Clinical Check List: Days 3 & 4 N345 UCSF Clinical Peds Rotation Fall, 2002
On Clinical days 3 and 4, the student is expected to expand on the experiences of the first 2 clinical days. Depending on the skills and experiences achieved of the first 2 days and after conferring with the clinical instructor, you may be permitted to care for two patients of mild to moderate complexity or a single patient that is of higher complexity.
Receive and give report.
Organize your day using the Kardex and your clinical flow sheet. Remember that you must discuss your plan of care with the RN and get her/his input.
Initial assessment within the first hour of the shift, and document.
Plan and perform AM care.
Look-up and prepare PO/NG/GT medications to be dispensed to your patient with the RN or clinical instructor observing.
Dispense PO/NG/GT medications to your patient only, and only after checking with the RN or instructor.
IV medications: No IV Push medications will be given. You may give routine IV meds (i.e. antibiotics, antiemetics) only under direct supervision of RN or clinical instructor and only after performing the required drug calculations and dilutions with the RN or clinical instructor.
Assist your patient to the play or teen rooms
Observe an RN starting an IV Observe and assist RN in IV line changes
Observe and assist RN in NG/GT line changes Observe and assist RN in NG tube placement
Observe and assist RN in dressing changes Observe RN managing chest tubes Perform teaching to family and patient
Discuss pain management issues in Pediatrics with your RN
Talk with a social worker about the plans for discharge of a complex patient
Turn in one care plan for each day as previously assigned.
Fill out your final clinical evaluation and meet with your instructor to discuss your clinical experiences and how well you achieved your goals.
***Remember that you are a student in a high level teaching institution, and while we want to encourage independent thinking skills, no independent nursing interventions or actions may be performed without first consulting your clinical instructor or your preceptor. And under no circumstances will you be allowed to administer IV medications or manage an IV line without the RN or clinical instructor present.