SAINT JOSEPH'S COLLEGE DEPARTMENT OF NURSING

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NU 420 Clinical 2012 8Guidelines for a Unit PresentationDuring internship, the student may elect to present an oral or poster presentation on a clinical topic identified by the management team atthe sponsoring agency. The presentation needs to be developed in conjunction with SJC faculty as well as with any of the following: the uniteducator, the precepting nurse, the nurse manager of the student’s internship unit, +/or the staff of the educational department of thehospital where the student is completing internship. The presentation should include the following areas:‣ Evidence-based nursing care‣ Pathophysiology and pharmacotherapy as applicable‣ Safety and infection control issues‣ Holistic approach to care‣ Quality initiativesThe student presenting should conduct a thorough literature review to ensure that the presentation reflects the latest EBP. Though thepresentation is not required or graded, it does offer the opportunity for the student to earn a 4 or 5 in various NU 420 course outcomes andthus potentially can improve the internship grade. Earning 4 or 5 on various outcomes can be attained by: taking initiative to initiate the presentation at least 4 weeks in advance, working consistently with the SJC faculty and hospital representative during presentation preparation, meeting all deadlines without reminder, demonstrating a thorough review of available EBP on the topic including at least guidelines available through the NationalGuideline Clearinghouse www.ngc.gov and the Cochrane database of systematic reviews, which are available through our SJClibrary, not just what is easily available via full-text e-journals, forwarding the complete and final version of the presentation to SJC faculty and the hospital representative at least one weekbefore the scheduled presentation date. This allows time for final revisions as neededNU 420 Presentation CriteriaRESEARCH for the PRESENTATIONCommentsLiterature review includes 3-6 timely, appropriate articles on the topic. Theliterature review should be shared with faculty 2 weeks before the presentation.At least one article in the literature review is research based. Cochrane Review andNational Guideline Clearinghouse are represented in the review.Research is current (articles and guidelines within 5 years).Emphasis is placed on content/information that is most important for audience toknow. “Must know material” over “nice to know.”Presentation learning outcomes (2-5) are appropriate.FINAL PRESENTATIONReferences are included throughout the presentation and correctly cited.Final presentation is given to the SJC faculty and hospital representative at least oneweek prior to the presentation.Final presentation grammar, spelling and punctuation are correct.Final presentation demonstrates student has spell-checked and proofread material.Final presentation is well-sequenced (follows logical order).Final presentation demonstrates significant effort in terms of time (meetingdeadlines), work, and quality.UNIT PRESENTATIONReferences are included throughout the presentation and correctly cited.Holistic nursing care considerations are covered.Key points are stressed.Intermittent summarizations are used if applicable.Inclusion of audience occurs if applicable.Effective use of visual aids and handouts occurs if applicable.Natural, supportive movements and gestures are used if applicable.Sustained eye contact with the audience occurs if applicable.Clear, well-paced voice is used if applicable.Summary of major concepts occurs (take home messages at the end).Professional demeanor is apparent (dress, hair etc.)Evaluation of audience’s knowledge occurs.Questions are answered with accurate, knowledgeable response. If answer is notknown, presenter establishes a mechanism to respond to audience.Narrative Feedback:Modified with permission: The Curriculum Project
NU 420 Clinical 2012 9INTRAVENOUS THERAPY POLICYPOLICY FOR INSERTING A PERIPHERAL-SHORT OVER-THE-NEEDLE CATHETERPOLICY – Students must follow the agency policy and procedure regarding I.V. insertion. After meeting the agencyrequirements, this policy applies to all SJC nursing students who have successfully completed the IV insertion labCannulas are placed for definitive therapeutic and/or diagnostic indications. The smallest gauge, shortest length cannulacapable of accomplishing the prescribed therapy shall be used. The supervising R.N. and hospital policy will determine adultpatient selection. The student will be limited to two attempts per patient, if the patient is willing.Based on standards of the Infusion Nurses Society (INS), the placement of catheters shall be in accordance with the stateNurse Practice Act. The catheter selected shall be the smallest gauge and shortest length that will accommodate theprescribed therapy. Aseptic technique shall be used and standard precautions observed during catheter placement. Only onecatheter shall be used for each cannulation attempt (Phillips, 2010, Manual of I.V. Therapeutics).*****************************COMPETENCY CRITERIA: Initiation of Peripheral I.V. Therapy following the Phillips Steps. (Phillips, 2010, Manual of I.V.Therapeutics)COMPETENCY STATEMENT: Competent I.V. nurses will be able to perform venipuncture technique for support of peripheralI.V. therapy.NOTE: The cognitive (knowledge) information that is embedded within this performance-based competency includes aseptictechnique, manufacturer recommendation for use of equipment, venous anatomy and physiology, fluid and electrolytebalance. This competency links to the competency of infection control, management of I.V. equipment, and parenteralsolutions.CRITICAL ACTION STEPSEquipment NeededIV start kit (if available)Clean glovesIV catheter (size/gauge dependent on need)Prep solution (chlorhexidine gluconate recommended)Non latex tourniquetTransparent semipermeable membrane (TSM) dressingLocking device with needleless valve (T connector/clave primed with sodium chloride flush syringe) and if appropriate IVinfusion set-upLocal anesthetic (Based on authorized prescriber’s order)Pre Cannula Insertion1. Verifies authorized prescriber’s order.2. Uses proper hand hygiene through the use of either a waterless, alcohol-based hand rub product or an antimicrobialsoap and water hand washing for 20 sec with adequate rinsing (CDC Guideline).3. Gathers equipment, performs an inspection of I.V. equipment to ensure product integrity, and prepares equipment. (e.g.T connector primed with an attached normal saline flush)4. Introduces self to the patient.5. Checks patient ID using two patient identifiers (Checks ID bracelet and asks patient to state name. (Joint Commission SafetyGoal)6. Provides privacy. Explains procedure and gains the patient’s verbal consent. Also, interviews the patient regarding previous
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SAINT JOSEPH'S COLLEGE DEPARTMENT OF NURSING

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