General Principles of Providing Care For Patients

GENERAL PRINCIPLES OF PROVIDING CARE FOR PATIENTS 2.1 DESCRIPTION OF IMPLEMENTATION Before providing care to patients, students are expected to carry out practice area orientation activities which are carried out on the first day of practice (time is adjusted to the practice area). During clinical practice activities, students receive guidance fromClinical Instructor(CI) namely academic CI and clinical CI appointed by each institution, namely practice areas and educational institutions. 2.1.1 Clinical practice implementation phase: a. Routine activities every official day are in accordance with the official schedule. b. Consultation with Clinical CI and Academic CI c. Completion of tasks 2.1.2 Clinical learning methods: a. Preliminary report b. Daily activity log (learning diary) c. Pre andpostconference d. Bedside teaching e. MentorshipperceptorshipAndsupervision 2.2 GUIDE DESCRIPTION 2.2.1 Academic CI Selected by the Head of the D III Midwifery Study Program under the coordination of the Dean of the Faculty of Health, Nurul Jadid University from among permanent lecturers and external lecturers. Consultation or guidance is carried out once a week and the time is agreed between the student and the supervisor. Assessment of student competency is carried out by Academic CI and Clinical CI. 2.2.2 Clinical CI Appointed by the leadership or authorized official to provide guidance and supervision to students. The minimum educational requirement for a clinical supervisor is equivalent to a D IV Midwifery graduate. In conditions where such qualifications are not available, consideration may be given to appointing a clinical supervisor with extensive work experience in this field. DUTIES AND RESPONSIBILITIES 1. Student a. Get to know clinical supervisors and institutions b. Participate in a clinical learning environment orientation program c. Re-read the study guide/assessment instrument d. Review midwifery materials with the latest references and based on results evidence based e. Attends duty schedule and actively participates in all activities f. Make a daily activity report book which is signed by the clinical supervisor/head of duty at the end of each service hour. g. Attend meetingspreAndpostconference h. Demonstrate all basic clinical practice skills using study guides and assessment instruments i. Discuss with clinical supervisors and institutions regarding clinical skills that are not yet understood or have not been mastered j. Ensure that the competency target achievement book has been signed by the accompanying officer after each action and is acknowledged by the institutional supervisor during the guidance process. k. Comply with all clinical practice procedures and regulations. 2. Mentor a. improve knowledge and skills in midwifery care and other knowledge related to midwifery practice in accordance withevidence based. b. Collaborate with Midwife Education institutions through practice coordinators. c. Prepare yourself to accept students in the practice area. d. Ensure the availability of the number and type of clients, equipment and materials needed to carry out field practice, including models. e. Orient students to the practice area environment that is used including applicable regulations, SOPs, tools and all officers who work on the practice area. f. Hold pre-clinic meetings to discuss and review clinical practice objectives to be achieved, study guides and assessment instruments with students. g. Explain to clients that students are involved in carrying out practical work. h. Facilitate students in arranging places, practice schedules and time utilization. i. Organize the skills that will be learned in various cases. j. Assess students' achievement of clinical skills competency using assessment instruments. k. Continuously evaluate student skills. l. Receive student consultation if difficulties are found in achieving competency or achieving clinical learning objectives. m. Carry outpreconferencewith students to provide feedback on student performance, obstacles faced, discuss cases and midwifery actions found. n. Provide feedback and sign the report book / documentation of the results of the care made by the student. o. Discuss follow-up plans after feedback. p. Provide feedback to teaching lecturers/practice coordinators regarding student development. 2.4 PRACTICAL IMPLEMENTATION TIME Midwifery II clinical practice activities were carried out at the beginning of semester VI with maternal and neonatal emergency competencies which were adapted to the stages of Midwifery Diploma III education. 2.5 PRACTICE PLACE Midwifery II clinical practice activities are carried out by the Hospital. The place of practice is adjusted to the competencies you want to achieve. 2.6 REQUIREMENTS FOR STUDENTS PARTICIPATING IN MIDWIFERY CLINICAL PRACTICE 1. Students have completed and passed the current semester's courses 2. Students are declared to have passed the Phase Examination 3. Registered as an active student of the D III Midwifery Study Program (complete registration and administration). 2.7 STUDENT CONDUCT 2.7.1 Students must appear neat and polite. a. Wear a practice uniform in accordance with institutional regulations (white clothes, white headscarf, hair neatly tied up) b. Wear loafers and white socks c. Don't wear excessive jewelry or make-up. 2.7.2 Students must be present in the practice room 15 minutes before the shift. 2.7.3 UsingSkortin the room 2.7.4 Wear official student identification while in the hospital. 2.7.5 Every time you want to take action, students must obtain permission first/be accompanied by a duty officer. 2.7.6 Actions taken must be in accordance with the learning guide of the institution to which it is adaptedStandard Operational Procedurethat applies in hospitals. 2.7.7 Behave politely and speak kind words towards patients, teaching staff, employees and other academic members. 2.7.8 Comply with various regulations set by each room. 2.7.9 Students who miss practical hours are required to repeat with the following conditions: a. Description of illness: According to the day left b. Permit Description: 2 times the number of days left c. Without explanation (Alpha): 3 times the number of days left 2.8 INSTRUCTIONS FOR USING THE MIDWIFERY CLINICAL PRACTICE MANUAL FOR: 2.8.1 Students a. Maintain and store this manual properly b. Every time you practice this book, you must always carry it with you c. Determine the skills that will be worked on with the clinical supervisor (room/educational) d. Guidebooks are collected in education after carrying out clinical practice, no later than 1 week after clinical practice ends. e. It is hoped that the guidebook as documentation of the teaching and learning process will not be lost. If this evaluation book is lost, then students are expected to repeat the practices they have done 2.8.2 Clinical CI a. Put a cross (√) in the column numbered 1,2,3,4 (assessment scale) after monitoring the students' abilities while carrying out midwifery clinical practice for clients with the following conditions: Number Criteria Information 1 Not enough done wrong 2 Enough done with guidance 3 Good done correctly but in doubt. 4 Very well carried out without guidance appropriately, correctly and systematically. b. Assessment is carried out if there is an agreement between the supervisor and the student concerned c. Every practical supervisor should have records/archives of the students they supervise d. The practice supervisor has the authority to conductindividual conferences and respond to the group at any time if necessary/scheduled 2.9 EVALUATION Each student will be assessed by the Institutional CI and Clinical CI. The weighting of preliminary reports is 10%, responsiveness 30%, attitudes and actions 30%, case reports 20%, attendance 10%. This assessment consists of cognitive, psychomotor and affective aspects. If students have not reached the passing limit score, they can retake the exam. 2.9.1 Institutional CI Assessment Assessment aspects include: a. Report generation -Craft in consultation -Compatibility of each chapter -Accuracy in submitting reports b. Implementation of presentations -Group preparation -Mastery of case material -Delivery of material -Timeliness of presentation -Collaboration between group members 2.9.2 Clinical CI Assessment a. Competencies achieved b. Student attitude -Good practice discipline during service time, and obeying place of service regulations -Collaboration with service colleagues or employees on duty -Politeness with employees within the scope of work -Neatness in appearance and carrying out duties -Student activity c. Implementation of presentations -Group preparation -Mastery of case material -Delivery of material -Timeliness of presentation -Collaboration between group members The minimum passing score for each clinical practice is 70, for students who get a score < 70, they must repeat the clinical practice according to the overall clinical practice schedule. The costs of clinical practice and the costs incurred by this are the responsibility of the student. The limit of opportunities for students to take part in clinical practice activities again is adjusted to the maximum study limit.