Student ___________________ Date of Rotation_____________ Neonatal Intensive Care Unit (NICU) OBJECTIVES After participation in this rotation, the Health Science student will gain knowledge of various procedures that are performed on the Neonatal Intensive Care Unit, will be able to identify what types of staff members are employed on the units and their roles, and will be able to identify the important aspects of care in the NICU. PRE-ROTATION ASSIGNMENT Instructor__________ Define the following terms: 1. continuous positive airway pressure (CPAP) 2. endotracheal tube 3. gavage feeding 4. meconium aspiration 5. hyperbilirubinemia 6. phototherapy 7. hydrocephalus 8. patent ductus arteriosis (PDA) 9. umbilical catheter 10. apnea 11. pneumothorax 12. orogastric tube 13. nasogastric tube 14. Explain the importance of performing a minimum three minute hand scrub prior to providing care in the NICU. 15. List three medications that are often given in the NICU and explain their use. 16. Explain the benefits of exclusive breastfeeding for mother and baby. Why is it especially important for NICU patients to receive either Mother’s breast milk or donor milk? 17. Define neonatal prematurity. What are the health risks factors associated with prematurity? 18. What are symptoms of drug withdrawal in a newborn? Describe the tool that staff use to assess the severity of the withdrawal. 19. What measures do the staff in the NICU take to decrease stimulation to premature infants? 20. What are some indications for a newborn to be on a Blood Glucose protocol? 21. Explain the security measures that are used in the NICU to protect the newborn. What is used to identify the newborn, identify the mother, and what technology on the unit helps to keep them safe? Neonatal Intensive Care Unit (NICU) Thank you for mentoring the Denton ISD Health Science student on your unit. Your time and leadership is greatly valued and I appreciate your feedback on student performance while on your unit. OBSERVED/ASSISTED 1. Neonatal Care a. admission assessment __________/_________ b. newborn shift assessment __________/_________ c. vital signs __________/_________ d. hygiene care/diapering/bathing __________/_________ e. breastfeeding __________/_________ f. gavage feeding __________/_________ g. IV therapy __________/_________ h. pain management __________/_________ a. ballard assessment __________/_________ b. preparing feedings __________/_________ c. Vitamin K/Erythromycin administration __________/_________ d. medication administration __________/_________ e. skin to skin care __________/________ f. mechanical ventilation __________/________ g. CPAP __________/________ h. other ________________________ __________/________ ___________________________ Mentor Signature __________________________ Date Evaluation Sheet for Clinical Rotation Student name: _______________________________________________________________________ Rotation site: ___________________________________ Date: ____________________ Please evaluate the student for each category and mark the appropriate box. The scale proceeds from a high of 5 to a low of 0. Area of Evaluation 5 4 3 Presents proper appearance: Professional grooming. Neat and clean. Meets professional standards. Attitude toward learning: Takes initiative and seeks opportunities to learn. Asks pertinent questions. Demonstrates enthusiasm. Exhibits emotional maturity. Observes rules: Observes safety factors. Demonstrates understanding of Medical Ethics and Confidentiality. Quality of work: Uses proper techniques. Takes pride in work. Exhibits ability to follow directions. Quantity of work: Follows directions. Completes tasks on time. Productive use of time. Cooperates with others: Works well with others. Readily assists others. Displays good human relations: Shows tact and understanding. Respectful of others. Exhibits a positive attitude. Comments: Mentor:_____________________________________________ Date:___________________________________ 2 1 0 Neonatal Intensive Care Unit (NICU) Post Rotation Reflection (due on Friday or Monday after Rotation on Unit) Answer the following questions using complete sentences and correct grammar/punctuation. Answer ALL questions. 1. The mentor(s) that I was assigned to was_____________________________________. Their title(s) are_______________________________. 2. What did you like best about your rotation day in the department? Why? 3. What did you like least about your rotation day in this department? Why? 4. What skills did you perform while on this unit? 5. List five pieces of medical equipment that you observed on the unit this week. 6. What patient diagnosis and procedures did you learn about? 7. What medical terminology or abbreviations did you encounter? Name at least three and provide definition or meaning. 8. Interview your mentor. List their educational background, job description, years of experience, and level of job satisfaction. Using the following space, write an essay describing your overall experience on the unit. When reflecting on your day in the unit, think about your responsibility in your learning. What could you have done differently to ensure that you have the optimal experience? ___________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Student Signature___________________________________ Date____________________