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HEAD NURSE Definition: A head nurse is the one who assumes responsibility for managing the Human and

material resources of a nursing unit and takes lead in developing to provide quality patient care and an environment conductive to staff growth and satisfaction. General Objectives: Student nurse will be able to develop their potentials of being efficient and productive Leaders by nurturing and enhancing their leadership skills by providing training in management in team handling. And be able to familiarize with the different nurse responsibility. Specific Objective: As a student head nurses they will be able to: y y y y y y y y Apply principles on head nursing and provide nursing standards and policies, and procedures regarding patients care to guide the subordinates. Promotes and utilize quality assurance of the program standards. Motivate the nursing staff to provide quality nursing care and improvement in nursing care. Manage the flow of activities by implementation of the nursing plan based on the nursing care. Develop a skill in decision-making and other qualities of an efficient head nurse. Coordinate and communicate with the other members of the health team in providing patient care. Document accurately the observation of the services rendered to the patient. Supervises and evaluate the quality of patient care provided by the staff by observing them through frequent rounds guided by the evaluation check list.

Subordinates: y Student staff nurses

Responsibilities of a Head Nurse Assumes the responsibility for the delivery of quality patient care to patients within the unit. 1. Provide nursing standards and policies regarding patient care to guide the staff nurses. 2. They have the responsibility of orienting and updating the staff of the systems and standard of patient care. 3. Responsible for the implementation of the health care programs, and standards of patient care. 4. Assumes the role of patient advocate. 5. Assumes the role of staff members advocate. 6. Acts as liaison with the medical staff to coordinate medical and nursing management of patient care. 7. Serves as resource person to nursing personnel under him in assessing, planning, implementation and evaluating nursing care provided. 8. Coordinates the patient care with the other members of the health care team. 9. Keeps superior informed regarding problems or issues in patient care. 10. Evaluates the quality of patient care through frequent rounds. 11. Evaluates the nursing standard cyclically to provide development of the new standards of patient care.

STAFF NURSE Definition The staff nurse is to the one responsible for rendering holistic nursing care to patient in assigned areas, the specific function and responsibilities of which depend upon the organizational structure of the Nursing service. General objective: Student nurses will be able to develop their knowledge, attitudes and skills through working on this training, and be able to appreciate the importance of team work and working under a directory. Specific Objective: As a student nurses they will be able to: y y y y y y Follow the nursing standards and policies imposed by the nursing administration. Develop a sense of responsibilities and accountabilities on their action they make. Provide a quality nursing care and services. Develop a good attitude towards the work. Be able to work harmoniously with the fellow students and members of the health care team. Develop good nursing skills, attitude and gain knowledge for the future use. RESPONSIBILITIES OF THE STAFF NURSE The staff nurse initiate and perform nursing care and services to meet the needs patient in assigned areas utilizing the nursing process. 1. Assesses the individual needs for nursing care based on patients history, results of physical, diagnostic, and laboratory examinations. 2. Infers correct nursing diagnosis. 3. Plans and prioritizes nursing care activities considering overall health needs of the patient. 4. Institute nursing intervention consistent with the overall plan of care with special consideration of the patients safety and comfort. 5. Provides health teaching to patient, his family and significant others so that they may understand this illness and participate actively in his care. 6. Coordinates patient care services with members of the health team. 7. Evaluates or modifies of nursing care by means of: y Effectiveness and efficiency of nursing measures rendered. y Feedback from patient/family and significant others. 8. Documents accurately the observation and services rendered to the patient.

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, Laguna College of Nursing

Name: ____________________________________Date:___________________ Yr/Sec:______________Group:___________ Rating:__________________ Area:____________________Clinical Instructor:__________________________

P E R F O R M AN C E

E V AL U A T I O N

T O O L

(STUDENT HEAD NURSE TO STUDENT NURSE) NUMERICAL RATING 5 4 3 2 1 QUANTITATIVE Outstanding Very Satisfactory Satisfactory Needs Improvement Unsatisfactory DESCRIPTION Carries out expected tasks in a very consistent manner with minimal guidance and supervision Carries out expected tasks in a consistent manner with minimal guidance and supervision Carries out expected tasks in a moderately consistent manner with frequent guidance and supervision Carries out expected tasks in a rarely consistent manner with close guidance and supervision Does not carry out expected tasks even with close guidance and supervision

PERFORMANCE I. ASSESSMENT / PLANNING 1.1 Establishes rapport with subordinates 1.2 Able to involve patients in plan of care 1.3 Punctual and prompt in all activities 1.4 Able to maintain stability under pressure 1.5 Gathers data using interview, observation, records review and reports 1.6 Formulates appropriate nursing care plan 1.7 Wears complete prescribed RLE uniform II. IMPLEMENTATION a. Carries out assigned tasks based on the criteria of distribution of assignments b. Follows principles of time management c. Equipped with required paraphernalia for RLE d. Observes proper channels of communication e. Carries out plan of care, including: A. Bedside Care B. Administration of medications C. Administration of treatments (nebulization, IVF) f. Shows initiative in performing tasks g. Accomplishes delegated tasks within prescribed time frame h. Provides psychological and spiritual support to patients i. Accepts supervision and criticisms j. Conducts appropriate health teachings III. EVALUATION 1. Notifies immediate superior about untoward situations or conditions related to patient care in the area

RATING

2. Make revisions in the plan of care as necessary 3. Evaluates Nursing Care rendered V. ETHICOLEGAL CONSIDERATIONS 1. Demonstrates honesty at all times 2. Conducts self in a tactful manner 3. Keeps confidential patient information 4. Observes the PNA Code of Ethics 5. Guided by RA 9173 6. Observes the 11 Core Competency Guidelines

REMARKS :

ACTUAL SCORE x 100

EVALUATED BY :
STUDENT HEAD NURSE

TOTAL SCORE

CONFORME BY :
STUDENT STAFF NURSE

NOTED BY:
CLINICAL INSTRUCTOR

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, Laguna College of Nursing

HEADNURSE Supervises and evaluates the quality of patient care through frequent rounds Oversees the action of assigned staff nurse, medication nurse and chart nurse. Familiarized and take care of the emergency cart. Takes note of the special procedures for the patients within the unit. Keep superiors informed regarding the problems and issues in patient care with the nursing unit. 6. Participates in the selection of nursing staff for the unit. 7. Presents changes or innovations to staff in a positive manner. 8. Provides conducive climate for work and maintains effective communication within the unit department. 9. Makes the 24 hrs. Nursing report of the unit. 10. Checks daily time record of the staff. STAFF NURSE 1. Should know the patient very well. 2. Should always establish rapport with the patient. 3. Assess the patients needs for care based on the patients history, results of physical examinations, diagnosis, and laboratory exams. 4. filling up the request admissions 5. Oversees the activities of the nursing students. 6. Make part of the endorsement for the shift. 7. Proper endorsement (detailed, clear, and updated) of the patients incoming shift. 8. demonstrate good nursing in caring of patients 9. Acts as a role model to fellow students. 10. Makes a nursing care plan for the patient he/she handled. MEDICATION NURSE 1. Must know the 10 rights in giving the medication. 2. Must know the drug action, side effects and nursing consideration of each medications. 3. Must know the color coding of the medication cards followed by the institution. 4. Always bring medication tray with you in giving medication. 5. Should always establish rapport with the patient. 6. May give medication only with the supervision of clinical instructor or staff nurse on duty. 7. always double check with the doctors order 8. Make a drug study as a students clinical assignment. 9. Must know the computation concisely and table of equivalents 10. Document all medications given legibly as countersigned by respective clinical instructor or staff nurse on duty CHART NURSE 1. 2. 3. 4. Record all the vital signs taken on the TPR sheet on the patients chart. Must know the normal values of BP, PR, RR and Temperature. Reports intake and output Makes a narrative report of the vital signs recording system for the shift then submit to the assigned student head nurse. 1. 2. 3. 4. 5.

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, Laguna College of Nursing

HEAD NURSE PERFORMANCE CHECKLIST Name: ____________________________________Date:___________________ Yr/Sec: ______________Group:___________ Rating: __________________ Area: ____________________ Clinical Instructor:__________________________ A. Knowledge 1. Applies as appropriate theory as a basis for decision making in nursing practice. 2. Assesses staffs presenting symptoms to determine a nursing diagnosis and plan of action based on a medical expertise and knowledge. 3. Knowledge in communication, clarification and interpretation of existing problems with staff and nursing responsibilities. 4. Inform the staff of the likely causes of errors defects and waste. 5. Suggest in which risk, errors, quality of problems maybe reduce. B. Attitude 1. Neat and well groomed. Adheres to dress code. 2. Punctual in reporting for duty 3. Complies with the code of ethics of the nursing profession and upholds and implements school rules. 4. Assist in training staff in particular by setting a good example. 5. Promotion of professional responsibility, accountability and behavior. C. Skills 1. Provide leadership in the assessment, planning, implementation, and evaluation of comprehensive school health program. 2. Respond to the student/ staff medical emergencies. 3. Instruct subordinates in appropriate method and procedure in providing care. 4. Initiate and facilitate any steps necessary to improve methods, equipments, materials and condition in the work area for which they are responsible. 5 4 3 2 1

Equivalent: ______________

Rating: _______________

Point scale 5

Grade 85 Excellent

Equivalent

Carries out expected behavior in a very consistent and independent manner with less supervision and guidance. 82-84 Very Carries out expected behavior in a consistent Satisfactory and independent manner that requires minimal supervision and guidance. 79-81 Satisfactory Carries out expected behavior in rarely independent manner requiring more supervision and guidance. 75-78 Fair Carries out expected behavior in rarely independent manner requiring close supervision and guidance. 74 and Needs Carries out expected behavior under close below improvement supervision and guidance.

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