5. Taklimat Kurikulum Baru Kejururawatan (OBE) 24 Sept 2020 (1)

Taklimat
Kompetensi
Klinikal Sem 1
(OBE)

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Prosedur 1) Nursing process
Dan Aktiviti 2) Meeting safety needs
Kurikulum 3) Lifting and moving patient
Baru
Sem 1 (OBE) 4) Observe in health care
activities in Health Clinics

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Course i. Kaitkan pengetahuan profesionalisme,
Learning soft skill, aspek medicolegal dan ethical
Outcomes aspects of professional practice dan
aplikasi model kejururawatan dalam
OBE amalan kejururawatan.
ii. Bandingkan amalan kejururawatan
klien di klinik dan hospital.

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Course iii. Berkomunikasi secara berkesan,
Learning bekerjasama dengan profesional
Outcomes penjagaan kesihatan, pelanggan, dan
keluarga di klinik dan hospital.
OBE
iv. Menunjukkan sifat
penyayang dan profesionalisme
dalam memberikan penjagaan
kepada klien dan keluarga.

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Assessmen Dalam OBE

1. Competence 2. Clinical
Assessment Presentation on
Nursing
3. Supervisor Assessment
Appraisal (interview)

4. Nursing activities
in clinic & hospital
setting

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1. Competence Assessment adalah
Competence penilaian individu yang memerlukan
Assessment pelatih menunjukkan kecekapan
dalam melaksanakan prosedur

- Terdapat 14 prosedur

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Procedure 1. Nursing

NORSURAIZAI  Nursing process

2. Meeting safety

 Hand Washing
 Hand Rub
 Gloves
 Mask

3. Procedure Lifting and moving patient

Lateral Fowler’s Prone Semi prone

Transferring client from Transferring Transferring
bed to client from client between
chair to bed
chair/wheelchair/ bed and
commode stretcher

Changing an Changing an

unoccupied bed occupied bed

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2. Clinical 1) Ini adalah penilaian individu yang
Presentation memerlukan pelatih menunjukkan
kecekapan dalam menyampaikan data
on Nursing pesakit.
Assessment
2) Penilaian berdasarkan komponen kemahiran
(interview) insaniah dan pengetahuan yang dinilai
dalam kursus.

3) Menggunakan borang pesakit BKJ-BOR-PPK-
20 Pind. 1/2016 yang mana pelatih perlu
menjawab semua soalan yang dikemukakan
oleh pengajar yang dikenalpasti dengan
penjelasan dan rasional.

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Name: BAHAGIAN KEJURURAWATAN RN:
KEMENTERIAN KESIHATAN MALAYSIA
NURSING ASSESSMENT ON ADMISSION FOR ADULT

PART 1: ADMISSION INFORMATION

I/C No/No Tentera /Polis:

Date of Birth: Sex: Male ( ) Ethnic: Malay ( ) Chinese ( ) Indian ( )
Age: Female ( ) Others ( ) state: ………...........
Wt :
Religion --------------- Nationality :.........................

Date & time of arrival to ward:

Mode of Admission: Admit Via: Accompanied by: Accompanied Item(s):
( ) Walking ( ) ETD ( ) Self ( ) Admission Form
( ) Walking Aids ( ) Clinic..................... ( ) Family ( ) Referral Letter
( ) Wheel Chair ( ) Transfer/referral from ( ) Friend (s)
( ) Stretcher ( ) Hospital staff ( ) SOPD/MOPD/OPD card
............................ ( ) Others ( ) X-Rays:……………..

Patient on: Allergy: Previous Admission: ( ) Laboratory result
( ) IV Line ( ) Yes, state: ( ) No ( ) Blood………….
( ) CVP ……….………………… ( ) Yes: month/year
( ) ETT ………………………… Reasons: Reason for current
( ) No …………………………… admission:-
( ) CBD ……………………………
( ) O2 ( ) Unable to asses Medication From Home:
( ) AV Fistula ………………………… ( ) Yes
( ) No
( ) Others, specify
…………………………

Vital sign: Measurement: GCS Score: To Inform Doctor for any
Wt .................. kg 1. Eye Open : ….……..… abnormalities detected.
B/P...................... mmHg 2. Verbal response: …..…
Pulse/AB: ………/min Ht ................... cm 3. Motor response: ……… Time informed:-
Respiration .................../min …………..
Temperature: ............◦C Total Score: ……………
Name of Doctor. who
SPO2: .......................... received the message:-
Pain Score: ………… ……………………………

Patients Property : ( ) Yes, if yes refer to Borang/ Buku Harta Benda ( ) No

PART 2: NURSING ASSESSMENT

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NO. PROCEDURE SCALE REMARKS

01234

1. Greet patient and introduce self

2. Perform hand hygiene

3. Get the subjective data through interview of the patient :
3.1 Personal data
3.2 History of medical illness
3.3 History of surgery
3.4 History of allergic
3.5 Elimination
3.6 Social history

4. Communication skill

4.1 Speak fluently

4.2 Show confidence

4.3 Maintain eye contact with clients

4.4 Maintain interest of clients

5. Encourage participation from clients

6. Document and report

TOTAL

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ASSESSMENT Rapport
RUBRICS Organization
FOR Communication skills
CLINICAL Ability to answer the question
PRESENTATION
(10%)

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3. 1) Penilaian individu yang
Supervisor memerlukan pelatih menunjukkan
Appraisal kecekapan 8 domain soft skill.

NORSURAIZAI 2) Dilakukan oleh pengajar /
instruktur klinikal /local preceptor
di kawasan penempatan masing -
masing.

SCALE

NO. CRITERIA DESCRIPTORS REMARKS

01234

1. Social Skills and Responsibilities

Interact and network with people. Shows interest in and concern for others.
Respond immediately to people’s/client’s needs. Display enthusiasm,
committed and organize responsibilities and tasks appropriately.

2. Values, Ethics and Professionalism
Display positive values, ethical conduct and professionalism as a student
and future professional. Portray sound personal appearance, timeliness and
punctuality, integrity and trustworthy.

3. Communication Skills
Being able to write, speak and listen. Communicate clearly, precisely, and
use of appropriate terminology orally and written.

4. Teamwork and Leadership Skills
Build a good working relationship and collaborate effectively with team
members and clients. Ability to assume a role as a member of the team or
as a team leader. Motivate others with a positive outlook.

5. Problem Solving and Scientific Skills
Ability to identify, analyze problems and provide justifications or solutions.
Demonstrate critical, lateral thinking and logical reasoning skills in
explaining, analyzing, and evaluating discussions.

6. Managerial and Entrepreneurial skills
Demonstrate planning, organizing and coordinating skills in managing
resources and activities. Generate new ideas and approaches based on
existing skills. Drive to achieve and display energy in achieving.

7. Inform management and lifelong learning skills
Use ICT in information management and demonstrate appropriate digital
literacy. Display independent work and participate actively in Continuous
professional development activities.

8. Caring
Display client focus, empathy, concern and responsive in caring for others
within the scope of professional practice.

Total

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Nursing activities in
clinic & hospital setting

Ini adalah penilaian berkumpulan (4-5
pelatih) yang menunjukkan kecekapan
dalam menyampaikan laporan aktiviti
kejururawatan di persekitaran komuniti
& hospital.

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The report a) The Clinic vs. Hospital Nursing
should Environment

include the b) A Nurse’s Role in Either Setting
following: -
c) Hospital / clinic Settings and Skills
needed

d) Clinic vs. hospital nursing: Common
roles

e) Clinic vs. hospital nursing: Job duties

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STUDENT ACTIVITY : OBSERVE [1]
STUDENT ACTIVITY : ASSIST [1]
STUDENT ACTIVITY : PERFORM [2]

Buku Log Pelatih

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Scale Learning Descriptors
Domains

Knowledge Failed to demonstrate any knowledge

0 Technical Skill Wrong technique

Soft Skill No communication skill

Knowledge Only demonstrate some knowledge without

appropriate understanding

1 Technical Skill The poor technique with poor/wrong interpretation with

guidance

Soft Skill Poor communication skill with the wrong thought

222 Knowledge Only demonstrate an understanding of the knowledge
without appropriate application

Technical Skill Reasonably acceptable technique but poor/wrong

2 interpretation with guidance

Soft Skill Reasonably acceptable communication skill with the
wrong thought

Knowledge Able to demonstrate appropriate application of knowledge
without analytic thinking

3 Technical Skill The reasonably acceptable technique with fairly adequate

3 interpretation with/without guidance

Soft Skill Reasonably acceptable communication skill with correct
thought

Knowledge Ability to demonstrate analytic thinking of the applied
knowledge

Technical Skill The correct technique with a clear and proper

4 interpretation of the finding without guidance

Soft Skill Excellent/Effective communication skill with a smooth
flow of thought

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