Apply Therapeutic Nursing Interventions

Transcription

1 Learning Supports Outcomes Long Term Care Facility The Long Term Care Facility gives the students the opportunity to care for a stable resident population that allows the student to establish a relationship that progresses over time. The student develops rapport and utilizes therapeutic communication to practice caring behaviors. See Issues from Multiple Perspectives Apply Therapeutic Nursing Interventions The LTC facility gives the students the opportunity to care for a resident population that is culturally varied. Most residents are rural. Collectively the students will engage with a variety of residents with differing cultural practice, values and beliefs. The students begin to develop cultural sensitivity through their interactions with residents. Students explore ethical dilemmas common to the elderly population residing in a LTC facility. The LTC facility gives the students the opportunity to begin practice in a structured clinical environment that supports accountability in the professional role. The LTC facility gives the students the opportunity to begin to use critical thinking in providing basic care to a chronically ill resident population. Students are assigned two stable residents to develop prioritization. The LTC facility gives the students the opportunity to access resident records that document care over time. These early practice opportunities allow the student the ability to begin to use the language of the profession of nursing. The LTC facility gives the students the opportunity to utilize the nursing process and evaluate resident outcomes over time with a stable resident population. Flu Clinics The community based setting gives the students the opportunity to meet, establish rapport, and provide teaching to a wide variety of patients. This clinical experience exposes the student to a rapidly changing population. This contrasts with the LTC facility where the residents are seen over time The community based setting gives the students the opportunity to begin practice in an unstructured clinical environment that supports accountability in the professional role. Apply Therapeutic Nursing Interventions The community based setting gives the students the opportunity to utilize the nursing process and evaluate outcomes with a rapidly changing population.

2 Primary nursing diagnosis Varies George Beck: Care of the surgical client Learning Supports Outcomes Medical / Surgical unit of acute care hospital Acute surgical suite (OR/SDS/PACU/outpatient surgical clinics) The medical/surgical experience gives the students the competencies into patient care for a variety of acutely ill clients. All SLOs are addressed. The site that provides surgical care gives the student the opportunity to apply the nursing process with emphasis on maintaining safety for the surgical client. Herb Witherspoon: Alteration in Nutrition/Metabolism Instructor led on the Medical floor added Spring 15_ Interview Diabetic patient (location not specified) removed SP 15 Home Health visit to diabetic removed SP 15 The sites provide the students with opportunity to appreciate the lived experience of a client with alterations in nutrition/metabolism. With the variety of opportunities, the students bring to post clinical a rich discussion of the client experience and are able to recognize living with this chronic condition affects each person and family differently. Diabetes Education Class removed SP 15 Podiatrist office Dialysis clinic Instructor led on medical floor added Spring 15

3 Primary nursing diagnosis Ed Radosevich: Alterations in Oxygenation Patty Peedi Risk For Injury Learning Supports Outcomes Hospital Pulmonary Rehab program Collaboration with Respiratory Therapists (acute care) Pulmonologist office and Instructor lead on medical surgical unit with the focus of oxygenation added Spring 15 The sites provide the students with opportunity to appreciate the lived experience of a client with alterations in oxygenation. With the variety of opportunities the students bring to post clinical a rich discussion of the client experience and are able to recognize living with this chronic condition affects each person and family differently These sites and experiences give the students the opportunity to communicate with other members of the health care team and identify their contribution to patient care. The simulation experience provides the students the competencies into patient care for a child with an acute health problem while introducing the importance and concept of growth and development. All SLOs are addressed. Trudy Troubled Anxiety Wyoming State Hospital Sees Issues From Multiple Perspectives The Wyoming State Hospital gives the students the opportunity to establish a therapeutic relationship with a person experiencing anxiety in a structured setting. Students also observe the role of the multi-disciplinary team

4 Primary nursing diagnosis Varies Medical / Surgical unit of acute care hospital Learning Supports Outcomes The medical/surgical experience gives the students the competencies into patient care for a variety of complex acutely ill clients. All SLOs are addressed. Frieda Upbetcha Fluid Volume Imbalance Acute care ED SDS OR Surgical Center These sites give the students access to patients needing IV therapy for fluid and electrolyte imbalance or IV access. The rapid turnover in patients allows students numerous attempts at establishing IV access and to assess a variety of patients requiring intravenous therapy. Christine Natal Knowledge Deficit In patient OB L & D, post-partum, and newborn nursery Community Health Nursing Maternal Newborn Services, Best Beginnings Program Prenatal Classes High School Teen Support Group See Issues From Multiple Perspectives See Issues From Multiple Perspectives These clinical sites give the students opportunities to interact with a population needing health teaching for healthy pregnancy, healthy post-partum mother, and promoting growth and development for the newborn and new family. These clinical sites give the students opportunities to interact with a variety of relationships comprising a family. Students also assess the growth and development of the new mother, infant, and family. Students have access to a variety of populations to recognize how the birth experience affects each family differently

5 Primary nursing diagnosis Toby Townsend Ineffective Health Management Home Health Community Health Nursing Acute Care Case Management Learning Supports Outcomes Students in these sites have the opportunity to interact with vulnerable populations. Emphasis is placed on providing cost effective care to meet the needs of clients with limited resources. Students are exposed to rules and regulations that impact qualification for services Emma Goldblum Ineffective Tissue Perfusion Med/Surg ICU Cardiac Clinic Cardiac Rehab Cardiopulmonary- Medical Imaging Home Health Apply Therapeutic Nursing Intervention Students in these sites have the opportunity to assess a variety of patients needing health care due to ineffective tissue perfusion. Emma Goldblum Ineffective Tissue Perfusion competencies into patient care for an adult experiencing complex ineffective tissue perfusion. All SLOs are addressed Ellie Pendant: Deficient Fluid Volume competencies into patient care for an acutely ill child. All SLOs are addressed.

6 primary nursing diagnosis Varies Medical / Surgical unit of acute care hospital Learning Supports Outcomes The medical/surgical experience gives the students the patient care for a variety of acutely ill clients under the supervision of a qualified preceptor. Students manage 4-6 patients. All SLOs are addressed. Rosanna Dana Leadership Management Diane Duncan Ineffective Coping Long term care facility County Jail The long term care facility gives the students the opportunity to begin to manage time and resources with a stable resident population. Students manage a patient load of 6-8 residents with a focus on delegation and cost effective care. A stable population gives students the opportunity to progress as managers with fewer variables seen in an acute care setting with rapid patient turnover. Students work with a wide variety of residents with differing values, beliefs, and customs. The length of time spent at the clinical site allows students to interact with the interdisciplinary team. This clinical site gives the students the opportunity to therapeutically interview inmates dealing with ineffective coping related to addiction and mental illness. The population is stable and eager to share their experiences with nursing students

7 primary nursing diagnosis Diane Duncan Ineffective Coping Diane Duncan Nutrition/ Metabolism Sue Marm Deficient Knowledge Travis Espejo Impaired Physical Mobility Learning Supports Outcomes County Jail This clinical site gives the students the opportunity to consider cultural influences in the development of addiction. This population has multiple ethical issues including parenting and addiction behaviors. Students are able to observe advocacy as role modeled by preceptors for this vulnerable population This clinical site gives the students the opportunity to challenge their assumptions of the role of the corrections nurse, addiction, mental illness and the incarcerated client in this practice environment. School Home of client with chronic immobility patient care for acutely ill adult suffering problems with nutrition/metabolism. All SLOs are addressed. This clinical site gives the students the opportunity to observe school aged children s growth and development and common health problems experienced by this age group. This clinical site gives the students the opportunity to challenge their assumptions about children and school nursing, and learn how to prioritize their time in a nonagency setting. Students in this clinical environment have the opportunity to interact with an immobile person and their support system. Visiting their home allows the students the opportunity to see and hear the lived experience of immobility.

8 primary nursing diagnosis Travis Espejo Impaired Physical Mobility continued Travis Espejo Risk for Injury Travis Espejo Risk for Injury Mavis Montgomery Impaired Gas Exchange Student choice Emergency department A Learning environment of their choice Learning Supports Outcomes They challenge their assumptions about persons with chronic immobility due to a spinal cord injury or neurological deficit. They experience the importance of creativity in nursing interventions. The emergency experience gives the students the patient care for variety acutely ill clients. All SLOs are addressed. patient care for an acutely ill adult suffering a traumatic injury. All SLOs are addressed. patient care for an acutely ill adult suffering impaired gas exchange. All SLOs are addressed. The choice experience gives the students the patient care for a population or setting of their choosing.