Clinical Instructor Toolkit

Effective Communication

• SBAR Communication Tool 
  • The SBAR communication tool is to improve communication between the nursing student, clinical instructor, and primary RN to ensure patient safety and promote Zero Harm. The tool can be used before and after medication administration, performing tasks, and procedures. 
• Nurse Handoff / Shift Report Sheet Examples 
  • Shift Report Sheet #1
  • Shift Report Sheet #2 
  • Shift Report Sheet #3 (Pediatrics)

Medication Administration 

• Pyxis MedStation Attestation Form 
  • Please submit this paperwork to the department only if you require access to perform medication administration with your student(s). 

Orienting your Students to the Clinical Environment 

• Scavenger Hunt 
  • Utilize this handout for a fun way to get your student(s) familiar with their environment during their clinical/practicum 

Student Injury on UCLA Health Facility 

• Escalation and Notification
  • Follow School Handbook policies for notifying faculty and/or program lead
  • On your unit/department: notify the primary RN/preceptor and charge nurse 
• Blood Exposures Only: students will follow the same steps as an employee laid out on the following forms: 
  • Occupational Exposure Requisition - Employee Form
    •  Follow instructions on Page 2
  • Occupational Health Requisition - Source Patient 
    • Follow instructions on Page 2 
  • Incident Report - Complete prior to going to the Occupational Health office (during business hours) or the Emergency Department (outside of business hours). Note: The Workers’ Compensation does not apply to students. 
• Occupational Health (310) 825-6771 Option 5