Bedside clinic

presentation by students

1. PRESENTATION ON BED SIDE CLINIC submitted to : mrs. Lehali bala presented by: anupriya kumari clinical tutor tanushree das college of nursing , rims 2 nd year basic b. sc. Nursing college of nursing, rims

2. CONTENT OBJECTIVES INTRODUCTION DEFINITION PURPOSE METHODS OF CONDUCTING BED SIDE CLINIC POINTS TO REMEMBER WHILE CONDUCTING BEDSIDE CLINIC ADVANTAGES DISADVANTAGES RESOURCES USED BIBILIOGRAPHY

3. OBJECTIVES Define and state the meaning of BED SIDE CLINIC. Explain the purpose of BED SIDE CLINIC. Discuss the method of conducting BED SIDE CLINIC. Enumerate the advantages and disadvantages of BED SIDE CLINIC. Develop communication skills.

4. INTRODUCTION BED SIDE CLINIC , provides opportunity for direct experience in the discussion of principles and practices of nursing care in relation to a given patient . The purpose of conducting bedside clinic is to improve nursing care . It provides chances to the learner to enhance their observation , communication and interviewing skills .

5. DEFINITION Bedside clinic is process in which a clinical teacher and a group of learners sees a patients ,elicits or verifies physical signs ,discussion the provisional diagnosis , diagnostic or therapeutic options in the clinical settings. - GABERSON

6. PURPOSE To provide a learning experience to identify the problems of patients . To collect information about patient . To improve quality nursing care . To plan nursing care according to the priority needs of each patients . To increase the ability to solve nursing problems by detailed study and analysis . To increase ability to make an organized and systematic observation of the patient . To understand certain types of apparatus used for particular patient care . To apply knowledge and experience to real-life situations .

7. STEPS IN BED SIDE CLINIC PHASES

8. Preparation phase Select the patient whose condition and the problems should to be discussed . Explain and take written consent from the patient and relatives. Inform students about the details of patient and date and time of bed side clinic. Explain the purposes of bed side clinic and specific observations to be made to students before visiting the patients . Limit the size of the group to 8-10 students . Plan the session for about 30 min.

9. INTRODUCTION PHASE A prior permission is sought from the patient and the relatives for conducting bedside clinic . The information thus collected are kept confidential . The instructor gives a brief account regarding the name of a patient , venue and other details so as to help the students to study the case sheet in advance before discussion takes place .

10. DISCUSSION PHASE The discussion is initiated by the instructor or the student who is responsible for the patient care . No criticism is made over the patients condition such as to humiliate him . The patient may contribute to the discussion group if he chooses depending on his condition . The students are allowed to interact with the patient for further clarifications . The discussion phase may take about 30-40 minutes of time .

11. EVALUATION PHASE Once the interaction is over , patient is set free . Further the students discuss on doubts and can clarify . The bedside clinic ends with a summary , recapitulation of important aspects and feedback from the students .

12. POINTS TO REMEMBER WHILE ORGANISING BED SIDE CLINIC ESTABILISHMENT OF THE RULES OF CONDUCT : Students should be instructed not to whisper in patient’s room. No calls should made or attended at the bed side. It is not appropriate to laugh at patients or patients response. Behavior of the learner should be proper and respectful. MAKE A PROPER INTRODUCTORY INTERACTION BETWEEN THE PATIENT AND THE LEARNER: It helps to develop IPR and relieves the anxiety of the patient. Patient develop confidence on learner and learner also feels comfortable with performing procedure. ENSURE SUITABLE SETTING FOR LEARNING : Maintain privacy for patients, arrangement of an attended who will wait in the waiting area . Request patient to stop the activities like reading newspaper , television . DEMONSTRATE APPROPRIATE COMMUNICTION TECHNIQUE: use appropriate techniques at the time of bedside clinic and also explain patients that what will going to be done at the bedside . AVOID SHOP TALKING: Be well prepared , remain focused to the topic and avoid any kind of talk out of reference . Find out from team portion of the physical examination if there is any difficulty then discus and demonstrate proper techniques. As the bedside presentation closes leave the patient with an over view of his or her disease process. Always give patient to opportunity to ask question.

13. ADVANTAGES Bedside clinic allows the students to prepare extensively in advance to participate effectively in patient care . It helps the students to develop autonomy . It allows students to select patients with disease conditions of common interest . Bedside clinic allows the students to develop and maintain professional competence . It promotes a better understanding among the students in the terms of health , illness and health care system . Bedside clinic promotes clinical competencies like reasoning , psychomotor and communication skills among students . It develops the ability of the students to evaluate critically and improve own performance .

14. DISADVANTAGES Bedside clinics may be an encumbrance to the patients . It’s narrowness limits the utilization of the process . Bedside clinic is an expensive procedure . It may disturb the privacy of the patient . Results in poor standardization . It is not suitable clinical teaching method for the large group of students . Sometimes bedside nursing clinic may disrupt the routine care of patient or vice versa . Bedside teaching-learning environment may not be always conducive for students , teachers , patients and neighbouring patients and health care workers of particular ward .

15. RESOURCES USED CONSULTANT TEACHER COMMUNICATION EDUCATION TECHNOLOGY BOOKS INTERNET

16. BIBLIOGRAPHY SHEEBA K TRYPHENA AND PRASANNA M.LAKSHMI TEXTBOOK OF COMMUNICATION AND EDUCATIONAL TECHNOLOGY SECOND EDITION FRONTLINE PUBLICATION PAGE NO 179-180 . DR. SHARMA SURESH K. AND SHARMA REENA TEXTBOOK OF COMMUNICATON AND EDUCATION TECHNOLOGY SECOND EDITION ELSNIER PUBLICA- TION PAGE NO. 193-195 . WWW.Slideshare.com WWW.Wikipedia.com