The Bucket List:
Making the Most of Clinical Learning
Opportunities
Carin Adams RN MSN CPN
Clinical Placements
Traditional
clinical experiences
Acute care hospital
Long term acute care
facilities/ nursing homes
Placement barriers
 availability
(128 hours and no where to go)
Faculty
to student ratio
Experiential Learning
A
philosophy developed by David A.
Kolb
 Educators purposefully engage with
learners in direct experience and
focused reflection in order to increase
knowledge, develop skills, clarify values,
and develop people's capacity to
contribute to their communities.
Experiential Learning




The learner must be willing to be actively
involved in the experience
The learner must be able to reflect on the
experience
The learner must use analytical skills to
conceptualize the experience
The learner must possess decision making and
problem solving skills in order to use the new
ideas gained from the experience.
Experiential Learning
Experiential Learning
Simulation


Clinical simulations in
nursing can be used to
immerse the student in the
hospital environment and
the role of the bedside
nurse.
Simulation allows students
to experience the
application of theory in a
safe environment where
mistakes can be made
without risk to the patient
(Billings and Halstead 2012)
Experiential Learning
Simulation
Evaluation of simulation experience
 Debriefing
- The role of faculty is to support
participants in reflection.
What do you think about your performance?
What would you have done differently?
How did that make you feel?

http://www2.sunysuffolk.edu/winstah/SIM/D
ebriefing.pdf
Experiential Learning
Simulation
 Clinical
Reasoning Scenarios
 Electronic Documentation
 Med pass simulation
 Virtual simulation – second life
Problem based learning
 Students
were
given a disease
process
 Researched the
pathology, signs
and symptoms
 Created a patient
for the whole
group to assess
Service Learning
 develops
values, cultural competence, social
responsibility
 Private schools
 Child assessment:





height, weight, growth chart
Vital signs – BP norms
Hearing and Vision
Scoliosis
Acanthosis nigricans
 Student
pre-work reading assignments
Service Learning
Developmental Clinic
 Student
experience role of pediatric nurse
 Environment of safety


HIPPA/FERPA
Patient identification
 Anticipatory


guidance
Medication safety- Coloring books
www.poisoncontrol.org
 Evaluation

Direct observation
Vision and Hearing
Certification
 Students
certified to perform state required
hearing and vision screens for school age children
in the state of Texas.
 Certification
 Purchased
good for 5 years
2 audiometers
 http://www.dshs.state.tx.us/vhs/default.shtm
School Nurse Experience
 Collaboration
between four ISD’s
 Nurse Health Service Coordinators and
faculty
created student nurse preceptor program
 Students mentored by the same nurse for
3 (8 hour) “shifts”
 Students can assist nurse with vision and
hearing screenings.
Preceptors
Clinical preceptors may be used to
enhance clinical learning experiences
within a course after a student has
received clinical and didactic instruction
in the basic areas of nursing for that
course or specific learning experience.
 http://www.bon.texas.gov/nursingeducati
on/faq_clinical.html

School Nurse Experience



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Students pre-clinical assignment –
Role of the school nurse
Selected chapters from School Nursing: A
Comprehensive Text [Janice Selekman] ISBN10: 0803622090
Evaluation: report from precepting nurse
 Timeliness
 Phone


calls
Reflective summary
excepts
School Nurse Experience
 Preceptor
incentives
 http://www.collegeforalltexans.com/apps
/financialaid/tofa2.cfm?ID=546
 BON regulations regarding preceptors
 http://info.sos.state.tx.us/pls/pub/readtac
$ext.ViewTAC?tac_view=4&ti=22&pt=11&
ch=215&rl=Y
Anticipatory Guidance
 Students

use skills that reflect college core
Writing and public speaking
 Nursing
objectives - recognizing and using
evidenced based practice (EBP).
 Role- Pediatric nurse: teaching of children and
families.
 http://www.safekids.org/
 Delivery- Health fairs, PTA’s
 Evaluation- group rubric
 Was information Evidenced Based
Immersion learning
 Kinderfrogs
 Child

study center
ABA therapy
 Evaluation
– reflective summary
Your turn
 Please
take a few minutes to discuss
experiential learning in your clinical
environments.
 Please write down your experiences.
Opportunity for sharing
 Now
share your bucket list! Please write
down your name & email address on your
piece of paper and drop it in our buckets.
I will go through and compile a list of your
ideas and distribute to all of us via email.
 Thank you for your time and attention and
enjoy the rest of your conference.