WEEKLY MEETING PATTERN:
Clinical days, sites and rotations are specific to each student.
All clinical courses require the student to integrate theory and laboratory training in the patient care setting. The focus of this clinical course is the application of therapies, techniques and procedures to the newborn patient. Topics include aerosol drug delivery, pulmonary hygiene, nasal CPAP, continuous flow IMV, neonatal intubation and airway care, ventilatory support, PEEP, inspiratory time and mean airway pressure therapy, vital signs, chest assessment, APGAR scoring and resuscitation of the newborn.
History and Physical Exam 30 points
Site Evaluation 40 points
Competencies 30 points
Each Student will successfully complete 15 competencies.
Failure to complete 15 competencies will result in a failing grade!
To get an A in this course the student must:
To get a B in this course the student must:
To get a C in this course the student must:
A student is guaranteed a grade of less than C if:
1. Complete less than 15 competencies.
2. Any DLs are missing.
Each student will compile a clinical portfolio documenting the learning activities for the semester.
The clinical portfolio is to be organized as follows:
In a 3 ring binder create divisions (using tab sheets) for the following in the exact order listed.
10.Clinical site evaluations
Each Student will successfully complete any competencies not completed in any other rotation.
CLINICAL PORTFOLIO FINAL CHECK-OFF June 6th by NOON. NO EXCEPTIONS
Neonatal Critical Care
GENERAL GUIDELINES ON Competencies
HISTORY AND PHYSICAL EXAMINATION:
Each student must obtain a full history and physical examination on an actual patient. This examination is to be done by the student, not copied from the patient’s medical record. Follow the format used here. The history and physical examination must be word-processed.
History and Physical Examination Format:
1. Demographic Data
2. Chief complaint reason for patient to be admitted to the NICU
3. History of present illness
a. Description of illness
b. Onset (in utero, at birth, post delivery?)
c. Severity of symptoms and illness
d. Associated manifestations
4. Past Medical History of mother
a. Childhood illness
b. Hospitalizations, surgeries, injuries, accidents
c. Major illnesses
e. Present medications (OTC, Rx, Herbal, Vitamins, and Illegal)
g. General Health
5. Patient/Family Profile
6. Family history
7. Review of Systems of infant
8. Initial Impression/any prognosis
9. Vital Signs: HR, RR, BP, Temp
11. HEENT: head, eyes, ears, nose, throat
14. Heart (pulse)
Each student will be evaluated on their performance during their clinical rotation.
The evaluation includes:
Attendance at clinical sites is an essential component of the student’s
clinical education. The student must be in their assigned area of
rotation and prepared for instruction at the scheduled time for that
DATAARC: CLOCKING IN AND OUT
Each student is required to log in on DataArc and document their
clinical hours. Each student will complete 8, 12 hours shifts for a
total of 96 hours of clinical time. Every student is required to make
up any missed time.
MISSED CLINIC DAYS
If a student is unable to present at the clinical site, it is his/her
responsibility to report the intended absence to the clinical site and
Director of Clinical Education prior to the time for the Practicum.
When reporting an absence to the Director of Clinical Education,
please call 940-397-4652 (department secretary) and leave the message.
When reporting the absence to the clinical site, have the hospital
operator page the charge therapist on the current shift. Leave the
message with the charge therapist.
The calls to report an absence must be made at least one hour prior to
the scheduled time for the Practicum. An absence not reported by this
procedure will be recorded on the Clinical Incident Form. The
Director of Clinical Education will take extenuating circumstances
into account. An adverse decision may be appealed to the Program
It is equally important that a student be punctual to the clinical
site. In order for the student to obtain maximum benefit from the
clinical Practicum, they must be present for the report given at the
change of shift. Late is defined as arriving at the clinical site
fifteen minutes past the scheduled time for the Practicum. However, if
a student arrives later than thirty minutes past the scheduled time for
the Practicum, he/she may not be allowed to stay for that clinical day.
If a student must be late for clinical it is their responsibility to
contact the site prior to the scheduled time for Practicum.
After contacting appropriate person within the specified time, the
student must be present within one hour of scheduled time for the
Practicum. Depending on the area of rotation and the circumstances, an
alternative assignment may be made. If a student is habitually late the
instructor and/or the Clinical Director will counsel them.
If the student does not report tardiness to the appropriate person, an
absence will be recorded. The Director of Clinical Education will take
extenuating circumstances into account. Every two days a student is
late, an unexcused absence will be recorded.
It is equally important that all students remain at their clinical site for the entire designated time. If the student must leave early for any reason, the student must call the Clinical Director. Students will be required to make up any missed hours.
Leaving the clinical site for any reason and not communicating with the preceptor and the Clinical Director is grounds for dismissal from the program.
It is also required that all students communicate with their assigned preceptor any time they leave their area for any reason (lunch, break, work on case studies, etc.)
In cases of bad weather or severe weather conditions, the student must use their own judgment when deciding whether or not to attend clinical. The student will inform the clinical instructor as soon as possible. If the schools in your clinical area are canceled, your absence will be excused.