GUIDELINES IMPLEMENTING RLEBased on CHED MEMORANDUM ORDER 14 series of 2009

Content• RLE

– Base hospital, affiliating agencies, community agencies

• Instructional Standards– AVR materials, syllabi/resource units, clinical teaching

programs, clinical rotation• SPS• Admission criteria

GUIDELINES FOR IMPLEMENTING RELATED LEARNING EXPERIENCES

The Bachelor of Science in Nursing (BSN) curriculum is a:

• competency-based• community-oriented curriculum The teaching-learning process is

composed of: • theoretical/didactic • experiential / RLE

What is Related Learning Experience?• RLEs are teaching-learning

opportunities designed to develop the competencies of students utilizing processes in various health situations. These could be sourced from, but not limited to lying-in clinics, schools, industrial establishments, community, out-patient clinics and general and specialty hospitals.

Royal College of Nursing: Pride in Nursing

Uploaded on Aug 18, 2011A talking heads piece produced for the Royal College of Nursing to demonstrate the commitment and pride of both the association and it's members.

Clinical Laboratory Skills Laboratory

The Related Learning Experiences (RLEs) is composed of:

The RLE activities are carefully selected to develop competencies utilizing the nursing process in varying health situations. Hence, the challenges depend greatly in the preparedness and ability of the faculty to organize the learning experiences in the classroom or various health situations based on the clearly-defined objectives.

In coming up with the proposed formula for determining cost of RLE per student, considerations were given to:

(a) Rules and Standards of Nursing Education and the prescribed units and hours for the RLE in the BSN Curriculum

(b) faculty preparation, and competence. Thus:

1. A class is composed of 48-50 students.

Faculty-student Ratio for RLE Hospital/Community setting per semester and year level shall be:

Year Level First Semester

Second Semester

2nd Year level

1:8 1:8

3rd Year level

1:10-12 1:10-12

4th Year level

1:12-15 1:12-15

2. Related Learning Experiences hours requiredfor the whole program . . . . . . . . . . . . . . . . . . . . . 2, 346 hours

Courses Skills Lab Clinical RLE Contact Hours(1 credit unit =51 hours)

Health Assessment 1 0 51Community Health Nursing .5 1.5 102

Nursing Research I 1 0 51Nursing Research II 2 0 102

Nursing Care Management 100 2 0 102Nursing Care Management 101 1 3 204Nursing Care Management 102 1 5 306Nursing Care Management 103 1 5 306Nursing Care Management 104 1 3 204Nursing Care Management 105 0 2 102Nursing Care Management 106 2 3 255Nursing Care Management 107 0 3 153

Intensive Nursing Practicum 0 8 408

Total12.5 33.5

2,346 hours46 RLE UNITS

4. Basis for Computation to Determine RLE Fee:•Number of hours assigned to faculty X hourly rate = RLE Fee***Hourly rate shall be specified in the Guidelines for Affiliation promulgated by the Department of Health

5. Computation of RLE Hours: 1 unit = 51 hoursBase Hospital - a health facility being utilized by a HEI offering nursing program as a source of basic or primary related learning experiences.

The hospital maybe:•independent or owned (TDH)•operated by the institution (OLM school of Nursing)•utilized by the institution in accordance with an effective and duly notarized

Memorandum of Agreement between the institution and the base hospital which clearly specifies the responsibilities of each party.

The base hospital of a nursing school should meet the following requirements:

Current accreditation by the DOH-Bureau of Licensing and Regulation as Level IV Hospital (Tertiary Care/Teaching/Training Hospital).

However, Level III Hospitals (Secondary Care Hospitals) may be considered provided that the hospital can provide the following:

a.1 adequate case load for the number of students enrolled

a.2 adequate facilities for the teaching and learning needs of the students

b. Minimum capacity of 100 beds with general services and minimum bed occupancy of eighty percent (80%);

c. Should be accessible and located within the region where the nursing school is situated.

d. Sixty percent (60%) of the total bed capacity of the base hospital shall be used for the RLEs of students.

e. Should have a master rotation plan indicating the schedule/areas of all the schools utilizing the hospital for training of students.

Affiliation Hospital/Agencies - a health facility being utilized by the HEI in specialized areas for supplementary clinical learning of students such as mental, orthopedics and communicable diseases.

Contract of Affiliation a legal document that shows the terms of references among involved parties. Parties to the contract of affiliation should provide and maintain an environment conducive to the attainment of the teaching-learning objectives. The nursing school and the hospital agency should establish effective coordination and cooperation. Open communication should exist among the medical staff and the school personnel.

Cross regional affiliations will not be allowed unless in cases where specialty areas cannot be found in the region.

The base hospital/s, affiliation hospital/s and community health agency/ies being used by the students for RLEs either conducted in urban or rural community should have the following facilities: classroom for conference, library, comfort room, dressing room, lounge, and locker

Provision should be made for adequate physical facilities, supplies and equipment for effective nursing care and learning experiences of students. The nursing service should be provided with a designated training coordinator and the required staffing composed of qualified professional and nonprofessional personnel.

The faculty and the nursing service personnel of the affiliation agency should work together in the planning, implementation and evaluation of the related learning experiences of students.

There should be an adequate number of patients varying in age, sex, level/acuity and types of illness desired for teaching-learning experience of different curricular levels.

13.5. Virtual Nursing Skills Laboratory:

HEIs are encouraged to put up Virtual Skills Laboratory to supplement and complement the related learning experiences prior to actual experience.

Community Agencies – anchored with community health nursing, this is the focus on the care of population groups and community as clients utilizing concepts and principles in community health development. It also describes problems, trends and issues in the Philippine and global health care systems affecting community health nursing practice.

I

n partnership with DOH, a HEI offering nursing adopts a health center and help in the implementation of DOH programs.

DOH Attached Community Agencies

Commission on Population (POPCOM)

Local Water Utilities Administration (LWUA)

National Nutrition Council (NNC)

Philippine Health Insurance Corporation (PHIC; PhilHealth)

Philippine Institute for Traditional and Alternative Health Care (PITAHC)

Philippine International Trading Corporation - Pharma (PITC - Pharma)

Phiilppine National AIDS Council (PNAC)

Philippine Sports Commission (PSC)

ARTICLE VII SECTION 14 - INSTRUCTIONAL STANDARDS

INSTRUCTIONAL STANDARDS

The institution must maintain a high standard of instruction, utilizing appropriate and updated course syllabi/references and instructional methods/strategies taking into consideration the key areas of responsibility that contribute to quality nursing education: Safe and Quality Nursing Care Personal & Professional DevelopmentHealth Education ResearchCommunication Quality ImprovementCollaboration & Teamwork Records Management Legal Responsibility Management of Resources and EnvironmentEthico-Moral Responsibility

The following should be strictly observed:

a. professional nursing subjects with the corresponding RLEs must be strictly adhered to, - prerequisites, sequencing, continuity and integration requirements

b. credit for the course completion is based on the fulfillment of curricular requirements

- The grade for professional courses shall be based on the course credit (lecture & RLE)

c. the faculty-student ratio in science laboratory class is 1:25 while regular classroom is 1:50 - student’s progress should have systematic and continuing plan of evaluation through a marking system that is consistent and congruent to set objectives

d. a system of academic evaluation for monitoring/evaluating students & teacher performance

e. regular academic audit of instructional resources (syllabi, textbooks, modules, audiovisual materials and others such as software)

f. Academic records of faculty members must be properly kept and be maintained in the college of nursing.

g. The competency standards for nursing practice in the Philippines must be an integral part of the nursing education process, therefore, the Philippine Nursing Core Standards shall serve as the framework for the development of instructional standards in the BS Nursing curriculum as provided pursuant to PRC-BoN Resolution No.112 s. 2005 and future amendments consistent thereto; as well as PRC-BoN Memorandum No. 01 s. 2009 dated April 14, 2009 entitled, “Providing for Policy Guidelines on Intrapartal, Immediate Care of the Newborn and Intra-operative Care”

Section 15. The teaching-learning process is composed of the theoretical/didactic and experiential/RLE. The Related Learning Experiences (RLEs) is composed of Clinicals and Skills Laboratory. The RLE activities are carefully selected to develop competencies utilizing the nursing process in varying health situations.

The following conditions must be observed: a. Related Learning Experiences (Clinicals) shall be offered simultaneously or immediately after the lecture. Classroom and RLE activities must be congruent with the objectives of the course.

b. Faculty teaching the lecture shall supervise students in their RLE. In the case of team teaching, there should be close coordination and collaboration between the lecturer and the clinical faculty.

.

c. A documented RLE rotation plan showing distribution of students and faculty supervision in each clinical area of base hospital and affiliation agencies shall be made available.

d. Faculty compensation shall be based on the computation that one (1) hour RLE is equivalent to one (1) lecture hour.

e. Effectiveness and efficiency of the related learning experience, shall consider the following factors:

f.1 Quality of supervision of clinical instructors and teaching-learning processf.2 Readiness and capability of the learnerf.3 Quality of the learning resources both in institutions and communitiesf.4 Adequate number and variety of clientelef.5 Utilization of appropriate feedback mechanismf.6 Adequate number of qualified nursing staff and other personnelf.7 Quality of nursing care servicesf.8 Compliance with the required equivalence of fifty one (51) hours to to one (1) unit RLEf.9 Ratio of student to clientele depends upon the objectives and the capacity of the student

Level 1st Semester 2nd Semester Summer

I NA 1:1 1:1

II 1:1 1:2 1:2

III 1:2-3 1:3-4 NA

IV 1:5 1:6 NA

The ratio of student to clientele shall be:

The ratio depends upon the client group, e.g, ICU 1:1-2; Psych 1:1; Community-based experience 1:1 Family; 1:1 Population Group per catchment area; 1-2:1 Community (depending on the size of the barangay).

Level 1st Sem 2nd Sem Summer

I NA 1:8 1:8

II 1:8 1:8 1:8

III 1:10-12 1:10-12 NA

IV 1:12-15 1:12-15 NA

The ratio of faculty to student ratio for RLE (Skills Laboratory) shall be:

Level 1st Sem 2nd Sem Summer

I NA NA NA

II 1:8 1:8 1:8

III 1:10-12 1:10-12 NA

IV 1:12-15 1:12-15 NA

The ratio of faculty to student ratio for RLE (Clinicals in Hospital/Community setting) shall be:

Section 16. Recognition and Accreditation

a. For government recognition, an increase in student population shall be subject to proportionate increase of resources both in classroom and clinical area subject to CHED approval. For this purpose, CHED Regional Offices shall strictly monitor compliance herein.

b. Nursing schools that are in existence for a period of five (5) years are encouraged to undergo program accreditation.

Audio Visual Equipments such as mannequin, models, videos, CD, etc.

COURSE SPECIFICATIONS

SYLLABI / RESOURCE UNITS

Year Level First Semester Second Semester Summer

First THEORETICAL FOUNDATIONS IN NURSING (TFN)Course Credit : 3 unitsContact Hrs/sem: 54 lecture hrsPlacement: 1st Year, 1st Semester

ANATOMY AND PHYSIOLOGY (Ana/Physio)Course Credit : 3 units lecture, 2 units labContact Hrs/sem: 54 lecture hrs, 108 lab hrsPre-requisite : None

HEALTH ASSESSMENT (HA)Contact Hrs/sem: 36 lecture hrs, 51 RLE hrsPrerequisite : TFN, General Psychology, Ana/Physio, Chemistry 2 & NCM 100Placement: 1st yr, Summer

FUNDAMENTALS OF NURSING PRACTICE(NCM 100)Course Credit : 3units lecture, 2units RLE (Skills Lab)Contact Hrs/Sem: 54 hours lecture, 102 RLE hours Skills LabPrerequisite : General Chemistry, TFN Co-requisite Ana/Physio, Biochemistry

CARE OF MOTHER, CHILD, FAMILY AND POPULATION GROUP AT-RISK OR WITH PROBLEMS (NCM 102)Course Credit : 5 units lecture, 6 units RLE [1unit Skills Lab/5units Clinical]Contact Hours/Sem: 90 lecture hours, 306 RLE hoursPrerequisite NCM 101 Co-requisite : Pharma; NuDiet

Second COMMUNITY HEALTH NURSING (CHN)Course Credit : 3 units lecture; 2 units RLE (.5 Skills Lab; 1.5 Clinicals)Contact Hrs/sem: 54 lecture hrs; 102 RLE hrsPrerequisite : NCM 100, TFN, HA

NUTRITION AND DIET THERAPY (NuDiet)Course Credit : 3 units lecture, 1 unit laboratoryContact Hrs/sem: 54 lecture 54 labPrerequisite : General Chemistry, Biochemistry, Ana/Physio, Micro/Para

Course Name : HEALTH EDUCATIONCourse Code : HealthEdCourse Credit : 3 units lectureContact Hours/sem: 54 lecture hoursPrerequisite : NonePlacement: 2nd yr, Summer

MICROBIOLOGY AND PARASITOLOGY(Micro/Para)Course Credit : 3 units lecture, 1 unit labContact Hrs/sem: 54 lecture hrs, 54 lab hrsPrerequisite : General Chemistry, Ana/Physio

PHARMACOLOGY(Pharma)Course Credit : 3 units lectureContact Hrs/Sem: 54 lecture hrsPrerequisite : Math 1, General Chemistry, Ana/Physio, NCM 102

Course Name : INFORMATICSCourse Code : ITCourse Credit : 2 units lecture; 1 unit laboratoryContact Hours/sem: 36 lecture hours; 54 laboratory hoursPrerequisite : College AlgebraPlacement: 2nd Yr Summer

CARE OF MOTHER, CHILD AND FAMILY (NCM 101)Course Credit : 4 units lecture, 4units RLE [1unit Skills Lab/3units Clinical]Contact Hrs/Sem: 72 lecture, 204 RLE hrsPrerequisite : FNP, HA, Ana/PhysioCo-requisite : Micro/ Parasitology

Third CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM AND ENDOCRINE(NCM 103)Course Credit: 8 units lecture, 6 units RLE (1 unit Skills Lab; 5 units Clinical)Contact Hrs/sem: 144 lecture hrs; 306 RLE hrsPrerequisite NCM 102

CARE OF CLIENTS WITH PROBLEMS IN INFLAMMATORY AND IMMUNOLOGIC RESPONSE AND PERCEPTION AND COORDINATION(NCM 104)Course Credit : 5 units lecture, 4 units RLE (1unit skills lab, 3 unit clinicals)Contact Hrs/Sem: 90 Lecture Hrs/ 204 RLE HrsPrerequisite : NCM 103

Course Name : BIOSTATISTICSCourse Code : BiostatCourse Credit : 3 units lectureContact Hrs/sem: 54 lecture hrsPrerequisite : College AlgebraPlacement: 3rd Year, 1st semester

CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF BEHAVIOR (NCM 105)Course Credit : 4units lecture ; 2units RLE (2units Clinical)Contact Hrs/Sem: 72 Lecture hrs; 102 RLE hrsPrerequisite : General Psychology, NCM 103Co-requisite NCM 104

ECONOMICS WITH TAXATION AND LAND REFORM (Econ)Course Credit : 3 units lectureContact Hrs/sem: 54 lecture hours

Course Name : BIOETHICSCourse Code : BioethicsCourse Credit: 3 units lectureContact Hrs/Sem: 54 lecture hrsPrerequisite : Logic, Philosophy of ManPlacement : 3rd Year, 2nd Semester

NURSING RESEARCH I (NRes I)Course Credit: 2 units lecture; 1 unit RLEContact Hrs/Sem: 36 lecture hrs; 51 RLE hrsPrerequisite : Biostatistics

Fourth CARE OF CLIENTS WITH PROBLEMS IN CELLULAR ABERRATIONS, ACUTE BIOLOGIC CRISIS, EMERGENCY AND DISASTER NURSING (NCM 106)Course Credit : 6units lecture, 5units RLE (2units Skills Lab ; 3units Clinical)Contact Hrs/sem: 108 lecture hrs, 255 RLE hrsPrerequisite : NCM 104 NCM 105

Course Name : COMPETENCY APPRAISAL IICourse Code : CA IICourse Credit 3units lectureContact Hours: 90 lecture hrsPrerequisite : Competency Appraisal I, NCM 106, Research 2Placement: 4th Year, 2nd Semester

NURSING LEADERSHIP AND MANAGEMENT (NCM 107)Course Credit : 4units lecture, 3units RLE (3units Clinical)Contact Hrs/sem: 72 lecture hrs, 153 RLE hrsPre-requisite : NCM 104 NCM 105Co-requisite : NCM 106

Course Name : INTENSIVE NURSING PRACTICUMCourse Code : INPCourse Credit 8 Units RLEContact Hours : 408 hours Clinicals (24 RLE hrs/W)Prerequisite : All Professional subjectsPlacement: 4th year, 2nd semester

Course Name : NURSING RESEARCH IICourse Code : NRes IICourse Credit : 2 units RLEContact Hrs/Sem: 102 RLE hrsPrerequisite : Nursing Research IPlacement : 4th year, 1st semester

Elective II

Course Name : COMPETENCY APPRAISAL ICourse Code : CA ICourse Credit : 3 units lectureContact Hrs/sem: 54 lecture hrsPrerequisite : NCM 105, Nursing Research 1Placement : 4th Year, 1st Semester

Elective I

Elective I is taken in the 4th Year 1st Semester Elective II is taken in the 4th Year, 2nd SemesterCourse Name: : ELECTIVE I: PARENT CHILD NURSINGCourse Code : Elec ICourse Credit : 2 unitsContact Hours : 36 hoursPrerequisite : NCM 101, NCM 102Placement : 4th Year, 1st Semester

Course Name : ACUTE/CRITICAL CARE NURSINGCourse Code : Elec IICourse Credit 2units lectureContact Hours : 36 lecture hoursPrerequisite : All Professional SubjectsPlacement : 4th year, 2nd semester

Course Name : ELECTIVE I: SPIRITUAL CARE NURSINGCourse Code : Elec ICourse Credit : 2 units lectureContact Hours/sem: 36 hours lecturePre-requisite : NonePlacement : 4th year, 1st semester

Course Name : QUALITY HEALTH CARE AND NURSINGCourse Code : Elec IICourse Credit 2 units lectureContactHours/Sem: 36 lecture hoursPrerequisite: NonePlacement : 4th Year, 2nd Semester

Course Name : ELECTIVE I: HOSPICE PALLIATIVE CARECourse Code : Elec ICourse Credit : 2 units lectureContact Hours : 36 hoursPrerequisite : NonePlacement : 4th year, 1st semester

Course Code: : CARE OF THE CHRONICALLY ILL AND THE OLDER PERSONCourse Code : Elec IICourse Credit : 2units lectureContact Hours : 36 hoursPrerequisite : NonePlacement : 4th Year, 2nd Semester

Nursing Electives: Students shall choose at least two Electives [Elective I and Elective II] to Complete the BS Nursing Program.

Clinical Teaching Programs

Clinical Rotations

Alumni Relations OfficeThe Alumni Relations Office serves as a link between the alumni and the College, and conducts programs and activities to encourage and strengthen the involvement of alumni in College Affairs and developments.BookstoreThe Bookstore provides books, basic school and office materials and supplies, uniform materials and other items needed by the students.Campus MinistryThe Campus Ministry provides opportunities for faculty, students and staff to deepen their faith through special masses, worship and pastoral ministry, retreats and recollections, fellowship, discipleship and evangelism.College WebsiteThe College maintains a website which is a venue for informing internal College community, the alumni, and the external public of programs, services, activities, events, accomplishments and other significant developments in the College.School ClinicThe School Clinic provides basic health services administered by the physicians, dentists and nurses.

SPS

Admissions and Scholarships OfficeThe Admissions and Scholarships Office handles recruitment, screening, and admission of all students and administers the scholarship program as well as the grants available for working students.Center for Research and DevelopmentThe Center for Research and Development spearheads the planning and implementation of the College's research agenda, oversees the conduct of institutional research, and provides assistance to the research endeavors undertaken by the colleges and faculty.Community Extension ProgramThe Bookstore provides books, basic school and office materials and supplies, uniform materials and other items needed by the students.Guidance ServicesThe Guidance Program provides services and activities designed to equip students with psycho-social tools and attitudes needed for them to discover and develop to the fullest their potential as individuals.The program includes testing, orientation, counseling, support group program, individual inventory services, career advising, and job placement assistance.

Instructional Media CenterThe Instructional Media Center provides multimedia resources and services in support of the instructional needs of faculty and students.LibraryThe Library provides a collection of books and wide variety of references and reading materials which support the needs of faculty and students.Registrar's OfficeThe Office of the Registrar is the official repository of records of student's academic performance, and is responsible for ensuring proper compliance of all rules, regulations and requirements mandated by the CHED, TESDA, PRC and other pertinent regulatory organizations and agencies.Student ServicesThe Student Services Program complements the academic endeavor through the provision and coordination of variety of services that contribute to the holistic formation of students.

AdmissionsIt’s so easy to apply for admission at Riverside College! Just proceed to the Admissions and Scholarships Office and we will gladly assist you.Bring the following:For Incoming Freshmen:High School ID or Report CardPencilBlack Ballpen3 pcs. 1 x 1 ID pictureAdmission slipForm 138 / High School CardPhotocopy of Good MoralPhotocopy of NSO Birth CertificatePhysical Exam

For Transferees:

Transcript of Records/Copy of Grades/Grade SlipPencilBlack Ballpen3 pcs. 1 x 1 ID pictureAdmission slipTranscript of RecordsHonorable Dismissal / Transfer of CredentialsPhotocopy of Good MoralPhotocopy of NSO Birth CertificatePhysical ExamNo entrance exam fees!

Exam Dates:Monday to Saturday 8:00am to 5:00pm

Scholarships

Riverside College has a variety of scholarships to offer. We have the DPOTF, Alumni, Sports, NSTP, AFP and Adopted Barangay scholarships to enumerate a few. We offer academic scholarships for Valedictorians and Salutatorians and we also provide work aide grants to deserving students.Come to think of it, we are the only school in Negros offering such excellent scholarship opportunities for students aiming to become the next top healthcare professionals!

Feel free to call us at 433-7331 local 3622 or visit us at the Admissions and Scholarships Office and we would be glad to answer your queries. Because here in Riverside, our students are our priority!

List of Scholarship Grantees:

Academic Scholarships (Valedictorian/Salutatorian/1st to 3rd Honorable Mention)

Work Aide GrantDr. Pablo O. Torre Foundation ScholarshipVarsity Sports ScholarshipResident ScholarshipAFP ScholarshipNOPMANSCHED ScholarshipNSTP ScholarshipAdopted Barangay Scholarships

To apply, just submit the following:

Requirements for Valedictorian and Salutatorian:Certification from the Principal for Valedictorian/SalutatorianPhotocopy of Form 138 / High School CardRequirements for 1st to 3rd Honorable Mention:Certification from the Principal that student graduated as 1st, 2nd or 3rd honorable mentionStudent’s ranking in the entrance exam should be Rank 3 and abovePhotocopy of Form 138 / High School Card

Requirements for other scholarships:Admission slipPhotocopy of Form 138 / High School CardPhotocopy of Income Tax Return (not more than P72,000) / Photocopy of the Certificate of Tax Exemption from BIRPhotocopy of Good MoralPhotocopy of NSO Birth CertificateAutobiographyApplication letter address to Ms. Ana Lou M. Alegada (Admission and Scholarships Officer)