TRINITY VALLEY COMMUNITY COLLEGE

ASSOCIATE DEGREE NURSING

           

RNSG 2562 – CLINICAL IV

COMMUNITY ROTATION CLINICAL OBJECTIVES

 

 

 

The student will prepare a typed written formal paper that addresses each clinical objective listed for the specific clinical site (include reference list if applicable).  Student must complete one weekly evaluation from for each clinical site. Written work and clinical evaluation form due the Monday after clinical rotation before 0800 in the box in front of sophomore team leaders door.

 

 

DIALYSIS UNIT

 

These two objectives along with the objective from either wound care clinic or cardiac rehab unit will be turned in as one paper with one criteria sheet only.

 

1.       Discuss the three types of vascular access devices for hemodialysis.

 

2.       Discuss the client’s experience from the time they enter the dialysis unit until the time they leave the unit (the assessment, procedure, monitoring, and teaching).  Identify and discuss any complications observed in clinical.

 

*** Complete the “Client Interview with Analysis” for a client in the dialysis unit

        Long term goal must address end of life issues***

 

And one of the following:

 

CARDIAC/PULMONARY REHABILITATION UNIT

 

3.       Describe what types of diagnosis are seen with clients that are referred to the cardiac/pulmonary rehab unit and discuss the cardiac/pulmonary rehabilitation program, including admission, discharge, and reimbursement criteria.

 

OR

 

 

WOUND CARE CLINIC

 

4.       Describe types, causes and treatments of wounds of clients commonly seen in the Wound

Care Clinic and describe the client’s experience from the time they enter the wound care clinic until the time they leave the unit (assessment, procedure, monitoring, and teaching).

 

 

 

 

 

 

 

LONG TERM REHABILITATION UNIT/SKILLED NURSING UNIT

 

1.   Describe criteria used to determine admission into a rehabilitation or skilled nursing 

      unit and the process of preparing for client for discharge home.

 

2.       Describe all the rehab care team members and their responsibilities for client care;

explain how care is coordinated between the disciplines.

 

3.   Identify all client education material available at this clinical site for discharge teaching.

 

 

*** Complete “Client Interview with Analysis” for one client in this setting*** The client analysis must include an evaluation of your client utilizing the Functional Index Measure (FIMS).

 

HOME HEALTH CARE ROTATION

 

  1. Describe the services the client can expect when receiving home health care and the procedure for determining if client is eligible for home health care and how many visit are allowed during care.

 

  1. Describe the service the client can expect when receiving hospice and the procedure for

      determining if client is eligible for hospice and how many visits are allowed during care.

 

  1. Discuss Texas Nursing Practice Act Board of Nurse Examiners Chapter 225 Delegation

      to Unlicensed Personnel and Tasks Not Requiring Delegation in Independent Living

      Enviroments for Clients with Stable and Predictable Conditions. Discuss how this rule

      applies to RN’s practice in home health.

 

  ***Complete the Home Health Care Journal log on each client visited during this

  clinical rotation. Make sure you show critical thinking when completing evaluation section. 

  Address all interventions that would be appropriate for client’s diagnosis, age, or home

  situation. If you do not perform skills or you do not teach – you must document the rationale

  why you were not allowed or did not choose to provide direct nursing care.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

h:\syllabus\soph\sprg\community clinical objectives                                                Revised 1005