intoxification
 Breast feeding and introduction
of solid food
 Elimination, Rest and Sleep,
Sensory Stimulation

New Born Screening:

 Congenital Hypothyroidism
 Galactocemia
 Phenylketonoria
 Glucose Phospate
Dehydrogenase
 HIV

Toddler:
 MMDST
 Protective measures as to toddler
safety
 Nutrition meal and snack
 Elimination, toilet training, Rest
and Sleep
 Play Key Concept: Toys that allow
“Acting on” Behaviors

Common Clinical Problems:

• Fever
• Cough / wheeze
• Sore throat
• Ear pain
• Upper respiratory tract infection
(viral and bacterial)
• Abdominal pain
• Vomiting
• Diarrhea (with or without
vomiting)

Bruising / petechiae
Rashes:

• Diaper rash
• Rash associated with fever
• Rash associated with medication
• Itchy / excoriated rash
• Infection / cellulitis
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III. Clinical Requirements

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1. Daily Logbook of Activities 20 pts

2. Documentation of Rapid Assessment Findings 25 pts
3. Teaching Plan for Health Education Classes
10 pts
4. Process Recording of Individual Child 25 pts
5. MMDST 20 pts

---------------
TOTAL 100
pts
IV. Evaluation Criteria:
Performance 50 %
Examinations 30 %
Requirements 20 %
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TOTAL 100 %

Prepared by:
Ms. Christine Rubio RN
Ms. Grethel Ratzani Baring RN
Approved by:
Mr. Glenn M. Gamalier RN, MAN
RLE – Coordinator Level III