Napa State Hospital Clinical Rotation

Napa Valley College

Associate Degree Program in Nursing

Rotation dates to clinical units: 9/1, 9/2, 9/8, 9/9, 9/15, 9/16, 9/22, 9/23, 9/29, 9/30, 10/6.

Student Assignments: Decided by unit staff every Tues. for T and W.

Post Conf/seminar: Tues. and Wednesday from following clinical,

Instructor: Linda Napholz, RN, Ph.D. office no. 253-3134

Skills I would like the students to perform: Medication administration, organize and run a group, treatments, meal supervision, therapeutic interactions, assessments and monitoring (*see list of psychomotor skills students able to perform)

Student Psychosocial Learning Needs:

Assessments (mental status, physical status……)

Behavioral rating scales

Charting

Client interviews (process recording)

Access to charts to do preparation for client

Access to Group Therapy (attend, participate)

Family Therapy Observation if available

Implementation of relaxation techniques

Exposure to major mental disorders: Thought, Mood, Anxiety, and Personality

Exposure to different developmental stages (based on age)

Milieu Therapy

Preventing and managing aggressive behavior

Crisis Intervention

Restraints

Discharge planning

Patient teaching, i.e., medications

Co-lead an activity group

Observe client status in seclusion

Document observations and interventions

Attend and contribute to interdisciplinary treatment planning

Engage in therapeutic communications individually and in groups

Administer medications with supervision of staff

N144 Students / Unit
Carolyn Furth / T1
Brenna Morris / T1
Monica Garcia / T1
Crystal Delzompo / T5
Amanda Stiffler / T5
Vanessa Webster / T11
Jolena Powell / T11
Rachael Matias / T11
Dolly Lander / T12
Gerry Vietor / T12

Course Objectives NURS 144 Mental Health Nursing in the Community

  1. Use the nursing process to provide care for adults and children with alterations in psychosocial function.
  2. Assume responsibility to actively participate with clients, families and health-care team members in accordance with the legal and ethical standards of the nursing profession.
  3. Demonstrate therapeutic communication with individuals, families and groups of clients with alterations in psychosocial function.
  4. Use theory-based knowledge for making clinical judgments.
  5. Manage the nursing care of adults and children in psychiatric settings.
  6. Demonstrate responsibility for continued personal and professional role development.

*Skills 144 AD Nursing Students able to Perform
1. Medical Asepsis, Handwashing, Gown, glove, mask, isolation
2. Vital signs - Blood Pressure, Temperature, Pulse, Respirations, Pain
3. Oximetry
4. Height and Weight
5. Bed Positions, Side rails, Brakes
6. Body Mechanics, Bedmaking
7. Restraints
8. Bath, Back rub
9. Shampoo
10. Oral hygiene, Denture care, Nail and Foot care
11. Eye Glasses, Contact lenses, Hearing Aid
12. Bed pan/urinal, Peri-care - male & female
13. Feed patient, Guide patient
14. Standard Precautions: Needle sticks
15. Patient positions
16. Assisting with moving and positioning patients in bed.
17. Range of motion
18. Wheelchair
19. Transfer techniques – chair, wheelchair, gurney
20. Hoyer lift
21. Gait belt/Ambulate, Patient falls
22. Cane, Crutches, Walker
23. Abdominal assessment, Bowel sounds
24. Nasogastric tube insertion
25. Tube feedings, Drop calculation
26. Skin assessment
27. Breath sounds, Respiratory assessment
28. Oxygen cannula/mask , Ambu Bag
29. Incentive Spirometry, Deep breathing & coughing
30.Cardiovascular assessment, Peripheral pulses, Capillary refill
31. Blood glucose
32. Oral suction
33. Heat & cold therapy, Sitz bath
34. Enemas, Guiac (occult blood) test
35. Ace wrap, TED hose, Leg exercises
36. Morgue prep
37. Intake & Output
38. Urine clean catch
39. Condom catheter application and care
40. Sterile field, sterile gloves, Sterile dressings
41. Skin sutures, Clips & staples, Drains & cultures
42. Wound irrigation, Wet  moist dressings
43. Urinary catheter insertion, Irrigation, Care, Specimen, Removal
44. I.V. site assessment, D.C. peripheral lock, Change gown with I.V.
45. Breast examination
46. Testicular examination
47. Medications, all types except I.V.