The Bucket List: Making the Most of Clinical Learning Opportunities

1. The Bucket List:Making the Most of Clinical Learning Opportunities Carin Adams RN MSN CPN

2. Clinical Placements • Traditional clinical experiences • Acute care hospital • Long term acute care facilities/ nursing homes • Placement barriers • availability (128 hours and no where to go) • Faculty to student ratio

3. Experiential Learning • A philosophy developed by David A. Kolb • Educators purposefully engage with learners in direct experience and focused reflection in order to increase knowledge, develop skills, clarify values, and develop people's capacity to contribute to their communities.

4. Experiential Learning • The learner must be willing to be actively involved in the experience • The learner must be able to reflect on the experience • The learner must use analytical skills to conceptualize the experience • The learner must possess decision making and problem solving skills in order to use the new ideas gained from the experience.

5. Experiential Learning

6. Experiential LearningSimulation • Clinical simulations in nursing can be used to immerse the student in the hospital environment and the role of the bedside nurse. • Simulation allows students to experience the application of theory in a safe environment where mistakes can be made without risk to the patient (Billings and Halstead 2012)

7. Experiential LearningSimulation • Evaluation of simulation experience • Debriefing - The role of faculty is to support participants in reflection. What do you think about your performance? What would you have done differently? How did that make you feel? http://www2.sunysuffolk.edu/winstah/SIM/Debriefing.pdf

8. Experiential LearningSimulation • Clinical Reasoning Scenarios • Electronic Documentation • Med pass simulation • Virtual simulation – second life

9. Problem based learning • Students were given a disease process • Researched the pathology, signs and symptoms • Created a patient for the whole group to assess

10. Service Learning • develops values, cultural competence, social responsibility • Private schools • Child assessment: • height, weight, growth chart • Vital signs – BP norms • Hearing and Vision • Scoliosis • Acanthosis nigricans • Student pre-work reading assignments

11. Service LearningDevelopmental Clinic • Student experience role of pediatric nurse • Environment of safety • HIPPA/FERPA • Patient identification • Anticipatory guidance • Medication safety- Coloring books • www.poisoncontrol.org • Evaluation • Direct observation

12. Vision and Hearing Certification • Students certified to perform state required hearing and vision screens for school age children in the state of Texas. • Certification good for 5 years • Purchased 2 audiometers • http://www.dshs.state.tx.us/vhs/default.shtm

13. School Nurse Experience • Collaboration between four ISD’s • Nurse Health Service Coordinators and faculty created student nurse preceptor program • Students mentored by the same nurse for 3 (8 hour) “shifts” • Students can assist nurse with vision and hearing screenings.

14. Preceptors • Clinical preceptors may be used to enhance clinical learning experiences within a course after a student has received clinical and didactic instruction in the basic areas of nursing for that course or specific learning experience. • http://www.bon.texas.gov/nursingeducation/faq_clinical.html

15. School Nurse Experience • Students pre-clinical assignment – • Role of the school nurse • Selected chapters from School Nursing: A Comprehensive Text [Janice Selekman] ISBN-10: 0803622090 • Evaluation: report from precepting nurse • Timeliness • Phone calls • Reflective summary • excepts

16. School Nurse Experience • Preceptor incentives • http://www.collegeforalltexans.com/apps/financialaid/tofa2.cfm?ID=546 • BON regulations regarding preceptors • http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=4&ti=22&pt=11&ch=215&rl=Y

17. Anticipatory Guidance • Students use skills that reflect college core • Writing and public speaking • Nursing objectives - recognizing and using evidenced based practice (EBP). • Role- Pediatric nurse: teaching of children and families. • http://www.safekids.org/ • Delivery- Health fairs, PTA’s • Evaluation- group rubric • Was information Evidenced Based

18. Immersion learning • Kinderfrogs • Child study center • ABA therapy • Evaluation – reflective summary

19. Your turn • Please take a few minutes to discuss experiential learning in your clinical environments. • Please write down your experiences.

20. Opportunity for sharing • Now share your bucket list! Please write down your name & email address on your piece of paper and drop it in our buckets. I will go through and compile a list of your ideas and distribute to all of us via email. • Thank you for your time and attention and enjoy the rest of your conference.