Standard parts of a policy

SUBJECT/TITLE:

Communicating Student- Patient/Client Assignments
ADDITIONAL REFERENCE NAMES:
DATE ESTABLISHED:

AUTHORIZATION:
DATE REVISED:

Policy:
To maintain confidentiality, privacy and integrity of patient information in the selection and communication of student-patient
assignments.

Applicability:

This policy applies to all instructors and nursing students in the undergraduate program.
Points of Emphasis:
Student-patient assignments will be communicated to the students by the instructor at least 12 hours in advance of the
commencement of the practice experience so as to allow the students time to prepare.
Process:
The instructor will communicate the student-patient assignment to Unit/Staff and Students.
For the unit/staff:
 Selects patients and reviews student-patient assignment with charge RN or designate; revises assignment as required  Documents the student-patient assignment on the U of C, Faculty of Nursing assignment form-Appendix A  Posts the assignment on the unit in designated location for unit staffs’ reference  Updates the assignment sheet at the beginning of shift, if required
For the nursing students:
 Provides the nursing students with patient profile/documentation print out for assigned patients and the following o Gender o Age o Admitting medical diagnosis and associated diagnoses o Level of activity o Diet Y:\Policy Manual 2012-2013\Communicating Student Patient Client Assignments.Updated Nov13-12.docx o Medications o Treatments o Tests and procedures o Identified psychosocial need The following information will not be shared with the students and must be removed (information is cut out or blackened) from the patient profile/documentation print out to ensure the confidentiality of patient information: o Patient name o ID number o Alberta Health Number o Hospital Site/Agency and Unit o Room number o Date of birth o Family contact information o Physician name and consultants and other health care provider names  Notifies the student of patient information either by dropping off the hard copy of altered patient profile/documentation print out at the Faculty of Nursing or emails the student individually with their specific assignment o If a hard copy is distributed, the instructor will place all of the student-patient information sheets in an envelope and label it with the course number and instructor name. This envelope will be left with the Teaching and Learning Assistant or designate, in the Learning Commons. (Please note the Learning Commons is open from Monday – Saturday) o The instructor may choose to meet the students at the Faculty of Nursing during a predetermined time and place to hand out all of the assignments o If emailing the student-patient assignment, the instructor will send a test email via Blackboard to the students to ensure that their email is correct. the student must reply back. Once a confirmation email has been received, the altered, typed or scanned patient profile/documentation print out is emailed to the students. The nursing student will:
 Receive patient assignment and prepare self to provide nursing care to assigned patients during the practice  Dispose of the patient information by placing it in a confidential shredding onsite.

References:

Alberta Health Services, Calgary (November 2009) Practice consult from Professional Practice and Development on the Privacy
of Patient Information and Nursing Students.
Alberta Health Services communique received September 4, 2012 states: “Instructors and students should use the well-defined policy developed by U of C in which reports are printed directly from SCM and then personal identifying information is removed prior to use.” Code of Ethics for Registered Nurses (June 2008) Canadian Nurses Association, Ottawa. Y:\Policy Manual 2012-2013\Communicating Student Patient Client Assignments.Updated Nov13-12.docx Appendix A
Nursing XXX: Student Assignment
Date/Time
Post conference time
Instructor
Instructor Phone #:
Patient (room/bed)
Co-assigned Staff Member


The students will arrive to this practice practicum with the following skill set (Specify)

Skills to be learned this semester; (Specify)
Y:\Policy Manual 2012-2013\Communicating Student Patient Client Assignments.Updated Nov13-12.docx Appendix B
Weight: 50.6 kg
As of: 2009-May-03
Provider:
Health Issues:
Allergies:
Visit Comments: Header1 2009-Apr-20

Advanced Care Planning
Goals of Care Designation
Requested 2009-Apr-20
C1, Designation Definition: Goals of Care and interventions are for maximal symptom control and maintenance of function without cure or control of underlying condition. Transfer may be undertaken in order to better understand or control symptoms. Surgery may be undertaken in special circumstances in order to better understand or control symptoms.
Admit, Discharge and Transfer
Admit to PLC
Admit Date: 2009-Apr-19 Diagnosis: Delirium and skin tear, Requested Serv: Family Medicine
Medications and IV’s
Medications:
Acetaminophen tab
Start: 2009-Apr-19
(Ordered as: TYLENOL tab) 500mg PO tid prn
Citalopram

Lactulose
15 mL PO daily (Each mL provides 667 mg lactulose)
Levothyroxine tab
Start: 2009-Apr-29
88 mcg PO daily
Mupirocin 2%
Apply TOPICALLY forehead <User Schedule> (every 1 day: 10:00)
Non-formulary medication
Start: 2009-May-26
*Report includes only those orders that meet orders filter criteria and only for patient visits included on the patient list.

Y:\Policy Manual 2012-2013\Communicating Student Patient Client Assignments.Updated Nov13-12.docx Weight: 50.6 kg As of: 2009-May-03 17:06 Height: 142 cm
As of: 2009-May-03 17:06

Medications and IV’s

Non-formulary medication
Memantine tablet10 mg PO qhs Indication: Patient’s own medication has been depleted
Ramipril
2.5 mg PO daily
Risperidone
0.l25 mg mg PO qhs
Trazodone
50 mg PO qhs
Vitamins multiple w/minerals
(Known as: CENTRUM FORTE tab) 1 tab PO daily
Warfarin
(Known as: APO-WARFARIN tab) 2.5 mg PO daily at1700h
PRN Orders
Acetaminophen tab
Start: 2009-Apr-19
325-650 mg PO q4-6h PRN
Glycerin adult supp
Start: 2009-Apr-19
1 supp RECTALLY daily PRN, --Hold bowel routine and laxatives if diarrhea develops .
Risperidone
0.125 mg PO bid with meals PRN, -breakfast and lunch
SENOKOT
(Each tab contains 8.6 mg sennosides) 1 to 2 tab PO qhs PRN, --Hold bowel routine and laxatives if diarrhea develops
Laboratory
PT INR
-Routine-Morning Requested: 2009-Jun-08 Scheduled: 2009-Jun-08 07:00 -Routine-Morning, Anticoag. Therapy: yes
*Report includes only those orders that meet orders filter criteria and only for patient visits included on the patient list.

Y:\Policy Manual 2012-2013\Communicating Student Patient Client Assignments.Updated Nov13-12.docx Weight: 50.6 kg As of: 2009-May-03 17:06 Height: 142 cm
As of: 2009-May-03 17:06

Respiratory Care
O2 Therapy – Titrate to Saturation
Maintain Sp02 (%) >=92
Patient Care
Activity as Tolerated
Requested: 2009-Apr-19

Clinical Communications
,-- Wean off supplemental O2
Clinical Communication
Requested: 2009-May-02 Status: Active
Physician to Nurse, -- OK to use lap belt PRN for patient restraint as needed to decrease risk of falls/ wandering. Please don’t
use unless necessary. Reassess with attending.
Dressing
Requested: 2009-May-27 Status: Active
, Action: Change, Dressing Type: Gauze, secure with Cloth Tape, Anatomy: Forehead, daily – apply bactroban on wound daily
until healed.
Dressing
Requested: 2009-May-29 Status: Active
Start At: Routine, Action: Apply, Dressing Type: Telfa, Secure with: Paper Tape, Location: Right, Anatomy: Arm(s), q24h and
PRN, -- Apply Telfa dressing to upper and lower R arm skin tears and apply with smallest possible amt. of paper tape to prevent
further tears. Secure dressings with Kling and burn net.
Notify
Requested: 2009-Apr-19
, Who: Attending Physician, When: If no bowel movement in 3 days.
Vital Signs
Requested: 2009-apr-19 Status: Active
Temperature, Pulse, Respirations, Oxygen Saturation, Blood Pressure, Q8H, -- q4h in ED, do not wake up for vitals over night
PRN Orders
Apply ointments/creams/lotions
Product: Baza Protect: crtic aid, Anatomy: Perineum, after cleansing, PRN, --Baza to red skin on buttocks, coccyx, perineum,
critic aid to broken skin, versa care/total bed care
Nutrition
Communication to Food Services
Requested: 2009-May-17 Status: Active
, Other: Please do not supply salads-unable to eat

Minced Diet
Requested: 2009-May-28 Status: Active
Y:\Policy Manual 2012-2013\Communicating Student Patient Client Assignments.Updated Nov13-12.docx *Report includes only those orders that meet orders filter criteria and only for patient visits included on the patient list.
Other Consults/Referrals
ET Nurse (Enterostomal Therapy)
Requested: 2009-May-23 Status: Active
Reason: Wound Care
Additional Information: pt has wound to R elbow. Currently has order to apply silver dressing q2 days but wound dry to slightly
moist, pls r/a for appropriate drsg. Thanks.
Transition Services
Requested: 2009-Apr-20
Reason for Referral: Discharge Planning
Referral Instructions: Nursing orders required under “Additional Information”. i.e. Wound Care, Meds, etc
*Report includes only those orders that meet orders filter criteria and only for patient visits included on the patient list.
Y:\Policy Manual 2012-2013\Communicating Student Patient Client Assignments.Updated Nov13-12.docx

Source: http://nursing.ucalgary.ca/files/nursing/Communicating-Student-Patient-Client-Assignments-Nov2012.pdf