Peejay50

Hi I teach CT on the preceptor programme. I use clinical scenarios guided by practice. Then I have one course participant act as preceptor and one as the preceptee for each scenario. We pretend we are at the bedside and construct questions regarding the patient's condition at various stages of treatment/nursing process. I give the preceptor guided prompt questions, so that if the preceptee can not come up with the answer, the preceptor can encourage the answer through questioning. This is to guide the learner towards possible action at each stage rather than have the preceptor make the decisions and give all the answers. e.g. A patient with an acute exacerbation of COPD IMPROVES HIS OXYGEN SATURATION FOLOWING ADMINISTRATION OF 2 LITRES OXYGEN- BUT - clinically, there is no apparent improvement. What could be some reasons for this?