July 2011

In the CHED CMO #14 , 2009 nursing curriculum, a nursing student is required to complete 2346 hours of Related Learning Experience (RLE). Related Learning Experiences (RLEs) are teaching-learning opportunities designed to develop the competencies of students utilizing processes in various health situations. These could be sourced from, but not limited to: lying-in clinics, schools, industrial establishments, community, out-patient clinics and general and specialty hospitals.

Make the most of your RLE duties, your Clinical Instructor will be there to lead and guide you. That day might be the last time you will be handling a particular client and the next time you will be the nurse and have the sole responsibility for the care of your client, no one will be behind your back to help you.

How to prepare for your RLE?

  • Know beforehand your duty schedule , take note of the time and date. Lates have corresponding demerits.
  • Ask about  directions on how to reach the RLE area. What transportation to take, how much transpotation money do you need?
  • Prepare your required clinical uniform and materials. If you will be assigned to the operating room, bring your scrb suit. Most schools have several sets of uniform depending on the area of RLE assignment.
  • Bring your vital signs kit. Check  the battery of your digital thermometer, it might not be reliable in reading the temperature. Can your stethoscope hear breath sounds? Is your sphymomanometer calibrated?
  • Bring your personal protective equipment (PPE), and practice standard transmision based precautions .
  • Bring your NANDA book and NCP forms with you. Clinical instructors have the habit of asking you to do NCP’s.
  • Bring a guide in assessment such as Nursing health  history and Gordon’s health patterns.
  • Review basic nursing skills e.g if you will be assigned in the obstetrics ward, review leoplolds maneuver and the mechanism of labor.
  • Load your cell phone with a medical dictionary, it will help you a lot to be familiar with medical terms.
  • Be prepared to see blood, clients in pain and invasive procedures! Be ready to conquer your fear.

On the day of your RLE:

  • Practice how to establish patient’s rapport, Be courteous ,and feel confident.
  • Brush up on communication techniques. I find this as one of the deficiencies of my students.
  • Know your client’s diagnosis. Collect data such as  history and physical, medications, procedures, lab values.
  • If your client is hook on several contraptions such IV fluids, catheters, take note of them.
  • Know your client’s medications. Read about them, the generics, mechanism of action, side effects and nursing implications, and how to compute drug dosages.
  • Be prepared to carry out interventions ordered by the physician.
  • Be familiar with how documentation is done at the health facilities.
  • If you don’t know someting, write it down., and read on it when you come home.

Your clinical instructor will be watching you. For sure you will make mistakes, but your CI is there, you can ask her questions. Sometimes you perceive her as to be  so demanding , let her be because you will benefit from it.

The RLE activities are carefully selected to develop competencies utilizing the nursing process in varying health situations. Our tool in all these things will be the nursing process.

Don’t complain when you have so many nursing interventions to be implemented, it is the nursing way, and it means  care.

Important CHED memo about RLE: