vn 120 supplemental packet spring 2011 lvn program · pdf filediscuss the most significant...

VN 120

Supplemental Packet

Spring 2011

LVN PROGRAM

IMPERIAL VALLEY COLLEGE Nursing and Health Technologies

Nursing LVN 120 Patient Teaching Project Assignment

Purpose: To develop and present a major Maternal/Child Health (MCH) Teaching Project. Project Description: Small groups (3-4 students, depending on class size) will develop a patient teaching project on one aspect of one of the following areas of MCH: Prenatal Care Postpartum Care Intrapartum Care Newborn Care Guidelines for developing a patient teaching project: The teaching projects should be developed for a targeted population (example: teen mothers, GDM, labor indicators, pre-term infants, postpartum depression, infant feeding problems, etc.) The instructor MUST approve all projects by 03/07. The Teaching Project will require a creative presentation on the topic. It must have audience handouts attached (article, pamphlet, paper etc.). The presentation must be informative and utilize audio-visuals, i.e. Power Point, or other computer generated program, overheads, posters, self-made videos, or combination of any of the above. Grading will be done as follows: The average score between the following groups will be totaled and then averaged. That score will be the final score. Peer evaluation average: (See evaluation guide ) 1/2 of grade for oral

presentation. Instructor evaluation average: 1/2 of grade for oral presentation.


Nursing LVN 120 Patient Teaching Project Assignment Grading Evaluation Guide

Group Member Names: Evaluation by:

Content Criteria Comments Total Points Earned Points Oral Presentation:

Knowledge of Content (Able to complete presentation w/o reading the presentation)

5

All members of the group share equally in the presentation

3

Creative use of multimedia used in the oral presentation

5

Presentation took no less than 20 minutes and not more than 30 minutes

2

Group members looked professional during presentation

2

All members have thorough knowledge of the content, able to answer questions

5

Evidence of Scholarly research was noted in the presentation

5

Reference list included with no less than 5 references Instructor only

3

Overall presentation/ paper Total Points

30


Nursing LVN 120 Clinical Journal Guide

Purpose: The purpose of the Journal writing exercise is to summarize, and/or contemplate the clinical experience. Grading Criteria: Journals will be completed at the end of each clinical day and turned in to your clinical instructor before leaving clinical or by 1200 p.m. the next clinical day. However, journal writing should not be done at the determent of patient care. Although correct spelling and sentence structure is important, these will not be counted. The journals will be checked by the instructor, commented on and returned to the student on the next clinical day. Journals are a requirement of Clinical. Failure to complete a journal assignment will result in an unsatisfactory in clinical for the day. Journals are a personal reflection of a clinical experience, and will be viewed as such. Suggestions for Journal Writing: Discuss the most significant event of the day, why it was significant, how did

the nurse react, patient reaction and finally how did you react. What did you learn from this event.

Discuss the nurse you worked with today. Did this person promote the profession of nursing and if so, how, if not why not. Would you want to be viewed by a student this way, why or why not?

Occasionally in maternity nursing, a great tragedy will occur, i.e., a stillbirth, neonatal death, maternal death, or an infant born with a disability. If this occurs during your clinical experience, write about that experience. As a nursing student it is very important to identify your feelings, emotions, regarding these events. Discuss the case, the staff, and the patient.

Discuss a new concept you learned today. Was there a new skill, or concept you learned. How will this enhance your experience as a nurse.

Discuss an event that has you concerned. (Either with a patient or with a staff member) Often the act of writing down these concerns helps to understand them.

Write a letter or poem to a patient, an infant or about nursing. Write about a new skill you learned, or a way to do skills or nursing care

better. It is recommended that you keep these in a notebook to review as the clinical rotation continues.


Nursing LVN 120

Guidelines for Writing Post-Partum Nursing Care Plans These guidelines will be used in instructor's review of nursing care plans and for student to check for completeness. Refer to student handbook re: nursing care plans. Late papers will result in an Unsatisfactory. I. Data Collection

A. Thorough subjective and objective data that support the nursing diagnosis must be included.

1. Also include in mini-care plans. 2. Care plan completely developed and nursing diagnoses

identified and justified by data II. Nursing Diagnoses

A. Actual nursing diagnosis is a three-part statement: Problem + Etiology + Signs and Symptoms present

B. Potential and possible nursing diagnosis is a two-part statement: Problem + Etiology C. Should be from NANDA approved list if possible. D. Should be prioritized and noted on care plan E. Use appropriate current textbooks III. Patient Goals (outcome statements)

A. Should be written in patient behavioral terms and be measurable. B. Should have a time element for evaluation purposes C. Should be realistic. D. Should relate to the assessment data/problems.

E. Use appropriate current textbooks IV. Nursing Actions/Interventions

A. Identify those that would reduce or remove the contributing factors (etiology) of the nursing diagnosis.

B. Assessment and monitoring of status. C. Use appropriate current textbooks and provide references

V. Evaluation

A. Should relate to the patient goal, indicating whether goal was met partially or completely, or not met. Should also include the patient's responses to nursing interventions. If goals partially or not met, determine reason.

VI. Reassessment A. Assess which interventions should be continued, discontinued, or any changes VII. Medications

A. All medications (I.V. meds, H.S. meds, p.r.n.'s etc.)-dosage, rationale for the post-partum patient

VIII. Lab Work/Diagnostic Tests A. Each lab value should be researched separately as to the information it provides. (i.e., WBC, RBC, Hg, Ht), why it is done, what results mean for postpartum patient

B. Circle or highlight all abnormal values. C. Use Pediatric Lab Values for infants and children D. LVN 120: For postpartum care plan, submit: WBC, RBC, Hg,

Hct, Rubella titer, Rh factor; urine protein, glucose, ketones, and any other abnormal LAB VALUES.

IX. Physical Assessment A. Include with each nursing care plan. Use form distributed in VN 110 for adult patients B. Add section for assessment of breasts, fundus, lochia.

X. Developmental Stage Assessment A. Statement of patient's stage of age (Erickson) B. Commentary/comparison re: your patient. XI. Cultural/Religious Considerations:

A. Relate to patient's concept of health and present condition.

XII. Teaching Guide Include a teaching guide to cover all of the following topics for a postpartum patient:

Infant feeding Breast care Normal lochia progression Perineal care/incision care Warning signs Nutrition/fluids Resumption of sexual activity/birth control Postpartum emotional adjustment


Nursing LVN 120 CLINICAL GUIDELINES AND ASSIGNMENTS Written assignments other than journals are due at 0805 each Wednesday following clinical and must be typed or written legibly in ink. Late papers will receive a grade of "unsatisfactory.” LABOR AND DELIVERY 1st rotation: 1. Be prepared to teach and assist a labor patient in breathing, relaxation, and comfort

techniques during the 3 stages of labor. 2. Observe admission procedures and nursing documentation of the patient's progress.

Discuss in post-conference for skills check-off. 3. Observe the nurse or technician setting up the delivery room for a vaginal or C-section

delivery. Be able to explain this in post-conference. 4. Observe the physician and nursing functions during a delivery. 5. Observe and assist the nurse in care of the patient in the recovery room. 6.

These observations should be noted in your Journal Entries.

2nd Rotation or sooner if circumstances allow: 1. Demonstrate to instructor or staff nurse the placement of external fetal heart and

contraction monitors and use of the doppler, utilizing Leopold's Maneuvers for skill check-off.

2. Observe and assist the nurse in care of the mother and infant and documentation during a

vaginal delivery and/or C-section. 3. Observe and assist nurse in recovery room with patient care and documentation

4. Write a journal entry regarding the following (if applicable):

A scholarly comparison/contrast of the different approaches to labor between ECRMC and PMH if assigned at both hospitals. Point out both strengths and weaknesses of each. If assigned at one hospital, write about your experience and the strengths and weaknesses you observed.

POSTPARTUM 1st Rotation 1. Post-Partum Assessment:

Observe your instructor or staff nurse performing a postpartum assessment. Later, return the demonstration verbalizing important parameters of the assessment. This will qualify as the post-partum assessment skill check-off. Be prepared to teach the patient about breast care, breast and bottle feeding, the normal progression of lochia, and rationale for assessment.

2. Be prepared to discuss with instructor your time management plan of patient care to

include hygiene, assessments, medications, treatments, teaching, and charting. 3. Post-Partum Nursing Care Plan:

a. Write a MAJOR Nursing Care Plan using nursing diagnoses. Include adequate coverage of all the following parameters relating to the post-partum patient:

Breast/Nipples Emotional Responses Fundus/Lochia Pain/Discomfort Bowel and Bladder Activity/Rest Episiotomy/Perineum Incision Care Nutrition/Fluids Infection: prevention/signs of

b. The Nursing Care Plan and Teaching Guide will be graded Satisfactory/Unsatisfactory.

c. Very Important!! Follow Care Plan Guideline handout included in Supplemental

Packet. Reference each rationale with page number(s) of reference. Nursing Diagnoses must be prioritized and interventions individualized to the patient.

d. Inclusion of spelling/grammar errors and papers obviously not proofed will be

included in instructor's evaluation.

e. A physical assessment of the patient is to be included with care plan.

f. Care plan and teaching guide is due the Wednesday after your first postpartum rotation.

4. Post-Partum Teaching:

From the textbook and assigned videos, develop a teaching plan and be prepared to teach a post-partum patient about the following:

a. Breast feeding/Bottle feeding b. Breast Care, nursing/non-nursing c. Checking uterine fundus d. Normal lochia progression e. Perineal care/incision care f. Warning signs of possible complications g. Nutrition/Fluids h. Resumption of sexual activity, pregnancy prevention i. Emotions Include this technical guide with your care plan. NEWBORN NURSERY 1st Rotation: 1. Assist nursing staff in bathing and care of infants. 2. Teach parent(s) the techniques of suctioning an infant using a mucus bulb. 3. Take NB assessment Form to clinical. Complete these assessments with assistance of Nursery R.N. and submit to instructor for skills check-off. 4. Observe admission and transitional care of newborn. Assist as directed by R.N.

5. Assist mothers with breast and bottle feeding teaching. 2nd Rotation: 1. Demonstrate discharge teaching on care of infant to parent(s)under observation of

instructor or nursery R.N. for skill check-off. 2. Describe state required blood tests and post-circumcision care at post-conference for skill

check-off. PRENATAL OFFICES

1. Observe and assist nurse practitioner and/or physician with examination of patients.

2. Observe and participate in checking FHTs, Leopolds Maneuvers, and fundus measurement.

3. Provide education to patients related to prenatal care, nutrition, postpartum care, and

birth control. 4. Bring Evaluation Form to site. This must be signed off by office staff. 5. Observe ultrasound, genetic counseling, procedures if done on your clinical day. 6. Identify function of RN / LVN in clinic setting and discuss this in your paper.

5. Write a 1-2 paper on your experience (see Clinical Guide for information to be included). Have clinic staff member complete evaluation of your work. These are due on the Wednesday after your clinic rotation.

Suggestions for Nursing Diagnosis - Postpartum Breastfeeding Ineffective Breastfeeding r/t: knowledge deficit, mother unable to position at

breast to promote a successful latch-on response, previous history of breastfeeding failure, interrupted breastfeeding.

Effective breastfeeding r/t: basic knowledge base, maternal confidence. Interrupted breastfeeding r/t: infant illness High risk for impaired skin integrity r/t: breastfeeding Cesarean Delivery Pain r/t: cesarean delivery High risk for infection r/t: interrupted skin integrity, surgical intervention. Altered Urinary Elimination r/t: tissue trauma, anesthesia Constipation r/t: decreased mobility, abdominal surgery Knowledge deficit r/t: post-op care at home Vaginal delivery High risk for injury r/t: childbirth, altered involution, altered

eliminating Altered Urinary Elimination r/t: perineal edema, anesthesia, trauma Pain r/t: episiotomy, laceration, hemorrhoids, swelling,

bruising or hematoma, uterine cramping, involution, fatigued muscles.

High risk for fluid volume deficit r/t: hemorrhage secondary to uterine atony, retained

placental fragments, cervical lacerations Knowledge deficit r/t: continuing needs of self, family, and infant

during postpartum period, lack of experience High risk alteration in parenting r/t: failure to take on role of mother Grief, Perinatal Loss Dysfunctional grieving r/t: perinatal loss, secondary to spontaneous

abortion, ectopic pregnancy, gestational trophoblastic disease, pre-term delivery, intrauterine fetal death, or neonatal death

Altered Family Processes r/t: crisis associated with perinatal loss Knowledge deficit r/t: options in perinatal loss, lack of familiarity with

situation Self-Esteem disturbance r/t: perceived inadequacy in “normal” reproductive

role Postpartum Hemorrhage Fluid volume deficit r/t: hemorrhage High risk for activity intolerance r/t: deconditioned status, circulatory problems Thrombophlebitis High risk for injury (internal) r/t: obstructed venous return, embolus Pain r/t: inflammation, edema, venous stasis, and tissue

hypoxia Altered Role performance r/t: inability to perform role (new mother/parent)

as anticipated, decreased maternal/infant interaction Knowledge deficit r/t: disease process, treatment and diagnostic

procedures

SUGGESTIONS FOR NURSING DIAGNOSES FOR POST-PARTUM CARE PLAN

Prioritize and Individualize for each patient Nursing Diagnosis Supporting Data

1. Pain Perineal edema and trauma, episiotomy repair, after pains,

hemorrhoids, bladder fullness, breast engorgement, spinal headache

2. Injury High Risk for Orthostatic hypotension, decreased Hg & Ht, hypertension/ eclampsia, thromboembolism, I.V medications, allergies to medications

3. Infections, High Risk for Site of placental attachment prone to entry of bacteria, episiotomy repair, cervical- vaginal lacerations, prolonged rupture of membranes, prolonged labor, hemorrhage, nipple fissures or cracks

Altered patterns of Urinary elimination Diuresis, increased bladder

filling, edema, trauma, anesthesia

5. Fluid Volume Deficit Prolonged labor with dehydration excessive blood losses at delivery or post-partum, marked dia- phoresis, excessive urinary output

6. Fluid Volume Excess Fluid retention or edema, fluid shifts, excess fluid replacement toxemia or hypertension

7. Constipation Decreased muscle tone, dehydration, hemorrhoids, decreased intake, episiotomy or perineal tenderness

8. Parenting, altered Age, past experience, culture,

and coping abilities, negative upbringing, adolescent, single parent, lack of support systems

9. Coping, ineffective, individual or family Anxiety, tearfulness, despon- dency, poor concentration, depression

10. Sleep Pattern Disturbance Intense exhilaration, anxiety,

excitement or discomfort r/t long or exhausting labor or delivery; overwhelming fatigue d/t night feedings of infant

11. Knowledge deficit (specify) Not ready to assume self-care ` lack of understanding of physiologic changes

12. Family process, altered Infant/parents receptiveness to each other, degree of participation of father in

birth process

13. Fatigue Stress of labor and birth


VN 120

OB/Neonatal Medications – PMH Knowledge of these medications is required prior to your clinical rotation in these specific areas. Failure to know a specific medication prior to administration will result in an

unsatisfactory for that clinical day and a referral to the learning center to be completed prior to the next scheduled clinical day. POST-PARTUM *Demerol *Dulcolax *Fiorinal *Fleets Enema *Maalox/Mylanta *Methergine *Morphine *Normadyne *Nupercainal Ointment (Dibucaine) *Percodan-Percocet *Pericolace *Restoril *RhoGAM *Rubella Vaccine *Vistaril *Tucks *Hemabate *Versed *Vicodin INTRAPARTUM (Labor & Delivery-CS) Astromorph Brethine Fentanyl *Magnesium Sulfate *Nubain Prepidil Gel Sublimase *Terbutaline *Unasyn Apresoline *Pitocin *Stadol *Cervidil *Cytotec *Procardia

NURSERY *Aquamephyton *Epinephrine *Ilosone-Erythromycin Ophthalmic Ointment*Sodium Bicarbonate (NA HCO3) *Narcan *Ampicillin Claforan


VN 120 OBSTETRIC/NEONATAL MEDICATIONS-ECRMC Knowledge of these medications is required prior to your clinical rotation in these specific

areas. Failure to know a specific medication prior to administration will result in an unsatisfactory for that clinical day and a referral to the learning center to be completed prior to the next scheduled clinical day. POST-PARTUM NURSERY Anusol HC Rectal Suppository *Aquamephyton *Compazine *Ilosone-Erythromycin *Darvocet-N 100 Ophth. Oint. *Demerol *Triple Dye (Gentian Violet) *Dermoplast (Benzocaine, Americaine) spray *Dulcolax *Fleet’s Enema *Lanolin cream *Methergine *Mylanta/Maalox *Rhogam *Rubella Vaccine *Senokot-S *Simethicone *Tucks *Tylenol with Codeine (properties of each and various combinations of both) *Vistaril INTRAPARTUM (Labor and Delivery-CS) Apresoline Stadol Bicitra *Terbutaline Demerol Vistaril Hemabate *Magnesium Sulfate *Pitocin Prepidil Gel


VN 120 Student's Name: Semester:

Clinical Skills and Assignments Record Student will be responsible to get signatures of satisfactory completion and return to

clinical instructor at end of second hospital rotation. (Signatures may be either staff or clinical instructors). Failure to complete by end of clinical rotations will result in an unsatisfactory for clinical rotation and failure of VN 120.

Required Skill (Clinical Area)

Date Passed

Signature of Evaluator

Student's Initials

1. Demonstrate Labor Room Admission and Documentation of Labor Progress (Triage or L&D)

2. Demonstrate Placement of Fetal Monitor and use of the Doppler (L&D or clinic)

3. Demonstrate a Postpartum Assessment (pp)

4. Demonstrate Postpartum Inpatient/Discharge Teaching (PP)

5. Demonstrate and Complete Newborn Assessment (NSY) Take forms in supplement package to clinical

6. Describe: (Post-Conference) Circumcision Care State Required Blood Tests

7. Demonstrate and verbalize Breast and Bottle Feeding Knowledge and Teaching (pp, nsy, clinic)

8. Demonstrate Infant Discharge Teaching (NSY)

9. Oral-Nasal suctioning of infant with Bulb syringe (NSY or checkoff)

10. All students: 5-10 minute oral presentation in post-conference.

NEWBORN ASSESSMENT SKILL During the first clinical nursery rotation observe a newborn, and with the assistance of an R.N., complete the following form, writing your observations in the column at the right. Prior to your clinical observation, complete the textbook descriptions given in the maternal-newborn textbook and compare these observations. Completed Newborn Maturity Rating (Ballard or

Dubowitz) form and Newborn Assessment are to be returned to the instructor the following Tuesday at 0800 for skill completion credit. Noncompletion of either textbook description or infant observation will result in an “unsatisfactory” for that clinical day.

Points To Be Noted Textbook

Description Infant Observed

1. General Appearance: A. Length: (range: in. & cm.)

B. Weight: (range: lb. & gm.)

C. Color:

D. Skin:

E. Cry:

2. Specific Characteristics: A. Head Circumference: (Range in in. & cm.)

B. Shape of the head:

C. Fontanel, posterior:

D. Fontanel, anterior:

E. Eye color:

F. Abdomen:

G. Umbilical Cord: (number of vessels)

3. Vital Signs Respiratory Rate:

4. Pulse Rate: (apical)

5. Temperature:

6. Excretion: (color, consistency)

7. Urine: (color) 8. Baby's "Apgar" at birth: (1 min., 5 min.)

9. Nutritional Intake: (type and quantity of formula)

10. Reflexes: Describe: Rooting: Sucking/Swallowing:

Tonic neck reflex:

Grasping

Startle (Moro):

Babinski

Stepping:

R.N. Nursery,Signature


VN 120 Sample Protocol

Skill: Bulb Syringe Suctioning of Infant Skill: Bulb Syringe Suctioning of Infant Demonstrated Not

Demonstrated 1. Washed hands 2. Assessed baby for need to be suctioned 3. Explained procedure to parents/caregiver

4. Gathered equipment-bulb syringe, clean washcloth

5. Squeezed air from bulb syringe 6. Suctioned mouth first 7. Stated rationales - if nose suctioned first may stimulate receptors there which cause infant to intake mucus from mouth.

8. Suctioned nares 9. Assess for airway clearance

(Sample) INFANT DISCHARGE PLANNING NEWBORN NURSERY Birth Weight: ________ Length: _______ Discharge Weight: ______ Head Circumference Nurse’s Signature: Staff Initial if Completed 1. Use of bulb syringe 2. Bathing infant 3. Cord care 4. Diapering 5. Taking and reading temperature (rectal) 6. Skin care 7. Care of circumcision 8. Signs of illness, including cord infection 9. Elimination patterns 10. Discussion of breast feeding, milk expression diet, feeding pattern, latch on, positioning, burping 11. Discussion of formula preparation, feeding pattern, positioning during and after burping (if bottle feeding) 12. Activity- sleep pattern 13. Crying 14. Jaundice 15. Other 16. I have received all of the above newborn instruction Signature Discharge Statement A. I certify that during the discharge procedure I received my baby, and determined that it was mine. I checked the bands sealed on the baby and on me and found that they were identical numbered and contained correct identifying information. I received California State Law car restraint information. Witness (Attach Band Here)

Mother’s Signature

VN 120 Computer - Video Programs

Video/CD-ROM Program Clinical Skills 1. Postpartum Nursing Assessment: 12 pt Check (Video) 2. Neonatal Physical Assessment Module: I & II(Video) Module A1 & A2 3. Maternal Changes and Prenatal Care M085 (Video) Module B1 4. Examination of the Pregnant Woman (Lippincott) (Video) Module B2 5. Understanding Preterm Labor 6. Crisis OB: Part II and III: Hemorrhagic Disorders, Hypertension segments (CD) Module C1 7. Clinical Simulations: Maternity Nursing I & II (CD): I- Normal Delivery; II-Teen Pregnancy segments 8. Labor and Delivery: The LDR (Video M086) 9. AWHONN Electronic Fetal Monitoring (CD)

Module C2 10. Clinical Simulations: Maternity Nursing I & II (CD): I-Prolonged Labor, PIH; II-Preterm Delivery, Gest Diabetes segments 11. Just In Case: Cesarean Delivery (Video) 12. Lippincott’s Intrapartum Emergencies (High Risk Labor) (CD) 13. Crisis OB, Part I: Emergency and Complicated Deliveries (CD) Module D1, D2 14. Postpartum (MO90) Video Module E 15. At a Loss for Words (Video) 16. Clinical Simulations: Maternity Nursing I: Newborn Asst segment (CD)

Imperial Valley College Health and Public Safety Division

VN 120

Clinical Guide Women’s Health Clinic

Focus: Nursing Care of the Pregnant, Postpartum, or Reproductive Health Client in an outpatient setting Behavioral Objectives:

1. Explain the roles of the nurse and nurse practitioner in caring for women and families of childbearing age. 2. Explain educational, nutritional, psychosocial, and clinical needs of the women and her family.

3. Be able to verbalize routine education for prenatal and postpartum patients. 4. Be able to verbalize elements of the prenatal assessment and examination. 5. Identify educational materials appropriate for specific patients being seen at the office.

6. List services available at the site along with financial guidelines used by the office staff to determine eligibility.

Learning Activities Guide:

1. Prepare for your clinical day by reviewing prenatal and postnatal assessment and educational recommendations in your textbook.

2. Identify roles of the nurse, nurse practitioner, and physician (if available) at the site. 3. Observe and assist the nurse practitioner and/or physician in examination of patients.

4. Observe or participate in checking FHTs, EFM, Leopolds Maneuvers, and fundus measurement. 5. Assist with processing of patients through the office visit, i.e., vital signs, fingersticks, setting up sterile fields, injections, patient education as appropriate. 6. Observe an initial prenatal assessment including educational, nutritional, and psychosocial aspects and counseling along with follow-up assessments.

7. Identify common discomforts of pregnant patients and measures explained by the staff to relieve these discomforts. 8. Identify educational materials used at the site to assist in patient education. 9. Write a 1-2 page paper describing your experience and addressing the above learning activities. This is due one week after your day at the clinic site. 10. Have clinic staff sign off on your evaluation form and attach this to your paper.

Health and Public Safety Division VN 120

Women’s Health Experience Evaluation Form

Thank you for your assistance in training students in the women’s health field. Your input is appreciated. Students in the VN 120 rotation are in their 2nd semester of the LVN Nursing Program at IVC. This rotation focuses on the obstetric patient/family. As part of their experience, students will spend time in a clinic site specializing in the care of pregnant women or women of childbearing age. Please complete the bottom part of this form to verify the student’s attendance at your site and feel free to contact the instructor if there are any questions or problems (Sue Higgins RNC, BSN, 355-6549). Thank you again for your help. Learning activities for this rotation include: 1. Identify roles of the nurse, nurse practitioner, and physician (if available) at the site. 2. Observe and assist the nurse practitioner and/or physician in examination of patients. 3. Observe or participate in checking FHTs, EFM, Leopolds Maneuvers, and fundus

measurement. 4. Assist with processing of patients through the office visit, i.e., vital signs, fingersticks, setting

up sterile fields, injections, patient education as appropriate. 5. Observe an initial prenatal assessment including educational, nutritional, and psychosocial

aspects and counseling along with follow-up assessments. 6. Identify common discomforts of pregnant patients and measures explained by the staff to

relieve these discomforts 7. Identify educational materials used at the site to assist in patient education. 8. Write a 1-2 page paper describing your experience and addressing the above learning activities. This is due one week after your day at the clinic site. 9. Have clinic staff sign off on your evaluation form and attach this to your paper.

Staff: Please check acceptable or not acceptable and sign bottom of page. Acceptable Not Acceptable Attitude (enthusiasm, willingness to participate, caring behaviors)

Professional demeanor (appearance, respect for staff and patients, communication)

Staff signature __________________________ Date ______________

vn 120 supplemental packet spring 2011 lvn program · pdf filediscuss the most significant...

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