School of Health Sciences

Department of Nursing (English)

Clinical Practice Area Introduction Form

Student's Name Surname: Student Number:

Name of the Practice Hospital:
Practice Unit/Clinic:
Submission Date:
A - General Information about the Practice Hospital (10 points)
1. Introduce the institution where the clinical practice is affiliated (5 points)

2. Introduce the clinical practice area/unit/service/clinic where the practice is performed (5 points)

B - Information on Clinical Practices (30 points)

3. List the names of common diseases in the clinical practice area (10 points)

4. List the drugs commonly used in the clinical practice area (10 points)

5. Specify the common nursing interventions in the clinical practice area (10 points)

C - Information on Patient Safety Protocol (50 points)

6. Explain the safe communication process within the healthcare team (10 points)

7. Explain verification of patient identity (10 points)

8. Explain infection prevention and control (10 points)

9. Explain ensuring safe medication practices (control process of physician orders, medication
preparation processes, medication administration, medication administration recording, high-risk
medication administration procedures) (10 points)

10. Explain the identification and prevention of risks related to patient safety (Specifically prevention
of falls and pressure ulcers) (10 points)

D - Patient Admission, Transfer, and Discharge Protocol (10 points)

11. Specify the patient admission process to the hospital (5 points)

12. Explain the patient transfer and discharge process (5 points)

Please use your own observations to fill this form.