Plan Before Teaching:

Name:
Sammy Levuong BSN Student
Estimated Time Teaching Will Last: approx. 5 minutes repeated as patients are discharged
Location of Teaching: Fountain Valley Medical Center Urgent Care
Supplies, Material, Equipment Needed: Printer, paper, soup, masks, disinfectant wipes, and
hand sanitizer (will double as a prop to show the spread of pathogens).
Estimated Cost: approx. $5
Community & Target Aggregate: Residents of Fountain Valley and surrounding region
Topic: Handwashing, hand hygiene, importance of flu vaccination, and the prevention of the
spread f pathogens.
Identification of Focus for Community Teaching:
The proper way for handwashing and hand hygiene. The importance of receiving the annual
influenza vaccination. The prevention of the spread of airborne, droplet, and surface pathogens to
prevent the spread of illness. Teaching will include the proper wearing of a mask, the best
practice of coughing and sneezing into the crook of the arm. Disinfection of surfaces.
Epidemiological Rationale for Topic (Statistics Related to Topic):
The influenza season currently is in full swing. According to the CDC website the influenza
infection is widespread within California and the nation. Influenza B so far this season is the
predominant viral infection. Since Sept. 29th, 2019 there have been 70 influenza related deaths in
California. In Orange County alone where Fountain Valley is located, there have been 2
influenza related deaths according to the Orange County Health Care Agency. According to the
CDC there have been approx. 46,900 people diagnosed with the flu within California.
Nursing Diagnosis:
Readiness for enhanced health promotion related to current widespread influenza epidemic as
evidenced by 46,900 people diagnosed with influenza in California, only 45.3% of adults and
62.6% of children vaccinated for influenza last year in California, and 87,000 to 150,000
influenza related hospitalization nationwide so far.
Readiness for Learning:
Factors that indicate patients are ready to learn: patients asking about the current flu epidemic,
being asked if they have a few moments after being discharged, asking of the patient and their
family members have received the flu vaccine this year. Patients asking if they can have a mask
to wear while waiting. Also asking how they can prevent themselves from catching the flu.
Student asking the patient how often they wash their hands.
Learning Theory to Be Utilized:
Promote the health of the community by primary prevention through vaccines, surface
decontamination, good hand hygiene, preventing the spread of pathogens, and breaking the of the
Epidemiological Triangle.
Goal:
Healthy People 2020
IID-12.11: Increase the percentage of children aged 6 months through 17 years who are
vaccinated annually against season influenza
IID-12.12: Increase the percentage of noninstitutionalized adults aged 18 and older who are
vaccinated annually against seasonal influenza.
IID-12.13: Increase the percentage of health care personnel who are vaccinated annually against
season influenza.
IID-12.14: Increase the percentage of pregnant women who are vaccinated against season
influenza.
To educated families and others on importance of receiving the annual influenza vaccination to
prevent an epidemic within the local population. To decrease the amount of days missed from
school and work due to an influenza infection. To increase the amount of people choosing to
receive the annual influenza vaccine.
Alma Ata’s Health for all Global Institute:
This relates to health promotion through primary care and primary prevention of the spread of
illnesses.
Develop Behavioral Objectives:
Behavioral Objective & Content Strategies/Methods
Domain
Patient will identify one way Patients will identify surfaces Pictures of the mode of
to prevent transmission of that should be pathogen transmission
pathogens. decontaminated often.

Patient will identify types of Live vaccine (IN) vs dead Picture of the 2 routes of
flu vaccine. vaccine (IM) vaccines.

Patient will identify routes of 2 routes intranasal and Picture of a syringe with
vaccines. intramuscular needle and atomizer.
 Patient will identify who Children older than 6 months Chart on pamphlet of age
should receive the influenza to elderly. range
vaccine

Patient will understand Patients can demonstrate or Pictures of handwashing and

importance of hand hygiene. verbalize the proper way to songs they can sing to remind
wash their hands and the them of the time it takes.
amount of time it should take.

Creativity:
Included diagrams, pictures, and charts on pamphlet. Also had graphs and cartoon on pamphlet.
Engaged the patient with a handshake to demonstrate how pathogens can be spread from one
person to another.
Planned Evaluation of Objectives:
1. Ask the patient how long the should wash their hands for?
2. Ask them how they can prevent the spread of pathogens from coughs and sneezes?
3. Ask them the importance of receiving the annual influenza vaccine?
4. Ask them who should receive the influenza vaccine?
5. Have them demonstrate proper handwashing.
Planned Evaluation of Goal:
Have the patient teach back and verbalize importance of influenza vaccination and the
prevention of the spreading of pathogens.
Planned Evaluation of Lesson and Teacher:
Ask the patient’s understanding of the subject. Ask them if I have answered any questions they
may have. Ask the patient if there is anything that they would like to know more and that they
feel will be beneficial to be added to the pamphlet.
Barriers:
Language can be a barrier to the presentation of this. If that is the case an interpreter can be
utilized to translate.
Patient or guardian does not believe in the effectiveness of the influenza vaccine. Provide as
much information as possible.
Patient’s reluctance to learn. Take the time to explain to the patient the importance of being
educated on their health and wellbeing.
Therapeutic Communication:
Introduce myself and explain what I am doing and why I am there. Greet the patient with a firm
handshake. Ascertain the knowledge of the patient on influenza, the prevention of contracting it,
how to prevent the spread of it, and how often they wash their hands. Maintain eye contact with
the patient. Actively listen to the patient and family, while sitting up straight, explaining the
pictures in the pamphlet, and pointing to the pictures. Ask often if I am going to fast and if I need
to slow down. Ask if there is anything that they would like me to explain more of. Thank them
for the time that they took to listen to my presentation.