S4: Skill Lab Manual

COMPETENCIES:
At the end of senior four, the student will be able to demonstrate:
– Professional behavior attitude and observe nursing code of ethics.
– Team work, by collaborating with other healthcare team members.
– Empathy and patience during care provision.
   Competence in self-directed learning, by seeking more information on the internet
   and other sources.

CLINICAL OBJECTIVES:

At the end of studying fundamentals of nursing in S4, Student will be able to:

Perform aseptic and non-aseptic techniques (hand washing, applying sterile gloves
and dressings)
1. Wash hand with respect of all steps of hand washing
2. Wear appropriately sterile and non-sterile gloves during provision of nursing
     care
3. Use appropriately the safety box during provision of nursing care
4. Clean and disinfect the clinical materials and equipment including tray and
     trolley
5. Clean and disinfect the used materials according to the healthcare setting
    policy
6. Dispose the medical wastes according to the healthcare setting policy
7. Use appropriately personnel protective equipment in clinical settings (Gloves,
     gown, mask, goggles)
8. Make an unoccupied bed for medical and surgical patients
9. Make occupied bed for patient who can sit and who cannot sit
10. Perform bed bath for critically ill patients taking into consideration his/her
     medical conditions
11. Assist client with and oral hygiene
12. Ensure cleanliness, proper lighting and ventilation of the ward environment.
13. Ensure client / patient privacy, hygiene and comfort
14. Assist client/patient to assume correct positioning
15. Change position of clients according to the medication condition of the patients
16. Transfer the client /patient using appropriate techniques
17. Care for bed-ridden patients appropriately while assisting coughing exercises,
      preventing bedsores and contractures,

18. Take and interpret vital signs and parameters (temperature, respirations,
      blood pressure and pulse, oxygen saturation, pain, height and weight).
19. Provide basic nursing interventions during abnormal vital signs
20. Take patient full history from different sources
21. Perform physical assessment using inspection
22. Document health assessment findings
23. Interpret information collected
24. Provide for proper elimination (urinal, bedpan and changing of diapers)
25. Perform a rectal evacuation (enema, high bowel washes out)
26. Perform manual removal of fecaloma
27. Perform hygiene care of ileostomy or colostomy
28. Perform drug administration (IM, SC, ID, PO, sublingual, suppositories,
       vaginal, ear, eye, nose, topical application)
29. Calculate drug dosages as prescribed.
30. Monitor drug reactions in patients.
31. Assess client / patient comprehensively utilizing the nursing process.
32. Document nursing care effectively and appropriately.
33. Participate in promotion, preventive, curative and rehabilitative activities to
       the Community
34. Prepare and conduct health education, counseling for patients or various
      groups
35. Provide oral and written report
36. Analyze factors model of personality in dealing with people
37. Apply the stages of behavior change in influencing behavior of people
38. Participate in behavior change campaigns to promote health and wellbeing
39. Adapt patient care based on relevant factors relating to culture, gender and
       religion
40. Participate in prevention of health risk behavior and promotion of enhancing
     health behavior

At the end of studying maternal and child health in S4, Student will be able to:

1. Assess the expectant mother using the nursing process.
2. Incorporate the family in the plan of care of the expectant mother.
3. Admit pregnant woman in antenatal care services
4. Provide health education focusing on antenatal care
5. Perform focused antenatal care
6. Collect laboratory samples for pregnant woman
7. Interpret laboratory investigation findings for a pregnant woman
8. Screen for the risks in pregnant woman
9. Provide appropriate interventions to pregnant woman
10. Teach mother on self-breast examination.
11. Measures fundal height for pregnant woman
12. Uses Leopold’s maneuver in the assessment of the expectant mothers’
       abdomen.
13. Estimate the strength and duration of uterine contraction
14. Auscultate and count fetal heart rate.
15. Give health education to the mother and family according to stage of
       pregnancy.
16. Perform vulvar disinfection
17. Perform digital vaginal examination
18. Estimate descent, dilation, cervical position, and presentation
19. Interpret the findings of vaginal examination and fetal heart rate
20. Manage and monitor a mother in labor using a partograph.
21. Manage and assist the first, second and third stages of labor.
22. Assist mother in delivery
23. Preform Active Management of Third Stage of Labor
24. Appropriately deliver the placenta
25. Examine the completeness of the placenta
26. Initiate the management of postpartum hemorrhage while calling for help or
       before transfer the mother to higher level of healthcare setting
27. Perform the procedure of Help babies breathe
28. Put the newborn in skin to skin with her/his mother
29. Initiate breastfeeding with one hour of delivery
30. Separate newborn from the mother

31. Perform the procedure of Help babies breathe
32. Perform immediate newborn assessment
33. Administer ophthalmic tetracycline
34. Administer Vitamin K
35. Administer anti-retroviral medication if indicated
36. Put on clothes for newborn
37. Administer vaccines and supplements as prescribed.
38. Ensure the mother undergoes the recommended laboratory tests
39. Make use of appropriate positions during different procedures (ultrasound,
speculum assessment).
40. Assess the mother and newborn before transferring to the postnatal ward.
41. Assess and care for the newborn using the nursing process.
42. Provide postpartum care
43. Give education concerning the importance of breast-feeding
44. Give health education using a teaching plan (one on one or group session)