URDANETA CITY UNIVERSITY

COLLEGE OF HEALTH SCIENCES

Bachelor of Science in Nursing Program

NURSING STUDENTS
RELATED LEARNING EXPERIENCE -CLINICAL FOCUS

BSN LEVEL II – 1st Semester

LEVEL OUTCOME: At the end of second year, given a normal and high- risk newborn, child, family, population
group and community in any health care setting. The learners demonstrate safe, appropriate and holistic care
utilizing the nursing process.
Course Outcomes:
1. Apply concepts, theories, and humanities in the formulation and application of appropriate
nursing care to individuals and families during childbearing and childrearing
2. Provide safe, appropriate and holistic care to individuals, families and population group utilizing
the nursing process during childbearing and childrearing
3. Apply evidence-based nursing practice in the care of mother and child
4. Practice maternal and child nursing in accordance with existing laws, legal, ethical and moral
principles
5. Communicate effectively in speaking, writing and presenting using culturally-appropriate
language
6. Document care of mother and child during post-partal period accurately and comprehensively
7. Work effectively in collaboration with the inter-professional team to safely, efficiently deliver
nursing care
8. Practicing beginning management and leadership skills in the delivery of client care using a
systems approach in the care of normal mother and child
9. Engaged in lifelong learning with a passion to keep current with national and global
development in the care of the mother and
10. Demonstrate responsible citizenship and pride of being a Filipino
11. Apply techno-intelligent care system and processes in maternal and child care
12. Adopt the nursing core values in the delivery of care to mother and child

WEEK 1
GENERAL ORIENTATION
1. Hospital Organizational Structure, Philosophy, Objectives, Goals, Policies, Rules and
Regulations, Standard Operating Procedures
2. Vision and Mission of the Department of Health, Institution and Nursing Service
3. Tour on the hospital setting and personnel
4. Observation of the Delivery Room routine activities ( setting, personnel, programs and
procedures) which include but not limited to the following:
a. Delivery Room Admission Procedure
b. Formulating Nursing Care Plan
c. Preparation of Nursing Care Plan and charting (FDAR)
d. History Taking during Admission/Labor Room
- Vital Sign taking
- Physical Assessment Head-to-toe
- Obstetrical History (TPAL/GTPAL)
- Leopold’s Manuever
- Fundic Height
- Fetal Heart Monitoring
- Internal Examination
- Partographing
e. Preparing Instrument for (Primagravida/Multigravida Set/Dilatation and Curettage)
f. Intrapartal/ Actual Delivery
- Mechanism of labor (D’FIREREE) and Cardinal position
- Assisting in intrapartal delivery (draping, positioning, offering instrument, perineal
care)
- Health Education on patients progress of labor
- Unang Yakap Program
 Immediate and thorough drying
 Skin-to-skin contact
 Cord cutting/care
 Initiation of breastfeeding
g. Immediate Newborn Care
- APGAR Scoring
- Anthropometric measurement
- Eye/Crede’s prophylaxis
 2

- Checking of Anal patency

- Hepatitis B and Vitamin K administration
- NB identification (wrist tag/foot tag/foot printing)
- Initiation of breastfeeding (Mother-and-Baby Bonding)
h. Post Delivery Care
- Perineal care
- Episiorraphy care
- Checking of fundal contraction
- Monitoring for signs of bleeding such as presence blood clots, pad counting and vital
signs
- Monitoring of lochial discharges
- Health teaching
- Transferring patient to recovery/patient room
i. Newborn Care
- Immunization (BCG)
- Newborn Screening
- Hearing Testing
- Breastfeeding and Nutrition
- Cord Care
- Diaper change
- Bathing

WEEK 2 & 3 – PERFORMANCE WITH SUPERVISION OF THE DELIVERY ROOM ACTIVITIES

WEEK 4 – CLINICAL INSTRUCTOR’S EVALUATION OF STUDENTS’ INDEPENDENT PERFORMANCE

LEVEL 2 -2nd Semester

WEEK 1
GENERAL ORIENTATION
1. Hospital Organizational Structure, Philosophy, Objectives, Goals, Policies, Rules and Regulations,
Standard Operating Procedures.
2. Vision and Mission of the Department of Health, Institution and Nursing Service
3. Tour on the hospital setting and personnel.
4. Performance of the area’s routine activities (setting, personnel, programs and procedures) which include
but not limited to the following:
a. Infection Control Management
1. Waste Management
2. Use of Personal Protective Equipment
b. Body mechanics
c. Range of Motion
d. Aseptic Technique and Infection Control Management (PPE)
1. Hand washing (Medical/Surgical)
2. Gloving
3. Gowning
e. Vital Signs/Cardinal Signs
1. Temperature
2. Pulse Rate
3. Respiratory Rate
4. Weighing
5. Blood Pressure Taking
f. Hygiene and Comfort
1. Bed making ( Occupied/Unoccupied)
2. Bed bath
3. Sponge bath
4. Shampooing
5. Perineal Care
6. Bed pan assistance
7. Urinal assistance
8. Range of motion
9. Transferring- bed to chair
10. Turning and positioning
g. Drug Administration
1. Oral medications
2. Intradermal injections
 3

3. Intramuscular injections
h. Nutrition and Diet
5. Observation of the area’s routine activities (setting, personnel, programs and procedures) which include
but not limited to the following:
a. Oxygenation and suctioning
b. Intravenous Fluid
c. Intake and Output Monitoring
d. Infection Control Management
e. Enteral Feeding
f. Respiratory Assistance
g. Proper Body Mechanics
6. Preparation of Nursing Care Plan and charting (FDAR)

WEEK 2 & 3 – PERFORMANCE WITH SUPERVISION AND INDEPENDENTLY IDENTIFIED ROUTINE ACTIVTIES IN
THE AREA BASED ON THEIR LEVEL OF LEARNING (#4)
- CONTINUOUS OBSERVATION AND PERFORMANCE WITH SUPERVISION OF THE AREA’S
ROUTINE SPECIFIED ( #5)
WEEK 4 – CLINICAL INSTRUCTOR’S EVALUATION OF STUDENTS’ PERFORMANCE WITH SUPERVISION AND
INDEPENDENTLY

- STUDENT’S CASE PRESENTATION/CASE ANALYSIS

LEVEL III - 1st SEMESTER

LEVEL OUTCOME: At the of the third year, given individuals, families, population groups, and communities
with physiologic and psychosocial health problems and maladaptive patterns of behavior in varied health care
settings, the learners demonstrate safe, appropriate and holistic care utilizing the nursing process and applying
research and evidence-based practice
Course Outcomes:
1. Apply concepts, theories, and humanities in the formulation and application of appropriate
nursing care to individuals and families during childbearing and childrearing
2. Provide safe, appropriate and holistic care to individuals, families and population group utilizing
the nursing process during childbearing and childrearing
3. Apply evidence-based nursing practice in the care of mother and child
4. Practice nursing in accordance with existing laws, legal, ethical and moral principles
5. Communicate effectively in speaking, writing and presenting using culturally-appropriate
language
6. Document to include reporting up-to-date client care accurately and comprehensively
7. Work effectively in collaboration with the inter-professional team to safely, efficiently deliver
nursing care
8. Practicing beginning management and leadership skills in the delivery of client care using a
systems approach.
9. Conduct research with an experienced researcher.
10. Engaged in lifelong learning with a passion to keep current with national and global
development in the general and nursing and health development in particular.
11. Demonstrate responsible citizenship and pride of being a Filipino
12. Apply techno-intelligent care system and processes in health care delivery
13. Adopt the nursing core values in the delivery of care to mother and child.
14. Apply entrepreneurial skills in the delivery of nursing care

WEEK 1
GENERAL ORIENTATION
1. Hospital Organizational Structure, Philosophy, Objectives, Goals, Policies, Rules and Regulations,
Standard Operating Procedures.
2. Vision and Mission of the Department of Health, Institution and Nursing Service
3. Tour on the hospital setting and personnel.
4. Perform skills learned during previous semesters.
5. Observation of the area’s routine activities ( setting, personnel, programs and procedures) which
include but not limited to the following:
a. Nebulization
b. Chest physiotherapy
c. Tracheostomy care
d. Mechanical ventilation
e. Closed Thorachostomy tube
f. Wound care
g. Pain assessment
h. Collection of specimen
i. Use of assistive devices
6. Identify and Familiarize with the content of the Emergency Cart
7. Preparation of Nursing Care Plan and charting (FDAR)
 4

WEEK 2 & 3 - PERFORMANCE WITH SUPERVISION AND INDEPENDENTLY IDENTIFIED ROUTINE ACTIVTIES IN
THE AREA BASED ON THEIR LEVEL OF LEARNING
WEEK 4 – CLINICAL INSTRUCTOR’S EVALUATION OF STUDENTS’ PERFORMANCE WITH SUPERVISION AND
INDEPENDENTLY.
- STUDENT’S CASE PRESENTATION/CASE ANALYSIS

LEVEL III -2ND Semester

WEEK 1
GENERAL ORIENTATION
1. Hospital Organizational Structure, Philosophy, Objectives, Goals, Policies, Rules and Regulations,
Standard Operating Procedures.
2. Vision and Mission of the Department of Health, Institution and Nursing Service
3. Tour on the hospital setting and personnel.
4. Perform skills learned during previous semesters.
5. Observation of the area’s routine activities ( setting, personnel, programs and procedures) which
include but not limited to the following:
a. Enteral feeding
b. Gastric lavage/gavage
c. Total parenteral nutrition
d. Enema
e. Colostomy care
f. Catheterization
g. Blood glucose monitoring
h. Insulin injection
i. Neurologic assessment
j. Glasgow coma scale
k. Seizure precautions
l. Use of assistive devices
m. Wound care
6. Preparation of Nursing Care Plan and charting (FDAR)

WEEK 2 & 3 - PERFORMANCE WITH SUPERVISION AND INDEPENDENTLY IDENTIFIED ROUTINE ACTIVTIES IN
THE AREA BASED ON THEIR LEVEL OF LEARNING
WEEK 4 – CLINICAL INSTRUCTOR’S EVALUATION OF STUDENTS’ PERFORMANCE WITH SUPERVISION AND
INDEPENDENTLY.
- STUDENT’S CASE PRESENTATION/CASE ANALYSIS

OPERATING ROOM

WEEK 1
GENERAL ORIENTATION
1. Hospital Organizational Structure, Philosophy, Objectives, Goals, Policies, Rules and Regulations,
Standard Operating Procedures.
2. Vision and Mission of the Department of Health, Institution and Nursing Service
3. Tour on the hospital setting and personnel.
4. Perform skills learned during previous semesters.
5. Observation of the area’s routine activities ( setting, personnel, programs and procedures) which
include but not limited to the following:
A. Verified and Accomplish Pre- operative check list such as:
a. Client teaching completed
b. Consent form signed
c. NPO
d. In gown
e. Allergy and ID bands on
f. No jewelry, dentures and contact lens out
g. Nail polish removed
h. Lab. work for abnormal values
i. Skin prep done
B. Observe the following operating phases
a. BEFORE THE OPERATION

1. Wears the required and accepted attire

2. Prepares and readies the OR for use
3. Positions patient properly on the OR table
4. Performs the skin prep of the patient
5. Assists the anesthesiologist
6. Counts the instruments and sponges
 5

b. DURING THE OPERATION

1. Anticipates the needs of the surgical team

2. Accomplish forms and records
3. Counts instruments, needles and sponges
4. Keeps the room clean and tidy
5. Collects and labels specimen properly
6. Sees to it that all equipment are in good working condition

c. AFTER THE OPERATION

1. Helps in the application of dressing

2. Provides immediate post-op care
3. Disconnects and cares for all special equipment
4. Conducts patient safely to the recovery room/ICU
5. Assists in cleaning, rearranging and preparing the room for the next case
d. RECOVERY
1. Assist the post-operative conditions of patients as regards
- Vital signs, Level of consciousness, skin color.
- Signs and symptoms of early, post operation complications.
2. Perform nursing procedures like suctioning of secretions, oxygen or inhalation, IVF infusions
and parenteral medications.
3. Record accurately interventions, observations and assessment made.

C. Observe the following functions of a Scrub Nurse

a. Before the Operation
1. Performs surgical scrub using the accepted technique
2. Gowns and gloves himself using the proper technique
3. Opens sterile packs and set correctly
4. Sets up the sterile table correctly
5. Counts instruments, sponges and needles
6. Assists in draping the patient
b. During in Operation
1. Anticipates needs of the surgeon
2. Hands and serves instruments and supplies adeptly
3. Keeps the sterile field neat, clean and dry
4. Counts instruments, needles and sponges correctly
5. Prepares the dressing properly
c. After the Operation/After care
1. Washes and keeps the instruments used
2. Sends the properly labeled specimen to the department concerned
3. Assists in cleaning, re-arranging and preparing the room for the next case
D. Observe the following functions of a Circulating Nurse
a. Before the Operation
1. Wear the required and accepted attire
2. Prepare and readies the OR table
3. Positions patient properly on the OR table
4. Performs the skin prep of the patient correctly
5. Assists the anestheosiologist
6. Assists the scrub personnel
7. Counts the sponges correctly
b. During the operation
1. Anticipates the needs of the surgical team
2. Accomplishes forms and records correctly
3. Counts sponges accurately
4. Keeps the room clean and tidy
5. Collects and labels specimens properly
6. Sees to it that all equipment are in good working condition
c. After the operation
1. Helps in the application of dressing
2. Provides immediate post-op care
3. Disconnects and cares for all special equipment
4. Assists in cleaning, rearranging and preparing the room for the next case
E. Preparation of Nursing Care Plan and charting (FDAR)

WEEK 2 & 3 - PERFORMANCE WITH SUPERVISION AND INDEPENDENTLY IDENTIFIED ROUTINE ACTIVTIES IN
THE AREA
WEEK 4 – CLINICAL INSTRUCTOR’S EVALUATION OF STUDENTS’ PERFORMANCE WITH SUPERVISION AND
INDEPENDENTLY.
- STUDENT’S CASE PRESENTATION/CASE ANALYSIS
 6

LEVEL IV- 1st Semester

LEVEL OUTCOME: At the end of the fourth year, given groups of clients individuals, families, population
groups, and communities with health problems and special needs, the learners demonstrate safe, appropriate
and holistic care utilizing the nursing process and can assume first level entry positions in any field of nursing.
Course Outcomes:
1. Apply concepts, theories, and humanities in the formulation and application of appropriate
nursing care to individuals and families during childbearing and childrearing
2. Provide safe, appropriate and holistic care to individuals, families and population group utilizing
the nursing process during childbearing and childrearing
3. Apply evidence-based nursing practice in the care of mother and child
4. Practice nursing in accordance with existing laws, legal, ethical and moral principles
5. Communicate effectively in speaking, writing and presenting using culturally-appropriate
language
6. Document to include reporting up-to-date client care accurately and comprehensively
7. Work effectively in collaboration with the inter-professional team to safely, efficiently deliver
nursing care
8. Practicing beginning management and leadership skills in the delivery of client care using a
systems approach.
9. Conduct research with an experienced researcher.
10. Engaged in lifelong learning with a passion to keep current with national and global
development in the general and nursing and health development in particular.
11. Demonstrate responsible citizenship and pride of being a Filipino
12. Apply techno-intelligent care system and processes in health care delivery
13. Adopt the nursing core values in the delivery of care to mother and child.
14. Apply entrepreneurial skills in the delivery of nursing care

WEEK 1
GENERAL ORIENTATION
1. Hospital Organizational Structure, Philosophy, Objectives, Goals, Policies, Rules and Regulations,
Standard Operating Procedures.
2. Vision and Mission of the Department of Health, Institution and Nursing Service
3. Tour on the hospital setting and personnel.
4. Perform skills learned during previous semesters.
5. Observation of the area’s routine activities ( setting, personnel, programs and procedures) which
include but not limited to the following:
6. BLS/ACLS
7. Hospital Triage
8. Cardiac, hematologic, and neurologic monitoring
9. Preparation of Nursing Care Plan and charting (FDAR)

WEEK 2 & 3 - PERFORMANCE WITH SUPERVISION AND INDEPENDENTLY IDENTIFIED ROUTINE ACTIVTIES IN
THE AREA BASED ON THEIR LEVEL OF LEARNING

WEEK 4 – CLINICAL INSTRUCTOR’S EVALUATION OF STUDENTS’ PERFORMANCE WITH SUPERVISION AND

INDEPENDENTLY.

HEAD NURSING

Week 1

GENERAL ORIENTATION
1. Hospital Organizational Structure, Philosophy, Objectives, Goals, Policies, Rules and Regulations,
Standard Operating Procedures.
2. Vision and Mission of the Department of Health, Institution and Nursing Service
3. Tour on the hospital setting and personnel.
4. Perform skills learned during previous semesters.
5. Observe the following Head Nursing Techniques & Strategies:
A. Planning
a. Creating clear cut objectives for an 8-hours shift.
b. Facilitate pre, post or bedside conference.
c. Identify specific areas of importance of in-patient care.
B. Organizing
a. Coordinate with appropriate authorities as needed.
b. Work closely with head nurse, staff, and Clinical instructor.
c. Prepare and coordinate patient’s assignment with Clinical Instructor and Head nurse.
d. Show effective time management.
 7

C. Directing
a. Leads group in performing direct & indirect patient law activities.
b. Makes sure that doctor’s orders are carried out.
c. Update patient care and treatment data in Kardex.
D. Controlling
a. Monitor patient care and diagnostics managements.
b. Performs regular bedside routine rounds.
c. Reports feedback of patient care to head nurse and Clinical Instructor.
d. Evaluate patient care with the group.
6. Students will be individually assigned to shadow the head nurses in the different wards.

WEEK 2 & 3 - PERFORMANCE WITH SUPERVISION AND INDEPENDENTLY IDENTIFIED ROUTINE ACTIVTIES IN
THE AREA BASED ON THEIR LEVEL OF LEARNING

WEEK 4 – CLINICAL INSTRUCTOR, HEADNURSE EVALUATION OF STUDENTS’ PERFORMANCE WITH

SUPERVISION AND INDEPENDENTLY.
- PRESENTATION OF WARD SUPERVISION PLAN

LEVEL IV - 2nd Semester

INTENSIVE PRACTICUM NURSING TECHNIQUES AND PROCEDURES

WEEK 1
GENERAL ORIENTATION
1. Hospital Organizational Structure, Philosophy, Objectives, Goals, Policies, Rules and Regulations,
Standard Operating Procedures.
2. Vision and Mission of the Department of Health, Institution and Nursing Service
3. Tour on the hospital setting and personnel.
4. Perform skills learned during previous semesters.
5. Preparation of Nursing Care Plan and charting (FDAR)

WEEK 2 & 3 - PERFORMANCE WITH SUPERVISION AND INDEPENDENTLY IDENTIFIED ROUTINE ACTIVTIES IN
THE AREA

WEEK 4 – CLINICAL INSTRUCTOR’S EVALUATION OF STUDENTS’ PERFORMANCE WITH SUPERVISION AND

INDEPENDENTLY.
- STUDENT’S CASE PRESENTATION/CASE ANALYSIS

Prepared by: Noted:

FACULTY MARI JANE C. ANDAYA, RN., MAN

CLINICAL INSTRUCTORS Program Head, BSN Program
BSN Program

CHRISTOPHER R. BANEZ, MSN., PhD.

Dean, College of Health Sciences