Comparison of the Number of NLE Board Exams Passers , Examinees and % passing Average
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School
Community Immersion with Documentation Format
This course based on the BSN CMO #14 curriculum, focuses on the care of population groups and community as clients utilizing concepts and principles in community health development. It also describes problems, trends and issues in the Philippine and global health care systems affecting community health nursing practice.
Community immersion is an activity wherein nursing students live in the community and feel like what it is to be there. A chosen community ,preferably rural ,is focal point of this experience. Students will apply knowledge and skills from nursing and public health sciences to expand their understanding of caring for a community’s health. By situating academic learning within an intensive 2-3 weekcommunity immersion program this course offers students a truly unique and memorable learning experience.
Learning activities are:
• Community assessment (what does it feel like to live in this community) observations, interviews, data collecting, select a particular aspect of the community for a community project.
• Health teaching project. Select a specific group (school children, teen parents, young mothers) and present an appropriate teachin learning experience for them. Include the principles of health teaching, references, a plan and an evaluation.
• Attending selected community meetings that are related to your high risk population, your family, your health teaching project or any other facet of your community work.
• Students will keep a weekly clinical journal describing their learning activities, progress and plans. The journal will also include a critique/synopsis of selected readings related to your community health nursing practice. The journal may include questions for the instructor or other students.
Specific activities to be performed by students as reflected in the daily plan in actual community immersion are ( in order):
1. initiating contact with the community
2. establishing contact with local / barangay officials and health personnel
3. assessing the health status of the barangay
4. identifying problems in the community
5. interpreting and analyzing data gathered
6. formulating an action plan
7. implementing action plan
8. implementing strategies and activities
9. evaluating activities
10. disengaging from the community
A documentation of the activities is the last activity of the students.
Suggested COMMUNITY Immersion Program Documentation FORMAT
Title Page
Acknowledgement
Table of Contents
CHAPTER 1
I. Map
II. Analysis of the Community Situation
• Developmental Goals and Activities
• Municipality/Barangay Growth Plan
• Physical Characteristics
• Demographic Characteristics
• Selected Vital Indices
• Analysis of Health Status
• Economic Indices
III. Analysis of the Health Sector
CHAPTER II
• Identification and Analysis of problems
• Criteria for Ranking Priority problems
• Choosing the Barangay for the project
CHAPTER III
A. Situational Analysis of the Barangay
• Map / Location and Physical Characteristics
• Population
• Nutritional Status
• Health Status
• Socio-economic Factors
• Health Sector
B. Statement of the Problem IN Barangay ________
• Assessment Process
• Problem Tree
• Consultations with sectors of the Community
CHAPTER IV
• Planning for Change (Project Plan)
• Implementation, Accomplishment and evaluation
• Project Innovation
• Limitation and Difficulties Encountered
• Recommendation
• Disengagement
• Feedback of Results
ANNEX
DOCUMENTATION
Note: Integrate the principles of COPAR when going through with community immersion.COPAR (Community Organizing Participatory Action Research) is a social development approach that aims to transform the apathetic, individualistic and voiceless poor into dynamic, participatory and politically responsive community.
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The Commission of Higher Education has issued CMO # 18, series of 2011 Amendments to Article XI- Sanctions of CMO . No. 14 s. 2009 “Policies and Standards for the Bachelor of Science in Nursing (BSN) Program last July 29, 2011.
CMO #18 s. 2011 stipulates the the conduct of monitoring and evaluation of Higher Education Institution (HEIs) offering the Bachelor of Science in Nursing , the bases for retention and /or phasing out of nursing programs and corresponding sanctions to be imposed,adopted and promulgated by the Commission.
Policies emphasized in the CHED #18 s. 2011 are the required average of above 30 % passing percentage in the nursing board exams of HEIs graduates (for 3 consecutive years), and minimum requirement such as qualifications of the dean and faculty members, faculty /student /classroom and RLE ratio, MOA with qualified base hospitals and affiliating hospitals, nursing arts laboratory , library books and subscription to the required local and foreign nursing journals.
CMO # 18, series of 2011 Amendments to Article XI- Sanctions of CMO . No. 14 s. 2009 “Policies and Standards for the Bachelor of Science in Nursing (BSN) Program shall take effect 15 days after its publication in the Official Gazette or in a newspaper of general circulation.
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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:
http://www.annakatharinamd.com/2010/02/22/rle-cases-guidelines-for-2010-nle-takers/
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