NEW YORK CITY COLLEGE OF TECHNOLOGY The City University of New York Department of Nursing Associate Program SPRING 2025 NUR 1030 FOUNDATIONS OF CARING NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 Clinical Experiences COLLEGE LAB #1 Monday Tuesday Wednesday January 27 January 28 February 5 (Green scrub uniforms complete with shoes) COLLEGE LAB #2 February 3 February 4 February 19 February 10 * *Child Development Paper Due February 11 ** February 26 Child Development Paper Due February 25 *Child Development Paper Due March 5 February 24 March 4 (Green Scrub uniforms complete with shoes) **Senior Center Paper Due **Senior Center Paper Due March 6 ((Thursday follows Wednesday schedule) INPATIENT FACILITY March 3 (Tuesday--Classes follow Monday schedule) (Green Scrub uniform complete with shoes) COLLEGE LAB #3 (Green Scrub uniforms complete with shoes) COLLEGE LAB #4 Simulation (Green Scrub uniforms complete with shoes) COLLEGE LAB # 5 February 18 (Tuesday follows Monday schedule) **Senior Center Paper Due (Green scrub Uniforms) March 11 **Future Projection Paper Due March 12 **Future Projection Paper Due **Future Projection Paper Due March 10 March 18 March 19 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool INPATIENT FACILITY (Green Scrub Uniforms) 2 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 INPATIENT FACILITY March 17 March 25 March 26 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool March 24 April 1 April 2 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool April 7 April 8 April 9 ** * Case Study *Case Study **Case Study **APIE + Initial Assessment Tool April 21 **APIE + Initial Assessment Tool April 22 **APIE +Initial Assessment Tool April 23 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool April 28 April 29 April 30 **Before and after reflection **Before and after reflection **Before and after reflection **APIE + Initial Assessment Tool May 5 **APIE + Initial Assessment Tool May 6 **APIE + Initial Assessment Tool May 7 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) 3 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 INPATIENT FACILITY (Green scrub Uniforms) May 12 May 13 May 14 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool 4 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 Clinical Experiences COLLEGE LAB #1 Thursday Friday Saturday January 30 January 31 January 25 (Green scrub uniforms complete with shoes) COLLEGE LAB #2 February 6 February 7 February 1 (Green Scrub uniforms complete with shoes) COLLEGE LAB #3 February 13 February 14 February 8 ** (Green Scrub uniforms complete with shoes) *Child Development Paper Due * *Child Development Paper Due Child Development Paper Due COLLEGE LAB #4 Simulation (Green Scrub uniforms complete with shoes) February 20 February 21 February 15 COLLEGE LAB # 5 And inpatient facility February 27 February 28 February 22 (Green Scrub uniforms complete with shoes) INPATIENT FACILITY And College lab # 5 (Green scrub Uniforms) **Senior Center Paper Due **Senior Center Paper Due **Senior Center Paper Due March 13 March 7 March 1 **Future Projection Paper Due **Future Projection Paper Due **Future Projection Paper Due March 20 March 14 March 8 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool INPATIENT FACILITY (Green Scrub Uniforms) 5 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) March 27 March 21 March 15 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool April 3 March 28 March 22 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool April 10 April 4 March 29 ** ** * Case Study Case Study *Case Study April 24 **APIE + Initial Assessment Tool April 11 **APIE + Initial Assessment Tool April 5 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool May 1 April 25 April 26 **Before and after reflection **Before and after reflection **APIE + Initial Assessment Tool INPATIENT FACILITY (Green scrub Uniforms) INPATIENT FACILITY (Green scrub Uniforms) **Before and after reflection **APIE + Initial Assessment Tool May 8 **APIE + Initial Assessment Tool May 2 **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool **APIE + Initial Assessment Tool May 15 May 9 May 10 **APIE + Initial Assessment Tool *APIE + Initial Assessment Tool *APIE + Initial Assessment Tool 6 May 3 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 Clinical Day Changes: ****No Classes on the Following Days ****Monday February 17, Monday March 31 ****Tuesday February 18 is Tuesday Follows Monday Schedule ****Thursday March 6 follows Wednesday schedule ****Spring Recess April 12-20 7 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 Reading Assignment Theory Presentation Clinical Skills Lab 1 Lab 1 Lab 1 TOPICS: Nursing Process Informatics & Documentation Communication Health Assessment & Physical Examination Overview of NUR 1030 L Interviewing and Communication Skills Documentation/Reporting Lab II Lab II Lab II TOPICS: Safety Exercise & Activity Immobility Infection Prevention & Control Hygiene Medical Asepsis & Infection Control Joint Mobility Moving, Lifting, and Transfer Techniques Hygiene and Personal Care Medical Asepsis: Handwashing Personal Protective Equipment (PPE) Body Mechanics: 1. Nurse and Client 2. Positioning 3. Transfers 4. Assistive Devices; wheelchairs, walkers & canes 5. Range of Motion (ROM) Physical Hygiene Introduction to Assessment 1. Data Collection 2. "APIE Sheet" Communication **EBook Videos - to be watched prior to coming to class **EBook Videos - to be watched prior to coming to class Lab III Lab III Lab III TOPICS: Vital Signs Health Assessment & Physical Examination Bedmaking Restraints Vital Signs Bedmaking: 1. Unoccupied 2. Occupied 3. Surgical Restraints: 1. Vest 2. Wrist Vital Signs: Assessment of: TPR - Temperature, Pulse & Respiration BP-Blood Pressure **EBook Videos - to be watched prior to coming to class 8 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 Lab IV Lab IV Lab IV TOPICS: Medication Administration Nutrition Medication Administration: 1. General Guidelines 2. Non-parenteral routes for medication administration Nutrition: Alternative Feeding 1. Naso-gastric (NG) 2. Gastrostomy (GT) **EBook Videos - to be watched prior to coming to class Medications: 1. Interpret Orders 2. Use of Medication Administration Record 3. Administration of oral, eye and ear medications. 4. Documentation Nutrition: 1. Intake & Output (I&O) 2. Continuous Feed 3. Bolus administration of medications Lab V Lab V Lab V TOPICS: Infection Prevention & Control Wound Care Review of Medical Asepsis Sterile gloves: Donning and Doffing (Removal) Sterile Asepsis Specimen collection Wound Care with Dressings Post-operative - Drainage Devices Wound Care with Dressing Change Student presentations within clinical group **EBook Videos - to be watched prior to coming to class Lab V Lab V Lab V Skills testing: Student will be prepared to correctly complete one or more of the following skills: Medication administration through an NG/or Peg tube applying sterile gloves Vital signs 9 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR 1030 L College Lab 1 Objectives After completion of assigned readings, viewing of required med com videos, and demonstration of nursing skills, the student will: A. Overview of NUR 1030L: 1. Identify requirements of NUR 1030L 2. Ensure that all clinical documents are completed and uploaded to Castlebranch and that you have 3 green checks. (Indicating that all of your documents are complete). Please have a copy for your first visit to Kingsbrook and keep a copy for yourself. This includes proof of your influenza vaccine and BLS card B. Nursing Process: 1. Identify the five components of the nursing process/ 2. Identify the characteristics of each of the five components of the nursing process. 3. Implement the nursing process on an APIE sheet using presented case scenario. C. Communication: 1. Identify the difference between verbal and non-verbal communication. 2. Identify therapeutic and non-therapeutic blocks to communication. 10 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR 1030L College Lab #2 Objectives After completion of assigned readings, viewing of required med com videos, and demonstration of nursing skills, the student will: A. MEDICAL ASEPSIS: HAND WASHING: 1. Demonstrate correct hand-washing technique. B. ISOLATION TECHNIQUE - PERSONAL PROTECTION EQUIPMENT 1. Don and Doff (Remove) a) Cap b) Face mask c) Gown d) Disposable gloves 2. Bag contaminated articles used. C. PHYSICAL HYGIENE 1. Demonstrate the following skills: a) Positioning client on bedpan b) Oral care c) Complete bed bath D. MOBILITY 1. Assess body alignment of client while standing, sitting, or lying in bed. 2. Place client in the following positions: a) Dorsal recumbent b) Prone c) Lateral or side-lying d) Sim's or semi-prone e) Fowler's 3. Identify common pressure sites when client is placed in each of the above positions. 4. Move a client up in bed using: a) A draw sheet b) Hand-forearm interlock 5. Demonstrate logrolling a client. 6. Demonstrate the following: a) Active Range of Motion (ROME) b) Passive Range of Motion (ROME) 11 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 c) Quadriceps sitting exercise d) Isometric exercise e) Resistive exercise 7. Demonstrate transfer/moving technique a) Lying to sitting position b) Bed to wheelchair c) Bed to stretcher 8. Assist client to use mechanical aides for walking a) Cane b) Walker 12 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR 1030L College Lab #3 Objectives After completion of assigned readings, viewing of required med com videos, and demonstration of nursing skills, the student will: A. VITAL SIGNS 1. Identify locations for taking: a) Temperature b) Radial Pulse c) Apical Pulse d) Respiration e) Blood Pressure 2. Accurately obtain TPR and BP readings: a) Selecting appropriate equipment b) Properly position client c) Accurately obtain readings 3. Accurately record vital signs on graphic sheets. 4. Use the APIE form as guide to documentation. B. BED MAKING 1. Demonstrate the following: a) Bedmaking : unoccupied b) Bedmaking: occupied c) Bedmaking: surgical 13 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 C. USE OF RESTRAINTS 1. Assess potential for injury for clients with restraints. 2. Demonstrate application of restraints for client safety: a) Vest posey b) Soft restraints c) 3. Identify legal constraints regarding the use of restraints. 14 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR 1030L College Lab #4 Objectives After completion of assigned readings, viewing of required medcom videos, and demonstration of nursing skills, the student will: A. MEDICATION ADMINISTRATION 1. Identify the six rights of medication administration 2. Check medication administration record with health care provider's order. 3. Demonstrate administration of oral medication. 4. Demonstrate administration of medication via gatstric tube 5. Demonstration of: a) Eye drops/ointment b) Otic solutions 6. Using APIE form, document appropriately B. NUTRITION 1. Demonstrate proper positioning of adult client for feeding. 2. Demonstrate nasogastric tube feeding after assessment of placement. 3. Using APIE form: Document client's response to feeding. 15 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR 1030L College Lab #5 Objectives After completion of assigned readings, viewing of required medcom videos, and demonstration of nursing skills, the student will: A. WOUND CARE 1. Assess the following: a) Type of wound. b) Wound drainage, include tubes, drains c) Type of wound healing d) Signs of inflammation, infection 2. Identify the following types of drains: a) Penrose drain b) Hemovac c) Jackson Pratt (bulb drain) 3. Perform the following activities utilizing surgical aesepsis: a) Opening sterile packages/instruments b) Sterile glove application c) Cleanse wound d) Wound irrigation e) Obtaining specimen of wound drainage f) Apply a sterile dressing 4. Using APIE form, document care given. 16 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR 1030L College Lab #5 Sepsis Asepsis/Wound Care While participating in College Lab V, one student in each clinical group will be assigned to present to the group the theory with a hands-on demonstation of the correct technique for one of the following areas: 1. Wound Care 1. Wound Culture 2. Wound Cleansing 3. Wound Irrigation 2. Drainage Tubes: 1. Penrose Drain 2. Jackson Pratt 3. Hemovac 3. Dressing/Binders 1. Montgomery Straps 2. Abdominal Binder 3. Sling 4. Applying Elastic Bandage 5. Applying Dressings: Dry, moist, and transparent 6. Application of Anti-Embolic Stockings Note: All students are responsible for theory and clinical application of each of the areas related to wound care as listed above 17 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR 1030L College Lab Week 5 Objective: Skills performance exam After completion of assigned readings, viewing of required medcom videos, the student will correctly perform one of the following nursing skills mastered during the previous 5 weeks. Demonstration of correctly taking and documenting vital signs. Demonstration of medication administration via nasogastric/peg tube. NUR 1030L College Lab #Week 14 Objective: Skills performance exam After completion of assigned readings, viewing of required medcom videos, the student will 18 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 correctly perform one of the following nursing skills mastered during the previous 5 weeks. Demonstration of correctly taking and documenting vital signs. Demonstration of medication administration via nasogastric/peg tube. Demonstration of application of sterile gloves and sterile dressing change. 19 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING For Growth and Development Assignment Erikson's Psychosocial Study According to Potter and Perry, human growth and development are orderly, predictable processes beginning with conception and continuing until death. Physical growth is the quantitative, or measurable, aspect of an individual's increase in physical measurements as a result of an increase in cell number. Development is the qualitative, or behavioral, aspects of progressive adaptation to the environment. Up to this day, Erikson is one of the psychoanalysis credited for revolutionary works on different stages on human development. He has developed a psychosocial theory of emotional development. This theory looks at the impact of parents and society on personality development from childhood to adulthood. According to Erikson, each person has to pass through a series of eight interrelated stages over his entire life cycle. We will look at two of the four stages for early childhood. TODDLERS The first stage we will consider is called Autonomy vs. Shame and Doubt or anal stage. This stage occurs during the toddler years (from one to three years). At this stage the toddler realizes that he is a separate person with his own desires and abilities. He wants to do things for himself without help or hindrance from other people. The toddler's favorite word "NO" is a declaration of independence and a bid for increased autonomy. It is a reflection of being made in the image of God...with the ability to make choices. This push for autonomy is enhanced by muscular maturation as the toddler try to use their developing muscles to walk, climb, hop and jump and 20 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 explore their environment. CHARACTERISTICS EXPECTED A)Emotional development OBSERVED I am what I can do.... Example: One child was Attachment for the parent or crying due to absence of care giver of the opposite sex parent(s)/caregiver. (Oedipus's complex). Show of attraction toward Anxiety expressed when caregiver and even strangers. parent or caregiver leaves. Hugs, sitting on caregiver's Pride in self and stranger's lap. Declaration of independence. Autonomy expressed by favorite word "NO" Desire to make choices. Could experience nightmares. 21 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR1030L Learning Activity: Growth and development in the Well Child: Toddler and Pre-Schooler Clinical Lab: You Tube videos Objectives: After completion of assigned reading and viewing required you tube videos, the student will: 1. In the first paragraph(s) of your paper, describe in writing the developmental tasks appropriate for both the toddler and preschooler according to Erikson’s theory of growth and development. 2. Observe psychological characteristics of growth and development of the child at this age. 3. Describe in writing expected and observed psychosocial characteristics of growth and development appropriate to the child of age groups selected using the following guide (use two column format) with the expected column written in short bullet format and the observed column written in complete sentences. Characteristics: Expected Observed a. Emotional development b. Super ego development c. Characteristic of play d. Self Image (Identification-Awareness of sexuality) e. Cognitive development f. Communication/Extent of vocabulary g. Gross and fine motor skills 4. Identify in writing the nutritional needs in general of children at these age groups. Student will go to MYPlate.gov and summarize the required guidelines for this age group and create a 22 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 nutritious meal based on MYPlate.gov guidelines. 5. Identify in writing safety needs in general of children at these age groups. 6. Identify the following from the website: http://www.citytech.cuny.edu/occ/ a. Philosophy and objectives of the Our Children Learning Center at City Tech b. Services offered c. How many hours per day can a child attend the center 7. Cite at least two references used (Use correct A.P.A. bibliography format). (See Writing Resources Booklet) Specifics: Paper not to exceed 12 pages, not including separate coversheet with name, section, location and date of experience. (APA format See format in Writing Resources Booklet) Font: 12pt Times New Roman For this assignment, if you need assistance with this paper you are encouraged to utilize the writing tutors in the College Learning Center. 23 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 New York City College of Technology Department of Nursing Child Development Evaluation Form NUR 1030L Name: ______________________________ Semester: ______________________________ Section: ______________________________ Key: S = Satisfactory I = Incomplete Please review this evaluation form carefully with attention to your instructor’s comments on the strengths and weaknesses of your paper. S I Comments 1. Erikson’s Developmental Task: a. Toddler b. Pre-schooler 2. Expected & Observed Psychosocial Characteristics of Growth and Development a. Emotional development b. Super ego development c. Characteristics of play d. Self image e. Cognitive development f. Communication/vocabulary g. Gross and fine motor skills 3. Nutritional needs: a. General needs of toddlers and pre-school children ________________________________________________________________________ b. Summarize nutrition needs for this age group. c. Create a nutritious meal for a toddler based 24 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 on MyPlate.gov guidelines. ________________________________________________________________________ S I Comments 4. Safety needs: a. General needs of toddlers and pre-school children b. List appropriate safety needs in general ________________________________________________________________________ 5. References: 2 sources required utilizing APA format Summary Comments:_________________________________________________________ Points: Overall S:____ *I: ___ Faculty:_________________________________________________ Date: _________ * Resubmit original paper with corrections within one week. Due date: ___________________ 25 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING For Growth and Development Assignment OLDER ADULTS With advances in medicine and technology, we are now living longer than ever. To enjoy all of our later years in the best possible health, we need to understand the aging process and how it affects our health. According to Erikson's theory of development Older Adults (age 65 and over) go through a stage called Integrity vs. Despair. During this period of life older adults experience physiological, psychological, and emotional changes. During this time of life, people tend to look back over their years and reflect on them. If they appreciate their life and are content with their accomplishments, they are said to have integrity. Those people enjoy a sense of peace and accept the fact that life will soon be over. Others who have problems with past life 26 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 and have many regrets experience despair. Growth and Develpment in Older Adults Characteristics Expected Observed Self Image: They can have dryness, Examples: A) Physical: discoloration, softening, and Most older adults have inflammation in the skin wrinkled, dry, and pigmented Hearing difficulty: skin. **Reduced ability to hear Many of them wear eye smoke alarms. glasses and/or hearing aids **Conductive deafness (when sound is not reaching the inner ear, the cochlea). Vision problems: **Decrease dark/light adaptation **Loss of peripheral vision (glaucoma) **Decrease visual acuity (cataract). Can't see shapes, size, and shadows normally **Loss of pupil 27 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR1030L Learning Activity: Growth and Development in the Well Older Adult Clinical Lab: Senior Citizen Center or similar facility Objectives: After completion of assigned reading and viewing medcom videos, the student will: 1. In the first paragraph(s) of your paper, describe in writing the development tasks appropriate for the older adult according to Erikson. 2. Interact with the older adults at the Senior Citizen Center. 3. Participate in activities at the center. 4. Observe psychosocial characteristics of growth and development of an older adult. 28 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 5. Describe in writing expected and observed psychosocial development characteristics of normal growth and development of the older adult (use 2 column format) with the expected column written in short bullet format and the observed column written in complete sentences. a. Characteristics Expected 1. Self-Image (include effects of aging, illness, reminiscing, etc.) 2. Social development (including isolation catagories: behavioral, presentational, geographical, and attitudinal) 3. Cognitive development 4. Sexuality 5. Communication skills 6. Gross and fine motor skills Observed 6. Identify in writing nutritional needs in general of the older adult and compare the nutritional value of the luncheon meal served to the seniors at the center. Illustrate the expected and observed nutritional requirements using the food pyramid. 7. Identify in writing the safety needs in general of the older adult and evaluate the specific safety precautions instituted at the senior center. 8. Identify the following: a. b. c. d. Philosophy and objectives of the center Services offered Funding of the agency Staffing 9. Cite at least two references used. (Use the correct A.P.A. bibliography format) (See Writing Resources Booklet) Note: Items # 1, 5 (expected), 6 (expected), 7 (expected) and 9 are to be completed prior to the experience. Items # 5 (observed), 6 (observed), 7 (observed) and 8 are to be completed after the experience. Specifics: Paper not to exceed 12 pages, not including separate cover sheet with name, section, location and date of experience.(APA format See Writing Resources Booklet) Font: 12 pt Times Numeral 29 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 For this assignment, if you need assistance you are encouraged to attend the learning center and utilize a writing tutor. New York City College of Technology Department of Nursing Senior Citizen Center Report-Evaluation Form Name: NUR 103L ________________________________ Key: Semester: ________________________________ S = Satisfactory I = Incomplete Section: ________________________________ Please review this evaluation form carefully with attention to your instructor’s comments on the strengths and weaknesses of your paper. S 4. Erikson’s Developmental Task: Older Adult: 1. Expected & Observed Psychosocial Characteristics of Growth and Development: a. Self image: physical & psychological b. Social development: isolations c. Cognitive development d. Sexuality: physical & psychological by gender e. Communication skills f. Gross and fine motor skills 30 I Comments NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 6. Nutrition a. General needs of older adults: based on MYPlate.gov b. Comparison of nutritional values at senior center with comparison on food pyramid 2. Safety needs: a. General needs of older adult c. Evaluation of safety precautions at senior center 3. Senior Citizen Center characteristics: a. Philosophy/Objectives b. Services offered c. Funding d. Staffing 4. References : 2 sources required- using APA format Summary Comments: _____________________________________________________________________________________ _____________________________________________________________________________________ _______________________________________________________________________________ Points: _____ Overall: S: Faculty:___________________ * I: ____ Date: 31 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 * Resubmit original paper with corrections within one week. Due date: ___________________ NEW YORK CITY COLLEGE OF TECHNOLOGY DEPARTMENT OF NURSING NUR 1030L Learning Activity: Growth and Development in the Well Older Adult Clinical Lab: Senior Citizen Community Center Objective: After completion of the assigned senior citizen community center clinical lab, the student will have the opportunity to utilize his/her critical thinking skills by analyzing the experience and describing in writing the following topic: Project yourself into the future, and visualize how you see yourself as an older adult. Include activities and interests that you will be actively participating in during your “senior years”. The narrative style paper is limited to one page, double-spaced, 12pt font. Please include your name, NUR 1030L section, and date on a separate cover sheet. The paper is due on the morning of the first clinical lab day in the Long Term Care Facility (LTCF). If you need input or assistance with this paper you are encouraged to go to the learning lab for assistance with this paper. PLEASE PROOFREAD YOUR WORK CAREFULLY BEFORE HANDING IT IN. For this assignment, if you need assistance you are encouraged to attend the learning center and utilize a writing tutor. 32 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 NUR 1030L Learning Activity: Effective Communication Methods Clinical Lab: Long Term Care Facility Objective: At the end of three visits to the long-term care facility, the student will have the opportunity to utilize his/her communication skills by relating a specific nursing student-resident interaction in writing: 1. Select and describe the most meaningful interaction that you had with the resident you cared for these last few weeks. Write what was happening at the time; include what the participants were thinking and feeling. Put this text under the heading “Overview of the Nursing Situation.” 2. Now rewrite/redescribe the interaction from the resident’s point of view. What would you have been thinking and feeling during the nursing student-resident interaction if you were in the resident’s position under the heading “Resident’s Point of View of the Nursing Situation.” (NOTE: To protect the resident’s confidentiality, do not use any names or other identifying characteristics like birth date.) 3. Lastly, in reflecting back on this interaction, is there anything that would have helped you understand the resident’s point of view? Or is there something that may have helped you in the process? Please include your responses to these questions under the heading “In Reflection.” Format: The narrative style paper is limited to one page, double-spaced, 12pt font. Please include your name, NUR 1030L section, and date on a separate cover sheet (Utilizing APA format) PLEASE PROOFREAD YOUR WORK CAREFULLY BEFORE HANDING IT IN. For this assignment, if you need assistance you are encouraged to attend the learning center and utilize a writing tutor. 33 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 New York City College of Technology Department of Nursing NUR 1030L Objective: Physical Hygiene Clinical: Long Term Care Facility Learning Activity: When assigned to a client with the need for physical hygiene, the student will: 1. Conduct an assessment interview regarding skin hygiene. 2. Conduct a physical assessment of the : a) skin b) hair c) mouth d) nails e) feet 3. List appropriate nursing diagnosis for assigned clients with physical hygiene. 4. List outcomes criteria/goals for assigned clients with physical hygiene needs. 5. Practice giving a complete bed bath to: a) a mannequin b) an adult client 6. Practice giving: a) hair care b) mouth care c) nail care d) foot care e) perineal/genital care 7. Assist assigned client with physical hygiene. 8. Evaluate client's responses to nursing intervention. 9. Document procedure done according to institutional guidelines 10. Submit completed written APIE on assigned client. 34 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 New York City College of Technology Department of Nursing NUR 1030L Objective: Need for Mobility Clinical: Long Term Care Facility Learning Activity: When assigned to a client with functional need for mobility, the student will: 1. Identify the risk factors that affect a client's mobility. 2. Assess the client's physiologic and psychosocial responses to immobility. 3. List related nursing diagnosis for selected client. 4. List outcome criteria/short term goals for client with mobility needs. 5. Implement planned nursing intervention for immobilized client. 6. Evaluate effectiveness of care. 7. Document procedures done according to institutional guidelines. 8. Submit completed written APIE sheet on assigned client. 35 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 New York City College of Technology Department of Nursing NUR 1030L Clinical Objectives: Medication Administration Clinical: Long Term Care Facility Learning Activity: When assigned to a client with the need for medication, the student will: 1. Look up medication and use the following information before administering. a) What is the purpose of the medication? b) What effect will the medication have on the individual? c) How long will it take the medication to work? d) What are the side effects, adverse reactions and/or signs of over dosage of this 36 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 medication? e) Are there any interactions with the other medications that the individual is taking? f) Are there any special administration or storage instructions for this medication? 2. Use critical thinking while preparing to administer medication. Standards of Care Six Rights of Med Administration 1. Right medication 2. Right dose 3. Right patient 4. Right route 5. Right time 6. Right documentation Maintaining patient’s rights Right to refuse medication. 3. Utilize client's history to determine: Allergies, medications including over-the-counter meds, diet Client’s perspectives Current condition Attitudes about medication use Knowledge and understanding of medication use Learning needs Expectations 4. After entering the client's room: proper hand hygiene ask client to state name and date of birth while looking at the name band (double identifier). Ask client if they have any allergies to medication (if so make sure the client has an allergy band on). Third check on medication to ensure correct medication and dose is being administered. Assess client's ability to swallow (if medication needs to be crushed-make 37 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 sure that the medication is able to be crushed. ie. enteric coated or 38 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 extended release tablets). Make sure client has swallowed all medication before leaving bedside. 5. After medication administration: Discard garbage Hand hygiene Document medication administration in the MAR/eMar 6. Submit completed written APIE sheet on assigned client. 39 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 New York City College of Technology Department of Nursing NUR 1030L Objective: Promoting Nutrition Clinical: Long Term Care Facility Learning Activity: When assigned to a client, the student will: 1. Obtain a dietary history 2. Assess the client for clinical signs indicating nutritional status: a) Hair g.) Muscles b) Skin h.) Gastro-Intestinal c) Eyes i.) Neurologic d) Tongue j.) Vitality- the capacity to live grow or develop e) Mucous Membrane k.)Weight f) Cardiovascular 3. List appropriate nursing diagnosis for assigned clients with nutritional needs. 4. List outcome criteria/goals for assigned clients with nutritional needs. 5. Assist assigned client during meal by: a) providing for physical comfort (toiletting) b) providing for adequate support/proper positioning c) giving assistance as needed 6. Assist client with special needs: a) blindness b) weakness or paralysis of body parts 40 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 c) nasogastric (NG) tube feeding d) gastrostomy feeding e) intake and output f) irrigation of nasogastric (NO) tube 7. Evaluate client's responses to nursing intervention. 8. Document procedure done according to institutional guidelines. 9. Submit completed written APIE sheet on assigned client. 41 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 New York City College of Technology Department of Nursing NUR 1030L Remaining Clinical Objectives: Long Term Care Facility 1. Student will conduct an assessment of a client with impaired skin integrity and implement appropriate care when administering wound care. 2. Student will document nursing process utilizing institutional format with appropriate terminology and legal guidelines. 3. Student will assess a client's level of comfort (pain index) and implement appropriate nursing 42 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 care/interventions to relieve pain and promote comfort. 43 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 New York City College of Technology Department of Nursing Nursing Case Study-Evaluation Form Name: _________________________ Key: S = Satisfactory Semester: _________________________ Course: I = Incomplete _______ Section: __________ Please review this evaluation form carefully with attention to your instructor’s comments on the strengths and weaknesses of your paper. S I. Identifying Data II. General Health History Medical diagnosis (Pathophysiology) History of Present Illness Past-Medical History Family Medical History III. Client Profile A. Developmental Stage B. Social History C. Health Practices D. Sleep Pattern E. Nutrition F. Drugs and Remedies 44 I Comments NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 IV. Review of Symptoms: Subjective V. Physical Assessment: Objective S VI. Lab Data VII. Current Medications VIII. Analysis of Data IX. Nursing Care Plan I Comments #1 Nursing Diagnosis #2 Nursing Diagnosis #3 Nursing Diagnosis X. Discharge Planning XI. Bibliography Summary Comments: ____________ ________________________________________________________________________ Overall: S: _____ Faculty: * I: ___ Date: _____________________________________________ *Resubmit original paper with corrections within one week. Due date: ____________ 45 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 SKILL Lab Clinical Comments/ Student Self- Evaluation Vital Sign Measurement: Assessing an Oral Temperature Assessing an Axillary Temp Assessing a Rectal Temp Assessing a Tympanic Temp Assessing a Pulse: Radial Assessing a Pulse: Apical Assessing Peripheral pulses Assessing Respirations Pulse Oximetry Assessing a Blood Pressure - Adult Medication Administration: Comments/ Following the 6 rights of medication Student Self- Evaluation administration Administering Oral Medications Applying a Transdermal Patch Instilling Eye Drops Instilling Ear Drops Administering medications via a Gastric Tube 46 NUR 1030L CLINICAL/LAB SCHEDULE 8:00 a.m. - 2:00 P.M. Spring 2025 Dressing Care / Wound Care: Comments/ Assessing a Surgical Wound Student Self- Evaluation Cleaning / irrigating a Wound Hand Hygiene Application of Sterile Gloves Dry Sterile Dressing Opening Sterile field Using proper sterile technique to clean wound Wet to Dry Sterile Dressing Opening Sterile field Using proper sterile technique to clean wound Nasogastric Tube: Comments/ Irrigating Student Self- Evaluation Tube feeding Checking residual Applying suction 47
0
You can add this document to your study collection(s)
Sign in Available only to authorized usersYou can add this document to your saved list
Sign in Available only to authorized users(For complaints, use another form )