Intensive Nursing

Practicum
 OVERVIEW

This course deals with an actual application of theories, principles and

concept of clinical nursing practice to groups of clients in various settings, to
refine nursing skills in the different nursing basic services including
community. Emphasis is place on integrating the multiple roles of professional
nursing as a vehicle to enhance critical thinking and communication skills.

This self-learning module on Related Learning Experiences (RLE) is

based on Case-based learning wherein the use of case scenarios appropriate
for a nursing focus to achieve specific learning outcomes is emphasized. The
case is accompanied by guide questions that the students are expected to
answer by applying their knowledge from previous concepts learned as
provided by the faculty or through self-directed learning. Dependent on the
learning outcomes they are meant to fulfill, cases can be fact-driven and
deductive where there is a correct answer, or they can be context driven where
multiple solutions are possible.

This RLE module contains activities that simulate the real bedside
scenario in the hospital and in the community settings through presenting
series of case studies to cover the multiple roles of a beginning nurse on client
care, management and leadership, and research. As you accomplish this
module, may you find it helpful in honing your knowledge, skills, and attitudes
as future Titan nurse.

DISCLAIMER!
This self-learning module on RLE might not be a substitute for the actual clinical
experience, however, it can help you navigate through your patient care
experiences in this alternative learning platform.

Self-Learning Module on Intensive Nursing Practicum

 Academic Honesty Statement
My signature below constitutes my pledge that all of the writing is my
own work, with the exception of those portions which are properly
documented.

I understand and accept the following definition of plagiarism:

1. Plagiarism includes the literal repetition without acknowledgment of

the writings of another author. All significant phrases, clauses, or passages
in this paper which have been taken directly from source material have been
enclosed in quotation marks and acknowledged in the text itself as well as in
the list of Works Cited or Bibliography.

2. Plagiarism includes borrowing another’s ideas and representing them

as my own. To paraphrase the thoughts of another writer without
acknowledgment is to plagiarize. Plagiarism also includes inadequate
paraphrasing. Paraphrased passages (those put into my own words) have
been properly acknowledged in the text and in the bibliography.

3. Plagiarism includes using another person or organization to prepare

this paper and then submitting it as my own work. I understand what
plagiarism is, and I further understand that if plagiarism is found in my paper,
my professor will follow the procedures on academic dishonesty set forth by
Manila Doctors College of Nursing.

Signed _________________________
Date ___________________________

Self-Learning Module on Intensive Nursing Practicum

 MODULE 3
Pediatric Nursing

DESIRED LEARNING OUTCOMES:

On completing this RLE module, you will be able to:
1. Utilize the nursing process in the care of patient.
2. Perform a holistic health assessment based on the case scenarios provided
3. Provide direct care to group of clients utilizing appropriate independent and
collaborative nursing interventions.
4. Perform administrative and other activities reflective of an actual Pediatric Ward
nurse.
5. Establish clear communication with nursing and other disciplines regarding
patient care.
6. Perform accurate and comprehensive documentation of nursing care using the
prescribed forms and formats.
7. Evaluate progress and outcomes of care.

LEARNING ACTIVITIES

▪ Supply the needed data on the Admission Sheet based on the given
scenario/case.
▪ Perform a holistic health assessment based on the case scenario provided.
Document the assessment data using BLUE font color for normal findings
and RED for abnormal findings under Review of Systems (ROS).
▪ Create a concept map using Lucid chart integrating all the concepts
(Possible risk factors, disease process/pathophysiology, signs and
symptoms, diagnostic tests, medical diagnosis, pharmacology, at least 3
nursing diagnosis, expected outcomes, and nursing interventions). Please
use the object-color-coded legend for better understanding. Refer to the
learner’s worksheet for the color-coded object.
▪ Present your drug study.
▪ Formulate your nursing care plan.
▪ Make an FDAR charting.
▪ Answer the Clinical Reasoning Questions.

Self-Learning Module on Intensive Nursing Practicum

 CASE SCENARIO

Patient X, 3 year-old male, Filipino, born on Feb 1, 2018 in Sampaloc,

Manila was admitted on February 15, 2021 @ 10AM due to cough, fever,
accompanied by nausea and vomiting under the service of Dr. Kua.
Initial diagnosis: PCAP-C

Situation: You are on duty at 6-2 shift and you receive the following data
during endorsement:

• Admitted at room 1905 with 02 @ 2LPM via NC

• With PNSS 500mL to run for 8hrs @ 600mL level
• Diet for age
• Meds: Paracetamol 5mL every 4hrs for Temp >37.8 and above;
Pen-G 200,000U IV q 6hrs; Salbutamol neb 1respoule q 6hrs;
Erceflora 1 sachet TID PO, Zinc sulfate 2mL OD PO
• Latest temp: 37.9 C

History: Born full-term via CS in Manila Doctors Hospital, 2nd out of 3

children of a Jeepney driver (35 y/o) and a housewife (33 y/o). Both
parents are hypertensive and father is smoking 3 packs/day for 10 years.
Cough started 3 days prior to admission, followed by an on & off fever
thereafter. Nausea and vomiting followed after giving Paracetamol as
home remedy. 3 hrs prior to admission, temperature went up to 38.8 C.
AM shift’s nursing diagnosis is Hyperthermia. Lab/Radiological test done
February 16: XR result reveals pneumonia, WBC at 14,000, RBC &
platelets normal. Stool and urine analysis is also normal.

Focus assessment includes: RR 44cpm, irregular, shallow, breathes

through mouth, uses accessory muscle for breathing, unable to breathe
in supine position, audible breathe sounds within few feet. Auscultation
reveals bilateral course crackles on lower lobes with decreased breath
sounds at posterior area. T 38.2C, PR 125bpm, SPO2 92% with 02.
Assessment findings of all other areas must be filled-up using fictional
data BUT should be within the scope of the case scenario given.

Self-Learning Module on Intensive Nursing Practicum

 MODULE 3 Pediatric Nursing

LEARNER’S WORKSHEET
Name of the Student: ______________________________
Year and Section: _________________
Date: ______________
Area: ________________

Application of the Nursing Process

1
Fill-up data completely (Put N/A if not applicable) while receiving
endorsement from staff.

In compliance with the Data Privacy Act, Personal Data are NOT ALLOWED in this
worksheet.

Patient’s Case: _________________ Age: ____ Sex: ____ Room No: ______
Attending Physician: _____________________ Religion: ___________________
Admitting Diagnosis: _____________________ Activity Restriction: ___________
Chief complaint: ________________________ Diet: _______________________

Brief History
Present Illness: ____________________________________________
Past Health Hx: ____________________________________________
Family Hx: ____________________________________________
OB-Gyne: ____________________________________________
Personal/Social Hx: ____________________________________________

2 Assess the patient. Use BLUE for normal findings and RED for Abnormal
findings.

General
Skin
EENT
Neck
Breast
Respiratory
Cardiovascular
Gastrointestinal
Genitourinary
Musculoskeletal
Neurologic

Self-Learning Module on Intensive Nursing Practicum

 MODULE 3 Pediatric Nursing

3 Concept Mapping

Risk Factors

Pharmacology

Self-Learning Module on Intensive Nursing Practicum

 MODULE 3 Pediatric Nursing

4 Drug Study

Drug Dose, Classification Mechanism Nursing

Frequency, of Action Responsibilities
Time, and
Route

Self-Learning Module on Intensive Nursing Practicum

 MODULE 3 Pediatric Nursing

5 Nursing Care Plan

Assessme Nursing Planning Nursing Rationale Evaluation

nt Diagnosis Interventions

Self-Learning Module on Intensive Nursing Practicum

 MODULE 3 Pediatric Nursing

6 F-D-A-R Charting

Focus Data Action Response

Self-Learning Module on Intensive Nursing Practicum

 MODULE 3 Pediatric Nursing

7 Critical Reasoning Questions

1. What possible COMPLICATIONS do you anticipate?

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2. What ASSESSMENT do you need to identify and respond to if this

complication develop?
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3. Determine the applicable nursing theory for the implementation of care.

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ETHICO-MORAL RESPONSIBILITY

The Doctor advised the mother for her child to be immunized with
pneumococcal vaccine. The mother refused saying that she has read
somewhere that it can cause autism. What would be your nursing action? What
ethical principle is applicable in this scenario? Justify?

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Self-Learning Module on Intensive Nursing Practicum

 GRADING RUBRICS
Nursing Care Plan (HPS- 20 points)

Self-Learning Module on 9
 GRADING RUBRICS
Patient History (HPS- 10 points)
Physical Assessment (HPS- 10 points)
Drug Study (HPS- 10 points)
FDAR (HPS- 10 points)
Critical Reasoning Questions (HPS- 10 points)

Self-Learning Module on 10
You will be graded based on your output:

EVALUATION PARAMETERS:
Patient History (10 points) 10%
Physical Assessment (10 points) 10%
Concept Map (50 points) 30%
Drug Study (10 points) 10%
Nursing Care Plan (20 points) 20%
FDAR Charting (10 points) 10%
Critical Reasoning Questions (10 points) 10%
TOTAL 100%

Thank you for successfully completing this

module. Congrats for a job well done!