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Philadelphia University

Faculty of Nursing

First Semester, 2016/2017

Course Syllabus

Course code: : 0910326

Course Title: Clinical child health

Nursing (Practicum)

Course prerequisite(s) and/or co requisite(s):

0910325

Course Level: 3rd

year

Credit hours: 3 Credit hours Lecture Time: hospital and primary

health center training for 12 hrs/week

Academic Staff Specifics

E-mail Address

Office

Number and

Location

Rank Name

gsamhan@philadelphia.edu.jo 508/3rd

floor Lecturer: RN; MNS Mrs. Ghounan Samhan

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Course Description:

This module represents the clinical part of pediatric nursing and offered as a faculty requirement for

the third year nursing students. The module focuses on the health problems of infancy and

childhood in a developmental framework and stressing the importance of the nurses' role in health

promotion and maintenance. The module also concerned with the principles and skills of nursing

assessment, including interviewing, observation, physical and behavioral assessment. The

preconceptual and prenatal influences on child health and well-being are also considered with

special emphasis on the preventive aspects of care. Clinical evaluation and care plans will be

assessed accordingly at faculty lab, nursery school, medical health centers, and pediatric inpatient

departments (Medical, Surgical and Premature Units).

Course Objectives: 1. Utilize concepts of growth and development to provide quality of care to children at

different developmental stages.

2. Perform nursing skills accurately and safely in order to provide safe care to children Provide

nursing students with basic knowledge related to clinical pediatric nursing for well and ill child.

3. Giving emphasis and focuses on the principles and concepts for dealing with the child and

family as a one unite.

4. Implement health education topics regarding health promotion and diseases prevention

5. Applying case studies, nursing notice and nursing process for health maintenance and health

prevention of children

6. Carry out nursing assessment for neonates and premature children

Course Components 1- Lab experience

2- Maternal and child health centers – primary health care center / nursing experience

3- Hospital experience ( Inpatient Surgical and medical , Premature babies)

Textbook: Required text books and reading list:

:Text books

1. ADELE,Pillitteri.(2007):Maternal and child health nursing, care of the childbearing and

childrearing family.(5th ed).Lippincott Williams and Wilkins

In addition to the above, the students will be provided with handouts by the lecturer.

References: Students will be expected to give the same attention to these references as given to the Module

textbook(s)

1. Manual of neonatal care/ Cloherty P. John.

2. Atlas of pediatric physical diagnosis/ Zitelli J. Basil

Website(s): http://www.philadelphia..edu.jo/pharmacy/resources.html

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Teaching Methods: Interactive simulation

Demonstration and redemonstration

Discussion.

Group work (developing a health education module).

Readings and assignments.

Learning Outcomes:

Knowledge and understanding Emphasize on the principles acquired from nursing pre- requisites to pediatric nursing clinical

settings in order to implicate theory part of pediatric course in appropriate skills and actions

Interpret the collaboration with child’s family and health care team to ensure maximum quality

and efficiency of pediatric nursing care

Cognitive skills (thinking and analysis).

1 -Analyze and critically think about children problems integrated with growth and development

2-Design nursing care plans according to the evolution outcomes

3-Compare between normal and abnormal growth

4- Evaluate child condition with normal values according to his developmental stage.

Practical

1- Demonstrate skills of assessment , restraining , bathing ,feeding, and medicating

children according to its guidelines to ensure maximum quality and efficiency of nursing

care

2-Implement planned care in order to fully meet client and family needs

3-Apply principles of health promotion and prevention in appropriate clinical settings

4-Apply updated pediatric nursing research and evidence based practice as well as

group projects in pediatric clinical settings

Communication skills (personal and academic).

1- Assume the responsibilities of carrying out health education for well and ill

individuals

2-Accept different styles of audience during health education sessions

Practical and subject specific skills (Transferable Skills).

-Working in groups through health education and conferences

-Enhancement of communication skills appropriate for the child and his family

-Acts as a role models when dealing with children in wellness and illness

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Course Evaluation I- Lab

Post orientation exam 5%

Maternal & Child health center (MCH)

1- mother class 5%

2-Vaccination report (giving & recording) AND

pain assessment scale

2% Appendix2

Appendix4

3- Growth & development report & demonstration 2% Appendix 3

4-MCH final exam 6% Appendix 6

5- Professionalism 5% Appendix 5

Total 20%

Items Score

%

Evaluation tools

III - Hospital

1-Nursing Note 5% Appendix 7

2- skills 5% Appendix 8

3- Presentation 10% Appendix 9

4- Nursing care plan 10% Appendix 10

5- Professionalism 5% Appendix 11

Total 35%

IV- Final written/clinical exam 40% Appendix 12

Total 100%

Make-up exams will be offered for valid reasons only with consent of the Dean. Make-up exam

may be different from regular exams in content and format.

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WEEK DATE AREA TO PRACTES IN NOTE

1st

orientation to course syllabus

Lab Program

orientation to course and training to specific

procedures

3rd

4th

5th

6th

MCHC

7th

8th

9th

10th

11th

12th

13th

Seminar presentation (10th

week )

14th

Final exam

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Lab Program

orientation to course (1st Weeks)

Date Day Topic Time

Orientation to the course syllabus

Nursing care plane

8:30 – 10:30

Growth measurements

V/S A- temp. B- Pulse C- B/P D- Resp. and

Break time

Practicing on vital signs and recording correctly

Restraining & child positing for procedure

10:30 – 11:30

12MD---2

Calculation and administration of medication

Break time

Injections , Intramuscular, subcutaneous, and

intradermal

8: 30 – 10:30

11:00---12 MD

Vaccination schedule.

And vaccination

Demonstrate physical assessment & reflexes-

12MD------2PM

Infant bath ,Artificial feeding (bottle,Gavage

feeding )

Growth and development

Quiz

Attendance Policy:

Absence from lectures and/or tutorials should 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 should 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.

Attendance Policy: Policy Guide:

Each student should arrive on time for each clinical day.

Students should be at the hospital in full uniform ready for work

at the latest. Two latest are considered one absence.

Students are only allowed two clinical day absences with acceptable excuses.

Any student who exceeds his/her absences limit will be suspended from the clinical

course and given a grade of 35%.

Jewelry should be kept to a minimum

Make-up for female student should be avoided as possible (to the

Minimum)

Long hair should always be tied up.

Uniforms should always be clean and tidy. Name tags are essential.

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Male students with beards should keep them clean and trimmed

Female students should wear white or brown stockings and white shoes with their

white uniforms.

Male students should wear black shoes and navy blue pants only. Navy blue tie are

required for the uniform. Uniform jackets should be short not long as lab coats.

Each student is required to have the following supplies on each clinical day:

1-A blue pen

2-A red pen

3- A measurement meter

4- Adequate paper for writing

Students should always be on their best behavior.

Students should always respect their clinical instructors.

Students should always demonstrate professional behavior when

Dealing with their clients, their peers, other health care

Professionals and instructors.

Students should communicate effectively with health team members, peers and

instructors

All major procedures should be done under the supervision of a clinical instructor.

Students who lack experience and skill in performing procedures should review them

in the nursing lab until they become safe and efficient.

Clinical laboratory procedure Clinical procedures are first practiced on models that are present in the faculty labs before they are

practiced at hospital

Overall objectives At the end of the first two weeks the students will be able to

1- Perform physical examination for children

2- Administer the prescribed drugs

3- Apply body measurements and use growth chart

4- Prepare baby formula and assist mother to breast feed

5- Bathing infants according to its principles

6- Carry out recommended vaccination schedule and advice mothers for adverse effect and

anticipatory schedule

7- Applying case studies, nursing notice and nursing process for health maintenance and health

prevention of children

Performed skills

1- Physical examination

2- Growth Measurements

3- Vital signs

4- Reflexes

5- Vaccination

6- Medication preparation

7- Infant bath

8- Restrain

9- Artificial feeding (bottle, Gavages' feeding )

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Overall objective for MCH Center

At the end of this experience the students will be able to

1-Applying the national vaccination schedule for children

2- Giving appropriate health education on selected topics as (breast feeding, vaccination, safety

measures, weaning)

3-Design a plan for anticipatory vaccines

4-Examin children for normal and abnormal signs

5-Test normal reflexes for children

Selected topics for health education

1- Breast feeding and Weaning

2- Vaccination schedule

3- Child nutrition

4- Enuresis

5- Physiological and psychological changes during adolescent

6- Scabies and pediclosis

7- Growth and development for preschool children (cognitive and language development)

Hygiene 8- personal hygiene

9- Hygiene during menstruation

Inpatient pediatric departments

Overall objectives

At the end of this experience the students will be able to

1- Identify the needs of hospitalized child

2- Formulating the suitable nursing diagnosis

3- Establish related nursing objectives

4- Implement suitable nursing intervention for the needs and problems of hospitalized child

5- Write precise and complete nursing records

6- Assist in administering the prescribed medication and formulate appropriate recording

7- Assist in applying different diagnostic tests

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Selected topics for hospital seminar presentation 1- Gastroenteritis

2- Bronchial asthma

3- Convulsion

4- Urinary tract infection

5- G6PD

6- Iron deficiency anemia and Thalassemia

7- Heart anomalies

8- Jaundice

9- Autism

10- Cleft lip &palate

11- Tonsillitis and Tonsillectomy & Adenoiditis and Adenoidectomy

12- Communicable disease (chicken box, diphtheria, measles, …etc)

13- Spinal pefida and meningocele

14- Meningitis and Encephalitis

15- Septicemia

16- Hypospadias, epispdias and undesending tests

17- Renal failure

Textbook

1-Pillitteri.Adele. (2007):maternal and child health nursing: care of the

childbearing and childrearing family fifth edition.

2-Whaly, L&Wong, D (2012): Nursing care of infant and children. The C.V.

Mosby Company, St Louise, Baltimore, Philadelphia& Toronto

3-Whaly, L&Wong, D (2012): Clinical Manual of Pediatric Nursing. Company,

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Philadelphia University

Faculty of Nursing

Pediatric nursing/clinical

Vaccination report

Appendix2

Student Name:

Date:

Child Name: Date of birth

Age: Sex:

(3marks)

No. Vaccine Dose Route Due date Given date Instructor

signature

Comments

1

2

3

4

5

6

7

Health instructions given to patients: (2marks)

…………………………………………………………………………………………

…………………………………………………………………………………………

…………………………………………………………………………………………

…………………………………………………………………………………………

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Philadelphia University

Faculty of Nursing

Pediatric /clinical

Growth and development assessment

Appendix 3

Student name:

Date:

Child name: Date of birth

Age: sex:

Child growth measurements

Child measurements Child reading Normal value

According to age

Instructor

signature Note

Body weight

Length

Head circumference

Chest circumference

Developmental milestone according to age group ( ):

Mile stone: Normal Child finding Supervisor

signature Note

Gross motor

Fine motor or reflexes

Speech or social smile

Socialization

Each point 0.5 mark

Total mark /5.

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Philadelphia University

Faculty of Nursing

Pediatric /Clinical

FLACC Pain Assessment Scale

Appendix 4

Student name:

Date:

(3marks)

CATEGORIES SCORING

0 1 2 FACE No particular expression

or smile

Occasional grimace or

frown, withdrawn,

disinterested.

Frequent to constant

quivering chin, clenched

jaw.

LEGS Normal position or

relaxed.

Uneasy, restless, tense. Kicking or legs drawn up.

ACTIVITY Lying quietly, normal

position moves easily.

Squirming, shifting back

and forth, tense.

Arched, rigid or jerking.

CRY No cry, (awake or asleep) Moans or whimpers;

occasional complaint

Crying steadily, screams

or sobs, frequent

complaints.

CONSOLABILITY Content, relaxed. Reassured by occasional

touching hugging or being

talked to, distractible.

Difficulty to console or

comfort

(2marks)

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Appendix 5: Health Centre Clinical Evaluation Criteria

Student Name: _______________________________ ID #: _______________________________________________________

Clinical Performance Evaluation Criteria

Grade

0 0.5 1

1. Well groomed, neat and clean Appearance.

2. Communicate effectively with Child, staff and

instructors

3. Perform nursing implementation to Giving child

vaccine

4. Assess pain during vaccine and Maintain safety of

children.

5. Assess child, mother needs, and give health teaching

according to resources availability.

Student’s Signature: Date:

Instructor’s Signature: Date:

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Appendix6

Pediatrics course

End rotation exam / child health center Student name:……………………………………………

ID ………………………………………………………………… Date:……………

1- Patient profile 1

mark Name

Age

2-vaccenation schedule - Giving 3 mark

- Recording

- Health education to mother

3 - Growth and development 4 marks Physical growth

Gross motor

Fine motor

Socialization

4- Health assessment of: 2 marks Head

Abdomen

Chest

Extremities

Total

Instructor signature :

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Philadelphia University

Faculty of Nursing

Pediatric /clinical

Nursing note

Appendix7

Student name:

Date:

Child name: __________________ Age: _______ sex: ________ date of birth:________ wt:___

Ward :______________ admission date :____________ medical diagnosis:_____________

date Note Time

&signature

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Philadelphia University

Faculty of Nursing, Pediatric /clinical

Checklist of skills to be accomplished

Appendix 8 Student name:

Skill Date Supervisors signature Note

Temperature

1 oral

2 rectal

3 axillaey

pulse

1 apical

2 peripheral

respiration

Cold compresses

Appropriate holding

Give medication

1 Oral

2 im

3 iv

4 rectally

5 topical

6 inhalation

IV solution

1 prepare

2 calculate

3 start giving

O2 therapy

Read .Prepare and giving

OTHER

SKILLS………………

Observe these procedures

1 lumber puncture

2 bone marrow aspiration

3 start cannula

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Appendix9: Evaluation Criteria for case presentation (10%)

Student Name: _______________________________

ID #: _______________________________________________________

Date: --------------------------------------------------------------------------------------

Item to be evaluated grad Note

Content( 3.5):

1 Topic identification and introduction (0.5)

2 Clear of content (3)

Organization (1%):

3 Start and finish on time (within 15 min). (0.5)

4 Conduct presentation in an organized manner.

(0.5)

Communication skills (3%):

5 Appropriate tone of voice/pace of speech.

(0.5)

6 Appropriate vocabulary and terminology. (1)

7 Present in a confident professional manner.

(0.5)

8 Able to control the audience.

(0.5)

9 Encourage discussion and participation.

(0.5)

Process (2.5%):

10 Use appropriate audiovisual materials. (0.5)

11 Allow time for discussion. (0.5)

12 Latest research related to topic (1.5)

Total mark

Instructor signature______________________

Student signature_________________________

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Appendix10: Nursing Care Plan

I. Student Profile:

Student Name: I. D. No.:

Instructor: Date:

II. Patient Profile:

Patient’s Name: Age:

Hospital: Ward:

Room No.: Bed NO.:

Admission Date: Medical Diagnosis:

Date of Surgery: Diet:

Physical Limitations: Allergies:

: I.V. Therapy: weight:

Specific Treatments: (specify type and frequency):

Communication Problems:

2. Health Habits:

Regular Exercise:

Dietary considerations and restrictions:

3. Current Health Status: (Chief Complaint and

History of Present Illness)

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

_________________________________________________________

4. Past Health History:

Prenatal and natal History:

Problems in Growth and Development:

Common Childhood illnesses:

Immunizations:

Screening Tests:

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Previous hospitalizations:

Serious Accidents, Injuries, Illnesses, Treatments:

5. Socioeconomic factors Income:

Other Income sources: (specify source, & amount):

No. of Children:

No. of Family members:

6. Family History:

Draw a Family Tree: Grandparents, parents, siblings, mate,

Indicate health status of each as age and (alive or dead), cause of death

And significant illnesses or problems present in the family.

IV. Physical examination (Significant findings)

VI. Special Tests including lab, x-ray, or any other diagnostic procedures:-

Test or Procedure Result Interprétations

VII. Medications:

Medication’s name, dose,

route, frequency

Classification Nursing implications

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WORKING NURSING CARE PLAN

Assessment:

Subjective data:

Objective data:

Nursing diagnosis

(1)…………………………………………………………………………………………………

(2)…………………………………………………………………………………………………

(3)…………………………………………………………………………………………………

(4)…………………………………………………………………………………………………

Planning:

…………………………………………………………………………………………………….

……………………………………………………………………………………………………

……………………………………………………………………………………………………

…………………………………………………………………………………………………….

Intervention:

………………………………………………………………………………………………………

……………………………………………………………………………………………………..

……………………………………………………………………………………………………..

…………………………………………………………………………………………………….

…………………………………………………………………………………………………….

……………………………………………………………………………………………………

…………………………………………………………………………………………………….

Evaluation:

………………………………………………………………………………………………….

………………………………………………………………………………………………….

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Appendix 10: Guide to Grade Nursing Care Plan

Each student will complete two nursing care plan on a selected patients. The patients chosen for

nursing care plan must be different from the ones used for case study. The first nursing care plan

due date is

Nursing care plans will be evaluated according to the following specific criteria:

I. Background 40%

1. Student Profile (1%)

2. Patient Profile (2%)

3. Health history (10%)

4. Health Habits (1%)

-Current Health status (2%)

-Past health history (2%)

-Socioeconomic factors (2%)

-Family History (2%)

5. Physical Examination (8%)

6. Special Tests (5%)

7. Medications (5%)

II. Working Nursing Care Plan:

1. Assessment (10%)

a. Assessment includes objective data

Which support the nursing diagnoses (3%)

b. Assessment include subjective data

Which support the nursing diagnosis. (3%)

c. Assessment data reflect patient current

Problems. (4%)

2. Diagnosis: (10%)

a. Nursing diagnoses are derived from the

Assessment data. (3%)

b. Nursing diagnosis is prioritized. (4%)

c. Nursing diagnoses are stated in

appropriate terminology. (3%)

3. Planning (10%)

a. Goals and objectives relate specifically

to the identified nursing diagnoses. (4%)

b. Goals objectives reflect the direction of

the nursing interventions. (3%)

c. Objectives are attainable, measurable, and

appropriate to the patient. (3%)

4. Implementations: (20%)

a. Nursing intervention are specific and inclusive (5%)

b. Nursing interventions are prioritized. (3%)

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c. Nursing interventions are individualized. (3%)

d. Teaching interventions are based on identified

learning needs. (3%)

e. Interventions are updated. (3%)

f. Rationales are scientifically accurate. (3%)

5. Evaluation: (10%)

a. Evaluations reflect stated objectives and

goals (4%)

b. Evaluations indicates how well objectives

were achieved/ not achieved. (3%)

c. Evaluations indicate if and why objectives

were appropriate. (3%)

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Appendix 11: Professionalism

Student Name:______________________ Student ID#:____________

Items of Evaluation

0 0.25

1-Professional behavior

1. a-Adhere to the code of ethics

2. b-Punctuality Coming on time

3. c-Uniform

2-Personality

4. a- Motivated

5. b-Volunteer

3- Leadership abilities

6. a-Abilities to lead the group

7. b- Abilities to control the group

8. c – Abilities to make decision

4- Practical

9. a- Able to perform practical skills

10. b- Exhibit critical thinking and creativity

Total mark (5)

Note: grading scale will be

Teacher Signature---------------------------------

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Pediatrics Practice (910323)

Appendix 12

Evaluation Criteria

Student name:-…………………………………………………………….. Section:…...…………….

Hospital:-………………………………Unit:……………………...

Patients Diagnosis:…………………..…………………………………..date of admission:…………

Items of Evaluation

Grade

allotted

Grade

Acquired

Comments

● Health history

Demographic data

Medical surgical history

(2)

● physical examination

General and systematic examination

● Lab investigation

(1)

(2)

● Medication

(2)

●knowledge

Definition, causes, S&S

Diagnostic procedures

Medical managements

(3)

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●assessment and nursing care plan

subjective, objective data

nursing diagnosis

1-

2-

3-

expected patients outcome

1-

2-

3-

nursing intervention

1-

2-

3-

Evaluation

1-

2-

3-

(10)

(2)

(3)

(1)

(3)

(1)

Total Score

(20)

Instructor note:

Date of examination: Start at: End at:

Supervisor signature: Staff member signature: