Philadelphia University
Faculty of Nursing
Second Semester 2013/2014
Course Syllabus
Course Title: Adult Nursing/ Clinical
Course code: 0911216
Course prerequisite(s) and/or co requisite(s):
Course Level: 2nd year
0911219/Co-request with adult theory
Clinical day date: : Monday/Wednesday
8:00am-2:00pm
Credit hours: 3 credit hours
Academic Staff Specifics
Name
Office
number and
Location
Dr. Fadwa Alhalaiqa
(Course coordinator) 509 3rd floor
Nisreen
Almusallami
Office Hours
Sunday- Tuesday
10-12md
E-mail Address
fhalaiqa@philadelphai.edu.jo
3rd floor
Course Description: This course is designed to provide nursing students with the skills required to care
competently and safely for a wide variety of patients in different specialty areas. Care of adult patients with
specific and complex problems will be studied. Nursing process as a mean of maintaining physiological,
psychological and socio cultural integrity is applied. Critical analysis of patient's data and responses to
nursing interventions are emphasized, communication skills, critical thinking, decision making, psychomotor
skills, teaching-learning principles, keeping updated with current literature, and moral principles are
emphasized.
Course Objectives: Specify individual learning outcomes you expect students to achieve during the module,
using appropriate action verbs (define, demonstrate, analyses, compute, explain design,… etc.) to begin each
statement.
At the end of this module, student will be able to:
 Provide competent and safe nursing care to patients in the following areas: Medical ward, surgical ward,
Recovery room, O.R, burn unit, Orthopedic, Hemodialysis, Neurosurgery, ENT unit.
 Identify complications either potential or collaborative.
 Demonstrate teaching abilities.
 Implement basic concepts from allied sciences and nursing in assisting client to meet their needs.
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
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Demonstrate ability to function within a team.
Demonstrate responsibility for their nursing interventions.
Apply ethical standards of the nursing profession in the care of adult clients.
Organize time and resources in providing nursing care.
Course Components:
 Construct a continually modified nursing care plan based on the medical patients changing conditions:
cardiovascular, respiratory, gastro-intestinal tract, endocrine and metabolic disorders, and oncology.
 Perform physical assessment using auscultation, palpation, percussion and inspection.
 Assess and record vital signs.
 Assist the patient undergoing diagnostic procedures: ECG, paracentesis, thoracentesis, blood and urine
specimen.
 Provide nursing intervention according to the individualized patient's needs.
 Provide basic comfort measures: positioning and bed making, turning, lifting, ambulation, elimination,
hygienic measures, safe environment.
 Perform therapeutic procedures according to patient's needs: pressure ulcer care, gavages feeding,
suctioning: or pharyngeal, naso-gastric, oxygen therapy, tube irrigation, catheter care, rehabilitative
measures and precaution: chest physiotherapy, exercises, positioning with rehabilitative devices.
 Administer oral and parenteral medication following the five rights and principles of asepsis.
 Identify signs of medication toxicity.
 Provide special care for: cancer patients, AIDS patients, immobile patients,
 Prepare a balanced plan for fluid & nutritional intake.
 Record and or report essential data pertinent to patients and nursing intervention.
Text Book(s) and Supporting Materials:
1- Title: Nursing procedures
Author(s): Baranoski et al 2006
Publisher: Lippincott Williamas and Willkins, 6thed.
ISBN: 1-58255-281-9
2- Clincal Nursing skills and techniques, 5th edition. Perry Potter.
3- Mosby’s Pharmacology for Nurses
4- Nursing diagnosis application to clinical practice. 14th edition, by Lynda Juall Carpenito. Publisher:
Lippincott Williamas and Willkins.
- In addition to the above, the students will be provided with handouts by the lecturer.
Teaching Methods:
1.
2.
3.
4.
5.
6.
7.
Clinical experience in medical, surgical and therapeutic settings
Skill laboratory
Pre and post clinical conferences.
Case study and care plans
Case presentations and group discussions
Practice with medication kardex systems.
Participate in doctors or nurse rounds
Learning Outcomes:
 Knowledge and understanding
-Obtain a concise patient history
Obtain and label routine specimen.
Prepare a balanced plan for fluid & nutritional intake.
Recognize the need to view client as a holistic beings

Cognitive skills (thinking and analysis).
- Interpret results of diagnostic procedures and laboratory findings
- Work according to priorities.

Communication skills (personal and academic).
- - Provide health teaching to patients and their families.
- Provide psychological care to patients and their families

Practical and subject specific skills (Transferable Skills).
- Provide special care for patients with orthopedic problems, renal problems, neurosurgery, cancer patients
or burn injury
Course Evaluation
Modes of Assessment:
Modes of Assessment:
Score
Expected Due Date
1.Clinical Performance Evaluation:
Two Evaluations/ semester (Mid Term and Final)
(See Appendix A)
2. Daily Work sheet: 3 / Semester (See Appendix B)
30
Done each 5 weeks
5
To
be
assigned
throughout the course
3. Case Presentation:
(See Appendix C)
Lab quiz
Focused Nursing care plans(See Appendix D)
10
Total
60
5
10
Final Assessment (40%)
Final clinical practicum (OSCE)
Final clinical written
Total
30
10
100
Attendance Policy:
(Example to be adopted & modified.)
Absence from lectures and/or tutorials shall not exceed 15%. Students who exceed the 15% limit without a
medical or emergency excuse acceptable to and approved by the Dean of the relevant college/faculty shall not
be allowed to take the final examination and shall receive a mark of zero for the course. If the excuse is
approved by the Dean, the student shall be considered to have withdrawn from the course.
Documentation and Academic Honesty
(Example to be adopted & modified.)
Submit your home work covered with a sheet containing your name, number, course title and number, and type
and number of the home work (e.g. tutorial, assignment, and project).
Any completed homework must be handed in to my office (room IT…) by 15:00 on the due date. After the
deadline “zero” will be awarded. You must keep a duplicate copy of your work because it may be needed while
the original is being marked.
You should hand in with your assignments:
1- A printed listing of your test programs (if any).
2- A brief report to explain your findings.
3- Your solution of questions.
 Protection by Copyright
(Example to be adopted & modified.)
1. Coursework, laboratory exercises, reports, and essays submitted for assessment must be your own work,
unless in the case of group projects a joint effort is expected and is indicated as such.
2. Use of quotations or data from the work of others is entirely acceptable, and is often very valuable provided
that the source of the quotation or data is given. Failure to provide a source or put quotation marks around
material that is taken from elsewhere gives the appearance that the comments are ostensibly your own.
When quoting word-for-word from the work of another person quotation marks or indenting (setting the
quotation in from the margin) must be used and the source of the quoted material must be acknowledged.
3. Sources of quotations used should be listed in full in a bibliography at the end of your piece of work.
 Avoiding Plagiarism.
(Example to be adopted & modified.)
1. Unacknowledged direct copying from the work of another person, or the close paraphrasing of somebody
else's work, is called plagiarism and is a serious offence, equated with cheating in examinations. This
applies to copying both from other students' work and from published sources such as books, reports or
journal articles.
2. Paraphrasing, when the original statement is still identifiable and has no acknowledgement, is plagiarism. A
close paraphrase of another person's work must have an acknowledgement to the source. It is not acceptable
for you to put together unacknowledged passages from the same or from different sources linking these
together with a few words or sentences of your own and changing a few words from the original text: this is
regarded as over-dependence on other sources, which is a form of plagiarism.
3. Direct quotations from an earlier piece of your own work, if not attributed, suggest that your work is
original, when in fact it is not. The direct copying of one's own writings qualifies as plagiarism if the fact
that the work has been or is to be presented elsewhere is not acknowledged.
4. Plagiarism is a serious offence and will always result in imposition of a penalty. In deciding upon the
penalty the Department will take into account factors such as the year of study, the extent and proportion of
the work that has been plagiarized, and the apparent intent of the student. The penalties that can be imposed
range from a minimum of a zero mark for the work (without allowing resubmission) through caution to
disciplinary measures (such as suspension or expulsion).
Course policy
1. Demonstration of safety criteria by the student enables her/ him pass in the course and prevents unsafe
practices that compromise patient’s life.
2. According to the university regulations, absenteeism for 10% will result in an absenteeism warning
letter.
3. Absenteeism of 15% of the course in the semester will not qualify the student to attend the final
examination on the basis of absenteeism failure notice.
4. Compulsory attendance for all the in-course and final assessment evaluations and examinations. The
examinations will not be postponed for the student without any emergency reasons or medical
certificates.
5. Students who are not prepared for the clinical experience during any clinical days should meet the
clinical instructor personally for the required.
6. Non-adherence to complete student uniform, attendance, punctuality and professional behaviors will
affect the clinical evaluation and total grade.
7. Students who remain absent for the clinical days should meet the Course Co-ordinator. Those who are
sick will produce a medical certificate certified by the UniversityHealthCenter or any MOH and submit
it to the respective clinical instructors.
8. Complete all the learning experiences depending on the feasibility in the unit.
Clinical Guidelines
1. By the end of the semester each student should have two clinical evaluation
2. At the end of each clinical day, post conference will be conducted in order to discuss clinical focus
topics.
3. Each student should be prepared for post conference topics.
4. Students will be assigned to discuss specific topics with his clinical instructors and colleagues.
5. Each student should use nursing process as a framework for patient care.
6. Each student should accurately obtain health history and physical exam findings using proper
medical terminology for his assigned patient.
7.
At the end of semester students should attend a final written and clinical exam. Objective Structural
Clinical Examination (OSCE) will be used as an evaluation tool for the clinical practicum exam.
This exam will be given at the end of the course, utilizing simulated environment for evaluation of
knowledge, data gathering skills (history), technical skills (physical exam) and psychomotor skills.
It includes a minimum of three (3) stations.
8. Each student should prepare and distribute the medication for his/her assigned patient under
supervision of clinical instructor.
9. student are required to know the medication ordered for his/her patient why they were ordered,
dosage, side effect, and are able to correctly calculate the doses.
10. When administering medication remember Five Rights of Medication Administration
11. A clinical lab with common psychomotor skills for this course will be conducted at the beginning of
semester.
INSTRUCTIONS FOR STUDENTS
1. Student should be present in clinical area from 9:00am - 1:30pm and clinical attendance will be maintained
by clinical instructors. The bus will leave at 8:00 am. Students who miss the transport will be responsible
for their own transport arrangement.
2. All pocket articles, stethoscope, and clinical requirement formats should be carried by the students without
fail.
3. Attend doctors and nurses’ rounds for your patients in the unit.
4.
Identify the nursing procedures, demonstrate the procedures to the clinical instructor
5. Maintain the break timing (30 mins: 10:30 – 11:00 AM) appropriately.
6. Students should complete the total credits and be present for their contact hours for the entire Clinical
course including the exam days (16 hours/week for 15 weeks).
7. Attendance starts on the orientation day until the last day of clinical posting and all the days of the
examination.
8. Any problems during the posting should be informed to the Clinical Instructor and the Course Co-ordinator
for smooth interactions.
9. Be present for the clinical evaluation and examination conducted during the posting.
10. Timely submission of weekly assignments and care plans.
11. Write one drug every week and submit at the end of each week to the Clinical Instructor.
12. Students are expected to complete one case presentation, and total of 4 daily work sheets in the clinical
course and one Focused Care Plan.
13. Students are to strictly adhere to the presentation dates for CP; Work Sheets, and FCP. failing to which the
student will be awarded zero score.
14. Students will be given a Warning Notice after 5% absenteeism.
15. Absenteeism of 15% in the clinical course in a semester will not qualify the student to attend the final
examination on the basis of Absenteeism Failure Notice.
16. Be responsible and accountable for your professional action and safety practices. Refer Unsafe Practice
Criteria.
17. Maintain professional nursing standards while providing care to the patients.
18. Adhere to the Jordanian Nursing and Midwifery Code of ethics and conduct.
UNSAFE PRACTICE CRITERIA
Unsafe practices that compromise patient’s life is defined as any action threatening or jeopardizes patient’s life.
1. Error in patient identification.
2. Omission of any of the 5 rights of medication, lack of knowledge regarding action or effects of
medications and medication administration error.
3. Lack of aseptic technique while handling central lines, while taking care of immuno-compromised
patients, repeatedly contaminating lines, avoiding hand washing.
4. Leaving patients unattended, e.g. unconscious patients, disabled patients, disoriented, neurological
conditions.
5. Causing environmental hazards that jeopardize patient’s safety and excessive property damage such as
fire, lack of infection control, causing patient’s fall.
6. Error in communicating significant information in documentation/ reporting.
7. Unsafe handling of equipments, syringe pump, lifesaving equipments.
8. Unsafe and improper handling of sharps and needles.
9. Omission of major scientific steps in nursing procedures, e.g. not checking nasogastric tube placement
before each feeding, not checking pulse, BP, and blood sugar as required.
10. Negligence or threatening patient’s life while on oxygen therapy, suctioning, vital signs etc.
11. Any other activity that is not listed above and evaluated or judged as unsafe by the Clinical Instructor’s.
ETHICS AND PROFESSIONALISM
During clinical postings while caring for patients the student nurses should maintain professional standards and
appropriate behavior. Students are expected to adhere to the Jordanian Nursing and Midwifery Council code of
ethics and nursing standards of care. These behaviors are evaluated during the ongoing clinical performance and
exit examinations.
Examples of some of the behaviors to be seen in a student are:
1. Shows caring and empathy
2. Shows genuine concern and is helpful
3. Shows confidence and competence
4. Is reliable and dependable
5. Is accountable and responsible
6. Uses critical thinking and problem solving
7. Accepts corrections and improves performance
8. Takes initiative and identifies limitations
9. Adhere to safety principles and hospital policies
10. Follows critical elements during the procedures
11. Builds rapport and healthy communication
12. Improves professional and interpersonal relationship
13. Pleasant general appearance and behavior
14. Maintains attitude and professional etiquettes
15. Maintains discipline
16. Professional nursing standards of care
17. Maintains Code of dress
18. Adheres to Code of ethics (JNMC)
Jordanian Code for Nurses
Jordanian Code for Nurses, first published in 1996, describes the primary goals, obligations, duties, and values
of nursing profession. It shapes and defines the commitments that nurses make to patients and the public. The
following are major principles:

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

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
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

The nurse provides services with respect for human dignity and the uniqueness of the client, unrestricted
by considerations of social or economic status, personal attributes, or the nature of health problems.
The nurse safeguards the client's right to privacy by judiciously protecting information of a confidential
nature.
The nurse acts to safeguard the client and the public when health care and safety are affected by the
incompetent, unethical, or illegal practice of any person.
The nurse assumes responsibility and accountability for individual nursing judgments and actions.
The nurse maintains competence in nursing.
The nurse exercises informed judgment, uses individual competence and qualifications as criteria in
seeking consultation, accepting responsibilities, and delegating nursing activities to others.
The nurse participates in activities that contribute to the ongoing professional knowledge development.
The nurse participates in the profession's efforts to implement and improve standards of nursing.
The nurse participates in the profession's efforts to establish and maintain conditions of employment
conductive to high quality nursing care.
The nurse participates in the profession's efforts to protect the public from misinformation and
misrepresentation and to maintain the integrity of nursing.
The nurse collaborates with members of the health professions and other citizens in promoting
community and national efforts to meet the health needs of the public.
Course Academic Calendar
ORIENTATION SCHEDULE-SECTION
Week 1; Day: 1 –– Monday
Date and time
Topic
Introduction to the clinical course and outline
8:00-8:45am
Nursing process
8:45-10am
10:00-10:30am
Break
Pin-site care and dressing
10:30-11:45am
Cast and traction
ECG
11:45-1:15pm
O2 therapy
Day: 2 – Wednesday
Date and time
Topic
Drug calculation
8:00-8:45am
IV fluid (administration, calculation, monitoring
8:45-10am
and management).
NGT
10:00-10:30am
Break
Cannula insertion: monitoring, complication and
10:30-11:45am
management), sampling
Blood extraction and transfusion
11:45-1:15pm
Week 2; Day: 3 Monday
Date and time
Topic
Infection control
8:00-9:00am
Video show of assessment of : cardiac, respiratory
9:00-10am
10:00-10:30am
Break
Video show of assessment of: musculoskeletal and
10:30-11:45am
neurology
11:45am-12:10
Lab quiz
Week and date
(2)27/10/2014
(3)3/11/2014
(4)10/11/2014
(5) 17/11/2014
(6)24/11/2014
(7)1/12/2014
(8)8/12/2014
(9)15/12/2014
(10)22/12/2014
(11)29/12/2014
(12)5/1/2015
(13)12/1/2015
(14)19/1/2015
(15)25/1/2015
Dr. Fadwa
Dr. Fadwa
Miss. Nisreen
Dr Fadwa
Miss Nisreen
Dr Fadwa
Miss Nisreen
Miss Nisreen
Dr Fadwa
Miss Nisreen
Assignments and quizzes
Lab quiz
Hospital training and evaluation
1st Daily work sheet
Clinical performance evaluation
Med term examination
2nd Daily work sheet
Hospital training and evaluation
Focused nursing care plan (draft)
Hospital training and evaluation
3rd Daily work sheet
Focused nursing care plan (marked)
Clinical performance evaluation
Final clinical practicum (OSCE)
Final clinical written
Clinical Objectives
On the completion of the course, the nursing students will achieve the following objectives in the specialty
areas (Ortho, Renal Unit, Surgical and Medical units):
1. Use nursing process as a framework in providing nursing care to patients with potential
or actual health alterations in the selected body systems / organs
2. Demonstrate competency in performing focused health assessment to patients
experiencing potential or actual health alterations with respected to selected body
systems / organs (cardiovascular, neurological, orthopedic, immune, hematology,
endocrine, respiratory and renal)
3. Identify health care needs (physiological, psychological, social and spiritual responses to
acute or chronic health alterations) of patients experiencing potential or actual health
alterations in the selected body systems / organs
4. Identify the learning needs of patients and families experiencing potential or actual health
alterations in the selected body systems / organs
5. Integrate knowledge from nursing, medical, and psychosocial sciences to provide
scientific-based nursing care to patients experiencing potential and actual health
alterations in the selected body systems / organs and their families
6. Set appropriate health outcomes to evaluate the effectiveness of nursing care provided
7. Show knowledge of medications used for health alterations in the selected body systems /
organs and ensure safe and accurate administration of these medications
8. Show awareness of the clinical unit’s policies and regulations
9. Demonstrate competency in performing nursing skills / procedures relevant to care of
patients experiencing potential or actual health alterations in the selected body systems /
organs
10. Demonstrate effective communication skills when interacting with patients, families,
peers, instructors, and other health care providers
11. Show collaboration skills with interdisciplinary health care teams in provision of health
care
12. Use time effectively and efficiently in completing nursing care required and courserelated assignments.
13. Practice within legal and ethical standards established by JNMC
14. Show responsibility for one’s own actions and safe practice
15. Show information seeking behavior
Objectives of the clinical posting: Medical Ward
On completion of posting in medical ward the students will be able to:
1. Perform neurological and cardiovascular assessment for their assigned patients.
2. Use nursing process as a framework for comprehensive care of patient
3. Perform special nursing needs of patients with varied dysfunction.
4. Teach relevant aspects of rehabilitation to their patients.
5. Write a focused nursing care on a patient with cardiac or neurological disorder.
Skill checklist: Medical Ward
No
Nursing skills
1.
2.
Assessment of Neurological system
Assessment of Cardiovascular
system
Tracheostomy care
Nasogastric feeding
Medication Administration
 Oral medication
 Subcutaneous injection
 Intramuscular injection
 Intradermal injection
Focused Nursing care plan
Home care of patients with Cardiac
disorder
Home care of patients with
neurological disorder
Special Procedures
3.
4.
5.
6.
7.
8.
9.
Observe
Assist
Perform (Initials & Date)
1
2
3
Name of Clinical Instructor:
Signature with Initials:
Date:
Objectives of the clinical posting: Surgical ward
On completion of posting in surgical ward the students will be able to:
Preoperative Nursing
1. Perform Pre-operative health assessment of the patients to identify the health problems that increase
surgical risk.
2. Identify the causes of preoperative anxiety and describe nursing measures to alleviate it.
3. Prepare patient for surgery with legal and ethical considerations.
4. Implement a pre-operative teaching plan designed to promote the patient’s self care during recovery
period that prevents post operative complications.
5. Demonstrate preoperative nursing interventions like maintaining preoperative record, assisting in
administering pre-anesthetic medication and transporting patient to operating room.
Post Operative Nursing
1. Perform essential nursing assessment and nursing interventions during the immediate post-anesthetic
phase.
2. Demonstrate ongoing nursing assessment and interventions for the post operative clients.
3. Identify early and late post operative complications and describe nursing interventions to prevent them.
4. Demonstrate post operative dressing technique.
5. Performs specialized procedures like dressing
6. Identify patient education needs and develop education plan including discharge plan.
7. Write a focused nursing care on a patient undergoing a major surgery
No
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Nursing skills
Skill checklist: Surgical ward
Observe Assist
Perform (Initials & Date)
1
2
3
Surgical hand washing
Preparation of surgical bed
Preoperative care
Postoperative care
Intramuscular injection
Subcutaneous injection
Surgical dressing
Removal of sutures/clips
Focused Nursing care plan
Home care education
Special Procedures
Name of Clinical Instructor:
Signature with Initials:
Date:
Objectives of the clinical posting: Orthopedic unit
On completion of posting in orthopedic unit the students will be able to:
1. Gather relevant history and perform assessment of musculoskeletal system on patients with orthopedic
problems.
2. Plan and execute nursing care to patients with various types of traction ensuring the principles of
effective traction.
3. Plan and implement nursing care to patients with internal and external fixators using nursing process as
a framework.
4. Plan and implement nursing care to patients undergoing orthopedic surgery.
5. Monitor for and prevent complication of immobility.
6. Incorporate selected concepts of rehabilitation, such as exercise and nutrition while nursing patients with
musculoskeletal dysfunction.
7. Educate patient on home care
Skill checklist: Orthopedic unit
No
Nursing skills
1.
Assessment of musculoskeletal
system
Dressing of orthopedic wounds
Open
Post-op
With external fixator
Assisting in application of skin
traction
Assisting in application of cast and
splint
Pre and post operative nursing care
Care of patients with skin traction
Care of patients with skeletal
traction
Focused Nursing Care Plan
Home care of patients
Special Procedures
2.
3.
4.
5.
6.
7.
8.
9.
10.
Observe
Assist
Perform (Initials & Date)
1
2
3
Name of Clinical Instructor:
Signature with Initials:
Date:
Appendix A
Evaluation criteria of clinical performance of the students
PHILADELPHIA UNIVERSITY
COLLEGE OF NURSING
ADULT HEALTH NURSING /CLINICAL (0911216)
Evaluation criteria of clinical performance of the students
Guidelines
 Your clinical performance and behavior will be evaluated using the designed criteria below
 The evaluation is be based on the instructor daily observation of your behavior and performance in the
assigned clinical setting; a formal evaluation will be at the end of each 5 weeks
 Ensure understanding of each criterion before starting your clinical activities; ask your instructor to
clarify and ambiguous item
 Your behavior / performance will be evaluated using this Likert-type scale
Students’ behavior will be assessed during each interaction throughout the course and feedback will be
provided on an ongoing basis. Based upon patterns of observed behavior, using the four-point scale
described below.
4 = Excellent
Performs safely and accurately without supportive cues.
Assumes responsibility of behavior with initiative and in a
self-directed manner.
Synthesizes appropriate data and knowledge.
3 = Very Good
Performs safely and accurately with minimal supportive cues
Assumes responsibility of behavior; frequently takes initiative.
Synthesizes appropriate data and knowledge with some assistance.
2 = Satisfactory
Performs safely and accurately; requires frequent supportive cues.
Assume responsibility of behavior; occasionally takes initiative.
Synthesizes appropriate data and knowledge with frequent
assistance.
1 = Provisional
Performs safely and accurately only with supervision.
Assumes responsibility; lacks initiative.
Synthesizes appropriate data and knowledge only with assistance.
2
3
4
Excellent
Criterion
Provisional
1
Very Good
ID. No:
Satisfactory
Student Name:
Nursing process, Knowledge and Critical thinking (7)

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Collect relevant information about the assigned case using history-taking,
physical exam, diagnostic procedures and lab tests
Identify physiological and psychosocial health responses of the patient and
family (nursing diagnoses) to health alterations experienced
Prioritize nursing diagnoses
Integrate knowledge of Basic sciences( Anatomy, Physiology) in practice
Shows knowledge of action and side actions of medications used used in
the management of health alterations in the selected body systems/organs
Interpret findings of common diagnostic procedures and lab tests
Shows organized thought process
Communication, Ethics and Values (3)
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Demonstrate caring approach during patients’ care
Displays respect to patients’ values and beliefs
Collaborate with health care providers in providing care to the patients
Professionalism (6)
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Show knowledge of ethical standards established by JNMC
Show knowledge of the clinical settings’ policy and regulations
Shows organization of the activities of the clinical day using the time
effectively
Accepts criticism positively
Ensure safe practice
Asks relevant questions
Intervention/ Nursing Care (6)
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Implement specific nursing interventions at the bedside.
Nursing interventions are individualized based on patient’s current needs
Provide patient teaching interventions based on identified needs.
Nursing interventions are based on up to date knowledge.
Rationales are scientifically correct.
Evaluates patient response to the interventions
Professional behaviors in the clinical course (3)



Punctual
Complete uniform
Show respect to instructors and peers
Name and Signature of the Clinical Instructor:
Date:
PHILADELPHIA UNIVERSITY
COLLEGE OF NURSING
ADULT HEALTH NURSING /CLINICAL (0911216)
Second Semester 2014
CLINICAL PERFORMANCE EVALUATION: STRENGTH AND WEAKNESS
Name of the student:
Unit:
ID No:
From
/
/
To
/
/
Strengths:
Areas that need improvement:
Signature of the Student
Date:
Name and Signature of the Clinical Instructor
Date:
Appendix B
The Daily worksheet
Philadelphia University
Faculty of Nursing
The Daily worksheet
Background Data: 7 POINTS
Student Name: ________________________ I. D. No:
Date:
______________________________ Room/ Bed:
Admission Date:
____________________Medical Diagnosis:
Surgical Procedure: ____________________ Date of Surgery
Diet:
_____________________________ Activity Limitations:
I. V. Therapy : ____________________________________________________________________
History (Chief complaints on admission, present illness, significant events, and focus of the care): 10
POINTS
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Significant Findings of Physical Assessment: (include normal and abnormal):
10 POINTS
______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Medications: (Name, dose, frequency, route, classification, nursing consideration)
5 POINTS
Name
Classification
Action
Side Effect
Nursing
Consideration
Laboratory tests: 5 POINTS
Name of test
Results
Interpretations
Diagnostic procedures: 3 POINTS
Name of Procedure
Findings
Interpretations
S: 8 POINTS
_______________________________________________________________________________________
______________________________________________________________________
________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
O:
8 POINTS
________________________________________________________________________
________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
D: 6 POINTS
1.
2.
3.
P: 8 POINTS
Goal___________________________________________
Objective________________________________________
Goal ________________________________________________
Objective___________________________________________
Goal___________________________________________
Objective_________________________________________
Interventions: 15POINTS
Rationales:5POINTS
E:10 POINTS
1. ______________________________________________
2._________________________________________________
3.______________________________________________________
Appendix C
CASE PRESENTATION
PHILADELPHIA UNIVERSITY
COLLEGE OF NURSING
ADULT HEALTH NURSING /CLINICAL (0911216)
Second Semester 2014
CASE PRESENTATION
CASE PRESENTATION – GUIDELINES
1) Each student will conduct one case presentation at patient bed side as per the schedule given.
2) Case presentation will be for 20 minutes duration and 5 minutes for group discussion.
3) Case presentation should be according to the given format/guidelines.
4) Evaluation criteria are attached with the guidelines.
Case presentation will be 10% of the in course assessment
Case Presentation Evaluation Criteria
The patient assigned for nursing case round presentation must be different from the patient assigned for
focused nursing care plan. The case presentation will be evaluated according to the following criteria.
1. Background: 2%
 States patient profile
 States health history:
 Chief complain
 Health habits
 Past health history
 States significant abnormal physical examination findings
 States the significant diagnostic procedure
2. Assessment: 2.5%

Assessment includes subjective data that establishes the nursing diagnosis. 0.5

Assessment includes objective data that establishes the nursing diagnosis. 0.5

Assessment data reflects patients’ current health problem. 0.5

knows all relevant laboratory and diagnostic tests and their rational. 0.5

knows all medications, actions, implications, and rational for taking. 0.5
3. Nursing Diagnosis 1.5%

Nursing diagnoses are derived from subjective & objective data. 0.5

Nursing diagnoses are prioritized. 0.5

Nursing diagnoses are stated in appropriate terminology. 0.5
3. Planning: 2%

States objectives that are measurable, observable, applicable, and reflect the stated nursing
diagnosis

Objectives must include cognitive, affective, and psychomotor domain
4. Implementations: 5%

Implement/evidence that specific nursing interventions at the bedside.1

Nursing interventions are individualized based on patient’s current needs1

Provide/Evidence that patient teaching interventions that are based on identified needs.1

Nursing interventions are based on up to date knowledge.1

Rationales are scientifically correct.1
5. Evaluation: 1%
Evaluations patient response to your interventions and whether your goals were met.1
6. Documentation: 1%
Documentation of interventions or patient response to interventions 1 (for example document giving pain
medications and patient response to after giving medication)
Evaluation sheet of Patient Case Presentation 10%
Student name:-……… …………………………………….
Items of Evaluation
Student NO:-………………………..
Grade
allotted
Background:
States patient profile
States health history:
Chief complain
Health habits
2
Past health history
States significant abnormal physical examination
findings
 States the significant diagnostic procedure











Assessment:
subjective data
objective data.
Assessment data reflects patients’ current
health problem
knows all relevant laboratory and diagnostic
tests and their rational.
Knows all medications, actions, implications,
and rational for taking.
Nursing Diagnosis
 Derived from subjective & objective data.
 prioritized.
 Stated in appropriate terminology.
Planning:
 measurable, observable, applicable, and reflect
the stated nursing diagnosis
 cognitive, affective ,and psychomotor domain
Implementations:
 Implement/evidence that specific nursing
interventions at the bedside.
 Nursing interventions are individualized based
on patient’s current needs
 Provide/Evidence that patient teaching
interventions that are based on identified needs
 Based on up to date knowledge
 Rationales are scientifically correct
Evaluation: 1%
Documentation: 1%
Total score
2.5
1.5
2
5
1
1
10
Instructor signature & date: ..............................................
Grade
Comments
acquired
Guide lines for Health History
Use the following format to complete health history for all your assignments this semester.
1. Current health status
A. Admission chief complaints
B. History of the present illness.
2. Health Habits:
A. Smoking: (include No. of cigarettes/ day)
B. Alcohol: (include amount/ day)
C. Legal and illegal drugs (include type, amount, rout and rational)
D. Seat belt
E. Regular Exercises (include type duration)
F. Dietary practices (include preference, considerations, and restrictions)
3. Past health history:
A. Parental and birth history.
B. Problems in growth and development.
C. Common childhood illness
D. Immunizations.
F. Past hospitalizations.
G. Serious accidents, injuries, illnesses, and treatments
4. Environmental factors:
A. Income (include other income resources specifying source and amount)
B. Marital status (if married include No. of children, their ages, sexes, and occupations)
C. No. of people living in the same household.
D. Primary care providers.
E. Job satisfaction/ concerns
F. Marital satisfaction/ concerns.
Guidelines for Review of Body Systems
Use the following format for review of body systems to complete all your assignments:
GENERAL:
[
[
[
[
]
]
]
]
Recent weight changes.
Fever/ chills.
Malaise/ general weakness.
Mood changes
SKIN, HAIR, AND NAILS:
[
[
[
[
[
[
[
[
]
]
]
]
]
]
]
]
Rashes
Lesions
Itching
Color change
Dryness
Brittle nails
Cracking
Others
]
]
]
]
]
Headache
Seizure
Fainting
Head injuries
Dizziness
]
]
]
]
]
]
]
]
]
]
]
]
]
Changes in vision
Blindness
Cataract
Diplopia
Redness
Pain
Photophobia
Glasses (last exam date and results)
Contact lenses (type)
Glaucoma
Drainage
Infection
others
]
]
]
]
]
Difficulty in hearing/ deafness
Tinnitus
Vertigo
Infection
Discharge
HEAD:
[
[
[
[
[
EYES:
[
[
[
[
[
[
[
[
[
[
[
[
[
EARS:
[
[
[
[
[
[
]
Others
NOSE AND SINUSES:
[
[
[
[
[
]
]
]
]
]
Nasal stuffiness
Frequent colds
Hay fever
Nose bleeds
Sinus troubles/ infection
MOUTH, PHARYNX, AND NECK:
[
[
[
[
[
[
[
[
[
[
[
]
]
]
]
]
]
]
]
]
]
]
Bleeding from gums/ teeth
Oral infection
Dental problems
Dentures (last exam, time and results)
Hoarseness
Swelling in neck
Frequent sore throats
Lumps in neck
Dysphagia
Stiffness in neck
other
BREASTS:
[
[
[
[
[
[
[
[
]
]
]
]
]
]
]
]
Prurutus, pain, lumps
Nipple discharge
Dimpling of skin
Enlargement (gynecosmastia)
Performance of self breast exam
Mammograms (date, results)
Steroids
others
LUNGS:
[
[
[
[
[
[
[
[
[
[
[
[
]
]
]
]
]
]
]
]
]
]
]
]
Shortness of breath
Dyspnea on exertion
Orthopnea
Pain with respiration
Cough
Sputum (color, frequency, quantity)
Hemopteysis
Wheezing
Cyanosis
Pneumonia
Bronchitis
Emphysema
[
[
[
[
[
]
]
]
]
]
Asthma
TB test (results and date)
TB exposure
Chest X-ray (date and results)
others
HEART:
[
[
[
[
[
[
[
[
[
[
[
[
[
]
]
]
]
]
]
]
]
]
]
]
]
]
Heart troubles
High blood pressure
Heart murmurs
Paroxysmal nocturnal dyspnea
Chest discomfort/ pain
Palpitations
Syncope
Rheumatic fever
Coronary Artery disease
Heart attack
ECG (results and dates)
Other heart tests
Others
PERIPHERAL VASCULAR:
[
]
Edema
[
]
Swelling/ pain calves
[
]
Pain/ ulcerations or discoloration of extremities
[
]
Cramps
[
]
Varicose veins
[
]
Others
GASTROINTESTINAL:
[
]
Nausea
[
]
Vomiting
[
]
Hematemesis
[
]
Indigestion/ heart burn
[
]
Abdominal pain
[
]
Jaundice
[
]
Hepatitis
[
]
Melena
[
]
Clay colored stools
[
]
Incontinence of stool
[
]
Diarrhea
[
]
Change in bowel habit
[
]
Constipation
[
]
Hemorrhoids
[
]
Excessive gas
[
]
Hernia
[
]
Ulcer
[
]
Gall bladder stone/ colic
[
]
Pancreatic disease
[
]
URINARY:
[
]
[
]
[
]
[
]
[
]
[
]
[
]
[
]
[
]
[
]
Others
Frequency
Urgency
Infection
Dysuria
Nocturia
Hematuria
Stream site and force
Hesitancy
Incontinence (stress, urge, dribbling)
Others
MALE GENITALIA:
[
]
Discharge
[
]
Genital lesions
[
]
Testicular pain/ mass
[
]
Syphilis positive serology
[
]
Gonorrhea
[
]
Sexual problems
[
]
Others
FEMALE GENITALIA:
[
]
Vaginal discharge
[
]
Pruritis
[
]
Genital lesions
[
]
Painful intercourse
[
]
Post menstrual bleeding
[
]
Post coital bleeding
[
]
Pap smear (results, dates)
[
]
Other
ENDOCRINE:
[
]
Heat and cold intolerance
[
]
Thyroid problems
[
]
Neck Surgery
[
]
Diabetes
HEMATOPOIETIC:
[
]
Abnormal bleeding/ bruising
[
]
Anemia
[
]
Transfusions
[
]
Leukemia
[
]
Blood type
[
]
Others
SPINE AND EXTREMITIES: MUSCOLOSKELETAL
[
]
Arthritis
[
]
Joint stiffness
[
]
Joint swelling
[
[
[
[
[
[
]
]
]
]
]
]
Joint pain
Muscle weakness
Muscle cramps
Backache
Limited ROM
Others
SPINE AND EXTREMITIES: NEUROLOGICAL
[
]
Paresthesia/ numbness
[
]
Paralysis
[
]
Incoordination
[
]
Disturbed balance
[
]
Fainting (LOC)
[
]
Blackouts
[
]
Tics
[
]
Tremors
[
]
Spasms
[
]
Others
PSYCHIATRIC (Problems in the following areas):
[
]
Spouse
[
]
Family
[
]
Peers
[
]
Insomnia
[
]
Depression (interfering with ADL’s)
[
]
Anxiety interfering with ADL’s)
[
]
Mood swings
[
]
Delusions
[
]
Hallucinations
[
]
Eating, sleeping, memory problems
[
]
Others
Guidelines for Physical Assessments
Use the following format to conduct and record results of physical examination for all assignments:
1. GENERAL:
Statement to include observed state of health, posture, appearance, body odors, manner, affect, signs of
distress, speech, and level of awareness.
2. VITAL SIGNS:
Temp, Pulse, BP, Resp, Height, and Weight.
3. NUTRITION:
Nutritional problems :-Anorexia,Nausea, Chewing difficulty, Dysphagia,Polydepsia, Polyphagia
Anthropometric measurements:-Weight:- ……….. Height:- ……………
Body mass index =Weight ( in kilograms)
----------------------------- = --------------------- =
Height (in meters)2
Underweight □ Overweight □ Obesity □ Extreme obesity □
Describe diet
Determine energy requirements as follows:
Body weight in Kg X 35 Kcal
Determine fluid requirements as follows:
Body weight in Kg X 35 cc
Note: Increase calories 7% and fluids 125cc for each 1 F increase in temp.
4. MENTAL STATUS:
Record a statement about the observation of appearance, behavior, mood, thought process, thought
content, perceptions, and cognitive functions.
5. SKIN:
Note color, temp., texture, moisture, presence of lesions, mobility, turgor, and describe appearance of
nails.
6. HEAD:
Describe hair, scalp, skull, and results of cranial nerves testing.
7. EYES:
Report visual acuity, appearance of eyebrows, eyelids, eyelashes, lacrimal apparatus, sclera, cornea,
conjunctiva, corneal light reflection, Pupillary light response, extra occular muscle movement,
accommodation, peripheral vision.
8. EARS:
Record result of inspection, palpation of the outer ear, hearing acuity, whisper test
9. NOSE AND SINUSES:
Report description of the external nose, nasal mucosa, septum, presence of tenderness, transillumination.
10. MOUTH AND PHARYNX:
Record description of observation of lips, buccal mucosa, gums, teeth, roof of the mouth, tongue, pharynx,
movement of uvula, gage reflex
11. NECK:
Note palpation of lymph nodes, thyroid gland, and position of trachea, presence or absence of masses.
12. PERIPHERAL VASCULAR:
Record peripheral pulses, capillary refill, edema, skin temp., and enlarged nodes in lower limbs.
13. THORAX AND LUNGS:
Record results of inspection, palpation, and auscultation of lungs. Note diaphragmatic excursion.
14. HEART:
Record results of inspection, palpation, and auscultation of the heart, note apical pulse, presence of extra
heart sounds, or murmurs.
15. BREAST AND AXILLAE:
Record results of inspection and palpation of breast and axilla.
16. ABDOMEN:
Record result of inspection, palpation, percussion, and auscultation of abdomen. Note liver size, palpable
organs, tenderness, and umbilical reflexes
17. INGUINAL AREA:
Record results of inspection and palpation of inguinal area. Note presence or absence of hernias.
18. SPINE AND EXTREMITIES: MUSCULOSKELETAL
Record results of inspection and palpation of all joints. Note test results of ROM and muscle strength of
all extremities. Check for scoliosis.
19. SPINE AND EXTREMITIES: NEUROLOGICAL
Record results for reflex tests, gait, balance, and coordination. Note sensation to pain, temp. light touch
vibration. Note position discrimination.
Appendix D
FOCUSED NURSING CARE PLAN
PHILADELPHIA UNIVERSITY
COLLEGE OF NURSING
ADULT HEALTH NURSING /CLINICAL (0911216)
FOCUSED NURSING CARE PLAN
I.
Student Name:
Student ID:
Clinical setting:
Date:
Patient Demographic data:
Age:
Occupation:
Education:
Income:
II.
Gender:
Religion:
Nationality:
Marital status:
Health Information
Medical diagnosis:
Name of Surgery:
Post Operative Day:
Source of history:
III.
Name of the patient:
Date of Admission:
Date of Surgery:
Allergy:
Referral:
Health History
a. Chief complaints (major complaints by the patient in their own words / reason for hospitalization)
Current Complaints:
b. History of Present illness:
c. Related Past History:
d. Family Health History:
e. Personal and social history
IV.
Psychosocial Assessment: Patient’s perception of the illness
a. Nature and cause of the problem:
b. Therapeutic approaches attempted by patient:
c. Feelings / fears about the problem:
d. Effects of the problem on the patient’s life:
e. Expectations from the health care system:
V.
Nutritional Assessment:
a.
b.
c.
d.
e.
IV.
Height:
Weight:
Body mass index:
Total calories required:
Diet plan:
Comprehensive Physical Assessment: Review of systems – Head to Toe.
Describe actual findings/ deviation from abnormal.
Vital Signs:
Temperature______C
Pulse_____bpm
Respiration______/min
Blood Pressure____________mm Hg
Oxygen saturation ____%
Pain (Visual analog scale):________________________________________
General Appearance:
Mental Status and Neurological assessment:
Skin:
Head, Eyes, ENT
Neck, Breast, Axilla and Lymph nodes
Respiratory:
Cardiovascular:
Gastrointestinal:
Genito-Urinary System:
Peripheral Vascular:
Musculoskeletal:
VI.
Focused physical assessment: Describe actual findings of the current complaints/ problem of the
affected systems:
VII.
Date
Investigations:
a. Results of lab tests (relevant findings only)
Investigations
Result
Normal value
Biochemistry Investigation
Hematology Investigation
Microbiology Investigation
Interpretation
Nursing Consideration
b. Other investigations:
Date
Investigation
Result
Radiological Investigation
Clinical Physiology Investigation
Interpretation
VI.
Management
Special therapy:
1.
2.
3.
VII.
S. No
1.
2.
3.
4.
5.
Medications:
Name of the drug
Dosage
Action
Reason for
Administration
Nursing
Consideration
VIII. Evidence Based Nursing Care Plan:
Relevant Assessment
Data
Nursing Diagnosis
Implementation with Rationale
Evaluation
Relevant Assessment
Data
Nursing Diagnosis
Implementation with Rationale
Evaluation
PHILADELPHIA UNIVERSITY
COLLEGE OF NURSING
ADULT HEALTH NURSING /CLINICAL (0911216)
EVALUATION OF FOCUSED NURSING CARE PLAN
Name:
I
II
III
IV
V
I
a.
II
a.
b.
c.
IV
a.
b.
c.
d.
e.
V
a.
VII
VIII
ID. No:
Patient Health Profile (33)
Patient demographics and health information (2)
Health history (12)
 Chief complaints
 Present illness
 Related past history
 Family health history
 Personal and social history
 Psycho-Social Assessment
Review of systems (subjective expression) (10)
 Physical Examination
 Problem focused review of systems
Management (4)
 Special therapy
 Medications
Lab and diagnostics (5)
Evidenced Based Nursing Process (27)
Assessment (4)
Collects relevant data which focuses on the problem identified from:
 History
 Physical examination
 Lab and diagnostics
 Medical records
Nursing Diagnosis (6)
Identifies the correct diagnostic label
States the related factor to the pathophysiological base
Prioritizes nursing diagnosis in order of main concern
Nursing Interventions (10)
Incorporates on-going assessments
Writes appropriate prevention orders
Includes relevant health Promotive / educative orders
Identifies accurate treatment orders
States scientific rationale for all interventions
Evaluation (3)
Evaluative statements are:
 Specific
 Measurable
 Achievable
 Reliable
 Time bound
Reflection
References
Total Marks (60 marks, 10%)
Page 45 of 49
2
2
2
2
2
2
2
5
5
1
3
5
4
2
2
2
2
2
2
2
2
3
2
2
PHILADELPHIA UNIVERSITY
COLLEGE OF NURSING
ADULT HEALTH NURSING /CLINICAL (0911216)
Activity Intolerance
Airway Clearance, Ineffective
Fluid Volume, Excess
Fluid Volume, Imbalanced, Risk
for
Gas Exchange, Impaired
Anxiety
Grieving
Anxiety, Death
Attachment, Parent/infant
Child, Risk for Impaired
Autonomic Dysretlexia
Autonomic
Dysreflexia, Risk for Blood
Glucose Disturbed
Body temperature:
Imbalanced ,
Grieving, Complicated
Falls, Risk for
Family Processes, Dysfunctional:
Alcoholism
Family Processes, Interrupted
Family Processes, Readiness for
Enhanced
Fatigue
Grieving, Risk for Complicated
Fear
Growth, Disproportionate, Risk
for
Growth and Development,
Delayed
Fluid Balance, Readiness for
Enhanced
Health Behavior, Risk-Prone
Fluid Volume, Deficient, Risk for
Activity Intolerance, Risk for
Risk for Bowel Incontinence
Effective Breast feeding
Ineffective Breast feeding
Interrupted Breathing pattern
Cardiac Output , Decreased
Caregiver role strain
Caregiver Role strain, Risk for
Comfort, readiness for
enhanced
Communication Impaired,
Verbal
Communication ,Readiness
enhanced
Health Maintenance,
Ineffective
Health-Seeking Behaviors
(Specify)
Home Maintenance, Impaired
Hope,
Readiness for Enhanced
Hopelessness
Human Dignity, Risk for
Compromised
Hyperthermia
Hypothermia
Immunization Status, Readiness
for Enhanced
Infant Behavior, Disorganized
Confusion
Infant Behavior: Disorganized,
Risk for
Infant Behavior: Organized~
Readiness for Enhanced
Infant Feeding Pattern,
Ineffective
Infection, Risk for
Constipation
Injury, Risk for
Constipation, Perceived
Insomnia
Confusion Acute
Confusion, Acute, Risk for
Page 46 of 49
Fluid Volume, Deficient
Parenting, Impaired
Parenting, Readiness for
Enhanced
Parenting, Risk for Impaired
Peri-operative
Positioning Injury, Risk for
Personal
Identity, Disturbed
Poisoning, Risk for
Post-Trauma Syndrome
Post-Trauma Syndrome, Risk for
Power, Readiness for Enhanced
Powerlessness
Powerlessness, Risk for
Protection, Ineffective
Rape-Trauma Syndrome
Rape-Trauma Syndrome:
Compound Reaction
Rape-Trauma Syndrome: Silent
Reaction
Constipation, Risk for
Intracranial Adaptive Capacity,
Decreased
Religiosity, Impaired
Contamination
Knowledge, Deficient (Specify)
Religiosity, Readiness for
Enhanced
Contamination, Risk for
Knowledge (Specify), Readiness
for Enhanced
Religiosity, Risk for Impaired
Latex Allergy Response
Relocation Stress Syndrome
Relocation
Coping: Community
Ineffective
Coping: Community,
Readiness for Enhanced
Coping, Defensive
Coping: Family, Compromised
Coping: Family, Disabled
Coping: Family, Readiness for
Enhanced Coping (Individual),
Readiness for Enhanced
Coping, Ineffective
Latex Allergy Response, Risk for
Liver Function, Impaired,
Loneliness, Risk for
Memory, Impaired
Mobility: Bed, Impaired
Mobility: Physical, Impaired
Mobility: Wheelchair, Impaired
Stress Syndrome, Risk for Role
Conflict, Parental
Role Performance, Ineffective
Sedentary Lifestyle
Self-Care, Readiness for
Enhanced SelfCare Deficit: Bathing/Hygiene
Self-Care
Deficit: Dressing/Grooming SelfCare
Decisional Conflict
Moral Distress
Decision Making, Readiness
for Enhanced
Nausea
Deficit: Feeding
Denial, Ineffective
Neurovascular Dysfunction:
Peripheral, Risk for
Self-Care Deficit: Toileting Self
Dentition, Impaired
Noncompliance (Specify)
Concept, Readiness For
Enhanced Self
Development: Delayed, Risk
for
Nutrition, ln1balanced: Less
than Body Requirements
Nutrition, Imbalanced: More
than Body Requirements
Nutrition, Readiness for
Enhanced
Oral Mucous Membrane,
Impaired
Diversional Activity, Deficient
Diarrhea
Disuse Syndrome, Risk for
Environmental Interpretation
Syndrome, Impaired
Failure to Thrive, Adult
Energy Field, Disturbed
Sorrow, Chronic
Spiritual Distress
Spiritual Distress, Risk for
Spontaneous Ventilation,
Impaired
Stress, Overload
Suicide, Risk for
Page 47 of 49
Pain, Acute
Pain, Chronic
Sleep, Readiness for Enhanced
Social Interaction, Impaired
Social Isolation
Spiritual Well-Being, Readiness
for Enhanced
Sudden Infant Death Syndrome,
Risk for
Surgical Recovery, Delayed
Esteem, Chronic Low Self-Esteem
Situational] Low Self-Esteem,
Risk for
Situational Low Self-Mutilation
Self-Mutilation, Risk for
Sensory Perception, Disturbed
(Specify: Auditory, Gustatory,
Kinesthetic, Olfactory Tactile,
Visual)
Sexual Dysfunction Sexuality
Pattern, Ineffective Skin
Integrity, impaired
Skin Integrity, Risk for Impaired
Sleep Deprivation
Suffocation, Risk for
Swallowing, Impaired
Therapeutic Regimen.
Management: Community,
Ineffective
Therapeutic Regimen
Management, Ineffective
Therapeutic Regimen
Management, Effective
Therapeutic Regimen
Management, Readiness for
Therapeutic Regimen
Management: Family Ineffective
Thermoregulation, Ineffective
Enhanced
Thought Processes, Disturbed
Tissue Integrity, Impaired
Tissue Perfusion, Ineffective
(Specify: Cerebral,
Cardiopulmonary,
Gastrointestinal, Renal)
Tissue Perfusion, Ineffective,
Peripheral
Transfer Ability, Impaired
Trauma, Risk for
Unilateral Neglect
Urinary Elimination, Impaired
Urinary Elimination, Readiness
for Enhanced
Urinary Incontinence,
Functional
Urinary Incontinence, Overflow
Urinary Incontinence, Reflex
Urinary Incontinence, Stress
Urinary Incontinence, Total
Urinary
Incontinence, Urge
Urinary Retention
Ventilatory Weaning Response,
Dysfunctional
Violence: Self-Directed, Risk for
Walking, Impaired
Urinary Incontinence, Risk for
Urge
Violence: Other-Directed, Risk
for
Wandering
Source: NANDA Nursing Diagnoses: Definitions and Classification, 2007-2008. Philadelphia: North
American Nursing Diagnosis Association. Used with permission
Page 48 of 49
PHILADELPHIA UNIVERSITY
COLLEGE OF NURSING
ADULT HEALTH NURSING /CLINICAL (0911216)
Criteria of Final oral Exam
Nursing process, Knowledge and Critical thinking (14)





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
Collect relevant information about the assigned case using history-taking,
physical exam, diagnostic procedures and lab tests
Identify physiological and psychosocial health responses of the patient and
family (nursing diagnoses) to health alterations experienced
Prioritize nursing diagnoses
Integrate knowledge of Basic sciences( Anatomy, Physiology) in practice
Shows knowledge of action and side actions of medications used used in
the management of health alterations in the selected body systems/organs
Interpret findings of common diagnostic procedures and lab tests
Shows organized thought process
Communication, Ethics and Values (3)
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Demonstrate caring approach during patients’ care
Displays respect to patients’ values and beliefs
Collaborate with health care providers in providing care to the patients
Intervention/ Nursing Care (10.5)
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Implement specific nursing interventions at the bedside.
Nursing interventions are individualized based on patient’s current needs
Provide patient teaching interventions based on identified needs.
Nursing interventions are based on up to date knowledge.
Rationales are scientifically correct.
Evaluates patient response to the interventions
Providing appropriate health education according to the patient needs
Professional behaviors during exam (2.5)
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Uniform
Show respect to examinars
Student:
Examiner:
Date:
Page 49 of 49
2
3
4
Very Good
Excellent
Criterion
1
Satisfactory
Diagnosis of the Case:
Provisional
Student name: