Transcript Learning Goals for Preceptorship

Learning
Goals/Objectives
NURS 4027
Preceptorship
Pg. 39, 53-70, 139
Importance
• Frame to facilitate the
organization of the
preceptorship
experience.
• Assists the preceptee,
preceptor, and faculty
advisor throughout the
rotation.
Role of Faculty
• To provide
insights/feedback on
how to achieve your
goals.
How to write goals
• 6-10 usually covers the
intent of the rotation.
• Be clear and concise in
the writing.
• Make the goals
attainable.
• Include a timeline with
measurable outcomes.
Format
• Chart: can be helpful and easy to read
• Sentence structure: can elaborate and expand on
the goal
Remember, these goals are going to be a guideline for
your preceptor.
My Learning goals for Preceptorship Lewoh, Cameroon
Objectives/Learning
Resources
Strategies/Success
Indicators/Target by the
end of rotation
Develop an
understanding of the
population health needs
of Cameroon and how
they interact with the
existing health care
system
Make observations of health
status by patient and in the
general population
Ask questions of the citizens
as well as the clinic staff
where possible
Gather relevant data by being
submerged in the process
Keep notes on the existing health
conditions in Cameroon and the
processes involved in treatment
By the end of the 4 weeks
have a fairly reasonable
understanding of the
population health needs
and the Cameroon health
care system in Lewoh
Develop a health
promotion plan for the
people of Lewoh
(particularly in terms of
malaria)
Make observations about the
existing interventions for
malaria prophylaxis
Be knowledgeable re the
existing research on health
promotion in similar
cultures/villages
Determine the willingness of the
population to actively participate and
decide what interventions would be
most practical
Collaborate with peers
Upon return from Lewoh
have implemented some
malaria prophylaxis and
other health promotion
tools
Gather arm
circumferences of
patients in both Lewoh
and the Valley Clinic in
order to assess the level
of malnutrition in the
area
Measure as many arm
measurements as possible
Record on paper the
measurements that are
collected
Share this information with
Dr. Gooderham and others
when home
Be sure to have enough log sheets for
measurements
Have reference sheets available to
determine levels of malnutrition
Upon return from Lewoh
have a sufficient amount
of data to provide other
members of the health
care team
Photograph teeth of
patients that I see within
the Lewoh and Valley
clinic to better assess the
situation for a dentist
who will be going to
Cameroon this year.
Photograph as many mouths
as possible
Record this information on
paper including patients age,
sex and medical condition
Share this information with
Dr. Gooderham, dentist and
others when home
Familiarize myself with proper
techniques of taking dental photos.
Make sure there is adequate
photography equipment and available
memory.
Upon return from Lewoh
have a sufficient amount
of data to provide other
members of the health
care team
Goal
Date/
Evaluation
Learning Goals for Preceptorship
Learner:
Date :
Objectives & Outcomes
Resources & Strategies
1.
•I will be able to safely and
independently administer
patient medications
•I will be able to identify and
describe abnormal
assessment findings patients
•I will be able to
independently perform
complex dressing care,
various forms of suctioning
(airway, nasogastric) and
manage wound drainage
systems
2.
a)I will initiate a (minimum of
1) peripheral IV
b)Independently program IV
pumps to administer IV
medications/fluids /nutrition
3.
a)Complete multiple patients
assessments within 1hr of
scheduled time.
b)All scheduled patient care is
completed independently
during shift in a timely,
organized manner
c)Will be prepared to
administer medications
promptly at scheduled times
4.
1.
a)Research all unfamiliar
medications and routes of
admin. in drug reference guide
and hospital policies as
needed. Refer to preceptor
and nursing staff with
additional questions.
b)Take time assessing
patients. Ask for
assistance/input from
preceptor as required when
abnormal findings are
expected or found.
c)Review hospital policies &
procedures and/or Skills
manual before performing
new/unfamiliar procedures.
Ask for assistance/monitoring
from preceptor until I feel
comfortable performing the
procedure independently.
2.
a)Hospital policy & procedure,
review IV therapy course
notes, preceptor’s presence
and assistance as required.
b)Preceptor or other nursing
staff, medication reference
guide, policy & procedures
manual will be available as
required
Due Date
Evaluation
Learning Goals
1.I will refresh and improve
the skills I have already
practiced in past clinical
placements - medication
administration, patient
assessments
catheterization (especially
female), complex dressing
changes, and drainage and
suction systems.
2.I will improve my skills in
IV therapy
1.Improve my task
organization and time
management to perform
total patient care with
multiple patients.
2.I will participate and
communicate actively and
effectively as part of the
health care team. I will
increase my familiarity with
working with other
members of the health care
team (respiratory
therapists, physicians etc.)
1.I will increase my ability
to co-create health and well
being in patients
1.
a)Wk 2
b)Wk 3
c)Wk 5
2.
a)Wk 6
b)Wk 2
3.
•Wk
2
•Wk
3
•Wk
2
4.
a)Wk 3
b)Wk 4
c)Wk 4
5.
•Wk 2
•Wk 2
6.
•Wk 3
•Wk 3
1.
•Preceptor will monitor
medication administration
until she is comfortable
with my knowledge and
independent performance
•Preceptor may perform
some assessments with
me as needed. I will
discuss and describe
normal and abnormal
assessment findings. I
will identify abnormal
findings correctly
•I will complete nursing
procedures according to
hospital policy with
minimal assistance.
Preceptor may monitor
complex dressing change
until comfortable with me
doing it independently.
2.
•I will be able to explain
the procedure to the
patient and perform
initiation of IV with
minimal assistance
•I will be able to
administer IV medications
via various methods and
program (and
Learning Goals
Goal
Strategy
1. Efficiently prioritize total patient care for a
minimum of 4 patients.
1. Use a DOAP to organize tasks.
2. Ask for assistance when needed.
3. Complete documentation in intervals.
2. Individually foley catheterize a minimum of
five males and five females.
1. Inform preceptor desire to practice catheterization since it is a
skill I have not yet performed.
2. Offer to catheterize patients that are assigned to other primary
nurses.
3. Initiate 10 IVs.
1. Offer to initiate IV on patients who are new admissions to the
floor.
2. Offer to restart IVs on patients.
3. Familiarize self with IV equipment.
4. Effectively perform 20 IV Piggyback
medication administrations.
1. Become knowledgeable of IV Protocol/Policy binder located on
floor.
2. Become knowledgeable about IV compatible and incompatible
medications.
3. Administer all IV drugs ordered for patients assigned to my care.
5. Transcribe 5 doctor’s orders.
1. Check charts of patients who are assigned to my care of new
doctor’s orders.
2. Understand the role of the assigned desk nurse.
6. Administer at least 3 blood transfusions or
blood products.
1. Become familiar with blood transfusion protocols/policies and
equipment.
2. Familiarize with proper documentation needed when giving a
patient a blood product.
3. Understand steps taken when patient exhibits signs/symptoms of
a reaction.
7. Perform at least 5 complex wound
dressings.
1. Inform preceptor desire to practice complex wound dressing
changes since it is a skill I have not yet performed.
2. Offer to perform dressing changes on patients that are assigned
to other primary nurses.
8. Participate in at least 3 Code Blues.
1. Become familiar with items on crash cart.
2. Re-familiarize self with CPR procedure.
3. Look up crash cart meds (indications, side effects, nursing
implications etc;)
Met/Date
Unmet
Comments
Learning Goals for Preceptorship – Neonatal Intensive Care Unit
12 weeks
Objective
Over the course of the 12 week rotation my overall goal is to become successful in providing safe, ethical and
competent care to a variety of neonatal patients. This involves completing full neonatal assessments with a variety
of infants by caring for a diversity of patients. By the end of the rotation my goal is to successfully handle a full
patient workload.
Strategies and Resources
In order to accomplish this goal I will observe, assist and practice with my preceptor and other health care
professionals throughout my rotation. I will also observe and participate in patient rounds and various
procedures required for neonatal patients. Learning to organize and prioritize patients’ needs appropriately and
effectively will assist me in obtaining this goal. Furthermore I will use multiple sources of information that
contribute to the nursing care of neonates. These resources include other health care professionals, current
nursing research, nursing literature and guidelines, and my previous clinical experience and knowledge.
Evaluation
To evaluate my progress I will self reflect and communicate with my preceptor. By keeping open
communication between my preceptor and other health care professionals I will be able to evaluate my progress.
Using daily pre and post discussions with my preceptor regarding my goals and accomplishments will help me
evaluate my progress on a daily basis.
Date of completion:
Student’s initials_____ Preceptor’s initials_____
Objective
Within the 12 week rotation my goal is to effectively initiate 10 IV’s in order to successfully initiate IV therapy
on my own. I also strive to successfully initiate, maintain and regulate IV therapy for various patients
throughout my rotation.
Strategies and Resources
To achieve this goal I will use the knowledge and practice from the IV therapy course I have completed and
previous clinical experience to successfully initiate IV therapy. Furthermore I will use the resources and
practice guidelines regarding initiation of IV therapy available on the unit. After review of the practice
guidelines I will observe my preceptor or another health care professional initiate IV therapy to a neonate
patient(s). Following both the practice guidelines and my observation(s) of initiation of IV therapy I will
attempt to initiate IV therapy with assistance from my preceptor. I will use my previous experience and
clinical knowledge and the knowledge of other staff members to assist me in successfully initiating IV
therapy.
Evaluation
My preceptor and/or other health care professionals involved in my attempts to initiate IV therapy will
provide verbal or written feedback to me regarding my attempts. A brief discussion will be held between my
preceptor and I following an IV attempt. The discussion and evaluation will consist on how well my attempt
was, my areas of strengths and what areas I need to improve on. After effectively initiating IV therapy the
evaluation will consist on my success at maintaining and regulating my patients’ IV therapy.
Date of completion:
Student’s initials_____ Preceptor’s initials_____
I will demonstrate the concept of caring in my professional practice within legislative and ethical
parameters. This will be demonstrated and documented at the end of each week.
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Action Plan:
Read the policy and procedure manual for nurses on the Forensic Unit at NEMHC.
Completed within 2nd week of rotation
Review the College of Nurses of Ontario Professional standards and apply to practice.
Read prior to Feb. 1
Review PHIPA or if available re-take course offered at NEMHC.
Read manual 1st week and/or take course when it is offered.
Read the hospital policy and procedure manual for medications if available.
Read the 1st week.
Read the orientation package available for registered nurses.
Read by end of 2nd week.
The following will be demonstrated on each shift:
Ensure that my clients have a right to privacy, confidentiality, and informed consent.
Support and advocate for my client whenever needed.
I will demonstrate truthfulness and fairness when dealing with clients, their families and staff.
I will carry out verbal and written directives safely, responsibly, and consistently and will be accountable
for my actions.
I will conduct myself in a professional manner.
This goal lacks a distinct timeline
or strategies
Preceptorship Goals
The following paper outlines my learning goals for my preceptorship. I am hoping to take this last opportunity to make sure that I am
fully prepared for the responsibility I will be taking on. I am fully aware that I will be learning for the rest of my career, but this is my
chance to ensure I am ready to work at a nurse in whatever field I choose.
1. Enhance Communication Skill
I have noticed in all previous clinical experiences that communication is a key skill in nursing. Nurses need to have the
ability to communicate with the patients, families, members from other disciplines, and co-workers. This is to ensure effective and
appropriate care. I feel that my verbal communication skills are good, but there is always room for improvement. It would be
beneficial to learn how to connect with doctors in the event that I would need to. Learning how to contact important persons when
required would further enable me to care correctly for my patients.