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Clinical Instructor Training
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Nursing Education Marissa L. Brown, Director of Clinical
Education and Professional Development
Brandi Meacham, Nursing Education Specialist for 6B, 6C, 7B, & 7C
Jan Malone, Nursing Education Specialist for 8A, 8B, & 8C
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Clinical Guidelines
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Training Requirements O Web-based Instructor Training O Shadowing Experience
O 12-24 hours if non Vanderbilt employee O 8 hours if Vanderbilt employee
O Competency Sheets O Completed before beginning clinicals O Can be validated by unit educator or staff nurse O Return to Brandi or Jan
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Feedback Clinical Instructor:
O Will be given in real time if possible O Information will be sent through school designee and
NEPD Student:
O Will be given in real time if possible O Information will be given to instructor if possible O Otherwise information will be sent through school
designee Unit/RN:
O Information will be given to school designee or NEPD staff
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Conflict of Interest Vanderbilt employee should: O Not engage in Vanderbilt business while serving as a
clinical instructor O Use a personal email address for school
communications O Submit a document disclosing the potential COI O Work within your current role’s scope of practice O Wear a Vanderbilt Visitor ID during clinicals
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Bedside RN Responsibilities:
O Administer or Cosign blood and/or blood products
O Perform Point of Care Testing O EVD Management O Chest Tube Management O PCA/Epidural Management O Central Line Dressing Changes O Epilepsy Monitoring Unit Patient Care
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Patient Assignments With the Charge Nurse: O Contact them:
O 2100-2300 for AM clinicals O by 1245 for PM clinicals
O Review patients together to determine if the assignment and acuity will meet your objectives based on the student skill mix O EMU, Transitional, Negative Isolation, and Radiation
patients should not be assigned
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Patient Assignments With the Staff Nurses: O Communicate throughout the clinical
experience O Outline expectations O Review student scope of practice O Make a plan with the RN if you need assistance, are
changing the pt plan, or if have concerns O Students and Instructors should provide a
handover with the RN & CPs before leaving the floor
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During Clinicals O All students must be accompanied by the
instructor when they are on the floor, giving medications, and performing technical skills during the rotational experience.
O All documentation is to be co-signed by the instructor.
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Alterations O Make up clinicals and alterations to student
placements can be coordinated with school designee and the NEPD program coordinator
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Sharing Space O Students should work outside of the
patient rooms using the computers in-between the rooms and bring limited personal items
Fishbowls/Breakrooms: O Are not a secure location for student supplies O Should not be used for student conferences or
gathering locations
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Social Media & Privacy O Cell Phones are not permitted in the patient
work area. Personal calls should be taken off the unit.
O Resources can be found in Medication rooms, or online
O All printed patient material must be disposed of at the end of clinicals including OPCs.
O Name tags must be collected by the schools and destroyed at the end of the clinical experience.
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Documentation Reminders
All documentation is to be co-signed by the instructor.
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Documentation
Expectations Outside of Scope O Vital Signs O Intake and Output O Activities of Daily Living O Nutrition by Nursing
O Physical assessments O Pain scores O IV site checks O POCT O Braden scores O Pediatric Falls Safety O GCS
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Vital Signs Intake and Output
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Measurements O Patients
O < 3 years: length, weight, and HC on all admissions
O >3 years: height and weight O Patients are usually divided by age for day
shift/night shift measurements O Some pts are weighed at a specific time based on
physician order.
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Documentation Considerations
Febrile patients should be rechecked in 1 hour. Each febrile pt should have the primary nurse notified and his/her name documented in the charting. All charting should be co-signed by the instructor.
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Options for Documenting Intake and Output
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Activities of Daily Living
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Documentation Considerations
If the bath and linen change is refused a plan should be made and documented in the chart. Also pts should be repositioned every two hours. The Peds Equipment option allows you to document swings, high chairs, etc.
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Nutrition by Nursing
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Documentation Considerations
The percentage of food documented as eaten only takes into consideration the food items that were eaten… not the total items on the tray.