NURSING CARE OF CLIENTS WHO WILL UNDERGO THERAPEUTIC

AND DIAGNOSTIC ENDOSCOPY PROCEDURES

(SAMPLE TEACHING PLAN)

Masters of Science in Nursing

St Paul University Philippines

Campos, Lormie A.
Conte, Michelle DC.
Macavinta, Joseph Celrin III, V.
Mongaya, Meryll L.
(November 30, 2016)

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 SAINT PAUL UNIVERSITY OF THE PHILIPPINES
Tuguegarao City, Cagayan 3500

NURSING CARE OF CLIENTS WHO WILL UNDERGO THERAPEUTIC AND DIAGNOSTIC

ENDOSCOPY PROCEDURES

Course Title: NURSING CARE OF CLIENTS WHO WILL UNDERGO THERAPEUTIC AND
DIAGNOSTIC ENDOSCOPY PROCEDURES

Course Description: The course is intended to provide nurses particular knowledge about therapeutic and diagnostic
endoscopy procedures and enhance their cognitive skills, interpersonal skills and decision making
operative procedures in endoscopy

Training hours: 8 hours per day for 3 months

Course Objectives: The course aims to establish and familiarize the basic concepts about the different procedures in the
endoscopy unit and understanding the different equipment and techniques used which is essential in
giving total quality patient care.

Name of the Institution: St. Lukes Medical Centers Institute of Digestive Diseases

Unit/Area Assigned: Endoscopy Unit

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Description of the Learners : The nurses are on their training for a special area like endoscopy unit having gone through a four
years of bachelor degree and passed the licensure exam the necessary training is one of the
requirements to be an endoscopy nurse.

Description of the Setting: The clinical exposure will take place at the Endoscopy Room of Institute of Digestive Diseases, St.
Lukes Medical Center, Quezon City.

Length of Exposure: The schedule of training at the Endoscopy unit will be five days a week for 3 months. The nurse
trainees are scheduled in the morning shift (7:00am-3:00pm).

Method of Evaluation:
There will be pre and post conferences to share their experiences, learnings and understandings and
even problems that they encountered during their exposure. This will allow them to improve more
learning through their experiences. Nurse trainees will also be gauged in their performance through
the use of a checklist with regards on how they perform in the procedure and the mastery of
equipments and different criteria for them to evaluate if they act as a professional nurse and the
safety of their patient is the number one priority.

Nurse trainees performance and grade will be evaluated and obtained on the basis of the following:

SKILLS IN PERFORMING THE PROCEDURES ------------------------------------------------------------- 40%

Total Quality Patient Care-(50%)
Tool for Nurse Trainees Clinical Performance-(50%)
KNOWLEDGE ABOUT THE BASIC CONCEPTS & EQUIPMENTS USED -----------------------------30%
Quizzes/Exercise-(30%)
Rotation Exam and worksheets-(70%)
DOCUMENTATION -----------------------------------------------------------------------------------------------------15%
Requirements: Articles/Drawing-(40%)
Case Study-(60%)

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 ATTITUDE AND ATTENDANCE ------------------------------------------------------------------------------------15%
Attitude rating scale (Preceptor & Unit Manager)-80%
Attitude Rating Scale (Self-evaluation)-20%
Area Grade-----------------------------------------------------------------------------------------------------------------100%

Matrix:
OBJECTIVES
At the end of the training
in the area, the nurse
trainees will be able to:
1. Orientation of the vision 1. Articulates the vision, mission
- mission of the institution,
the policies, procedures
and protocols in the unit.
2. Discuss the objectives,
the duty schedule and
tasking, requirements and
evaluation procedures for
the training
a. Goal Setting
b. Duties and
Responsibilities
BEHAVIORAL SIGNS MENTORING PROCESS ASSESSMENT
(NURSE TRAINEES) (PRECEPTOR / UNIT MANAGER) STRATEGIES
Orientation/Briefing
of the institution and know it - The preceptor together with the Unit Manager 1. Giving of Room
by heart. will conduct an orientation for the nurse trainees Assignments
2. Act according to the protocol by discussing the different policies, protocols,
and standards of the standard procedures, activities in the unit and let 2. Making Learning Plan
institution. them explore and observe the procedures taking
3. Know the different procedures place in the unit. 3. Daily Journal
or at least have some
background about it. 4. Distribution of cases
1. Identifying themselves and Pre-conference
familiarizing their own - The nurse preceptor discusses the schedule of the 1. Daily Journal
strengths and weaknesses duty, distribution of cases, things to do, assigned (creative style)
2. Establish a goal oriented plan task and requirements, evaluation needed to attain
3. Setting goals to attain the set goals. 2. Criteria that will assess
knowledge, skills in their behavior as a
performing the procedures professional nurse and in
4. Knows ones ability and assess dealing with their patients
ones performance.
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3. Discuss the anatomy 1. Determine the parts in the 1. The preceptor will review and will show videos 1. Reporting
and physiology of the gastrointestinal tract and its and images with the nurse trainees the different
gastrointestinal tract and functions. parts and functions of the GI tract 2. Exams/ Quizzes
the different underlying 2. - Discuss the common diseases 2. An Interactive discussion between the preceptor (pre-test and post-test)
diseases. and problems in and the nurse trainees to assess if they really
Gastrointestinal tract understand the lesson. 3. Creative group activity and
Games
4. Discuss and know the 1. Determine the cases with the - The preceptor will demonstrate on how to assist 1. Return demonstration for
different therapeutic need of therapeutic procedures in therapeutic cases, familiarized with the different therapeutic
procedures with its in the unit equipment and its functions. equipment
equipment used and its 2. Applied knowledge and skills - The preceptor will assess if the nurse trainees
complications during and leaned for therapeutic fully understand the procedures and will assist in 2. Reflective Journal with the
after the procedure. endoscopy. analyzing some procedures and interventions different procedures,
3. Familiarize in the supplies and done in the unit. different cases encountered
instrument used for the
procedure. 3. Checklist of procedures
with grading system
5. Familiarize and discuss 1. Identify common DISCUSSION
the basic instrument and terminologies used at the The preceptor will orient the process on how to use 1. Return Demonstration
supplies to be used for endoscopy unit. the different therapeutic and diagnostic instruments. 2. Video Presentation for
both diagnostic and 2. - Identify and demonstrate the The preceptor will discuss work instructions for Instruments work
therapeutic procedure as instrument and supplies as well each procedure and identify the instrument and instructions
well as terminologies used. as its functions. accessories needed for the procedure. 3. Conference/Questioning
Discussion
4. Exams / Quizzes
6. Discuss the roles and 1. Identify the duties and The preceptor will discuss the roles of an endoscopy 1. Conference
responsibilities of an responsibilities and as well as nurse and let the nurse trainees observe the 2. Discussion
Endoscopy Nurse and its their assigned task during important things that an endoscopy nurse do. 3. Questioning and giving
importance in assisting endoscopic procedures. feedback
doctors and caring for 2. - Role assignment: Pre Op,
patients. Intra Op, Post OP, discusses
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 and demonstrates and
enumerates endoscopic
nursing responsibilities.
7. Perform the roles of an 1. Prepares the patient and the
Endoscopy nurse instruments used correctly
2. Assists in draping and in doing
therapeutic procedures
3. Anticipate the needs of the
gastroenterologists
4. Serves instruments properly
and correctly
5. Dispose waste materials
properly and know the proper
documentation
8. Perform the roles of a 1. Prepares the RR for use and
Recovery Room Nurse the documents needed
2. Check all the endorsement
3. Position patient in the RR bed,
monitor vital signs, assess for
any signs of complication and
deterioration.
4. Anticipates the needs of the
patient
5. Accomplishes documents
charts and records
6. Carry out doctors order
7. Conducts patient safety to RR
8. Assist in cleaning and
preparing the recovery room
for next patient
EXPOSURE & DIRECT OBSERVATION
The preceptor will guide the nurse trainees in 1. Assist as an Endoscopy
assisting the procedures and observe the students Nurse in an Endoscopy
ability, skills and performance in the procedure. procedure
That the nurse trainees know what he/she was
doing and capable of doing the assigned task with 2. Checklist of procedures
competence with grading system (there
will be criteria if the
trainees are able to
demonstrate the task given
to them.)
EXPOSURE & DIRECT OBSERVATION
The preceptor will assign the nurse trainees to act 1. Assist as a Recovery Room
as a Recovery room nurse and guide them in the nurse
usual routine and patient prioritization at the
recovery room. And the nurse trainees will be
assess / evaluate if they know what they are doing
and capable of doing the assigned task with
competence
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ACTIVITIES:

Clinical Exposure activities for hospital nursing include the following:

a. Pre-conference it helps to know the activity for the day, discussion of basic concepts and demonstration of clinical skills performed.
b. Clinical Exposure it is an actual experience being an Endoscopy nurse guided by the preceptor
c. Post-conference it is an evaluation where in nurse trainees will give their insights, feedback and learning that theyve encountered
during the exposure.
d. Written Evaluation (Rating System) it will assess the trainees performance through the use of different checklist with different
criteria and will help identify the strengths and weaknesses of the trainees, the things that they need to improve, the skills that needs
enhancement.

The purposes of evaluation are as follows:

1. It will help the trainees to be more competent on their job and able to assess the things that they need to improve.
2. It will help to develop their skills and enhance their abilities as a professional endoscopy nurse.
3. It is a guide to attain their goals in performing their job and in giving the best quality of care to their patients.
4. It will encourage the trainees to accomplish ones task and do their best towards improvement of ones performance.
5. It will help preceptors in assessing nurse trainees performance in terms of skills, abilities and attitude.
6. It will help nurse trainees to have a better understanding on their job and helps assess their skills and know themselves better.