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: 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: 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: 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: Effectiveness and efficiency of nursing measures rendered. Feedback from patient/family and significant others. 8. Documents accurately the observation and services rendered to the patient.

Plan of Activities

Areas: Shift: 6-2 Time 5:30-6:00 Activities Call time Preconference Orientation Distribution of area of assignment Endorsement Rounds with the staff nurse Check the patients condition Check for the IVF level from the time received Chart reading Patients profile/data Diagnosis Past/Present history Doctors Order Medication and time of medication Reporting Preparation of medications/Drug study/Vital signs V/S Plotting Case discussion Break of the first half of the group Break of the second half of the group Drug Preparation Drug study Vital Signs and Giving medication Quiz Prepare for SOPIE Vital Signs / Endorsement

6:00-6:30 6:30-6:45

6:45-7:00

7:00-7:30 7:30-8:30 8:30-9:00 9:00-10:00 10:00-10:30 10:30-11:00 11:00-11:15 11:15-11:45 11:45-12:00 12:00-12:30 12:30-1:00 1:30-2:00

Shift: 2-10 Time 1:30-2:00 Activities Call time Preconference Orientation Distribution of area of assignment Endorsement Rounds with the staff nurse Check the patients condition Check for the IVF level from the time received Chart reading Patients profile/data Diagnosis Past/Present history Doctors Order Medication and time of medication Reporting Preparation of medications/Drug study V/S Plotting Vital signs Case discussion Break of the first half of the group Break of the second half of the group Drug Preparation Drug study Vital Signs and Giving medication Lecture Prepare for SOPIE Quiz Endorsement

2:00-2:30 2:30-2:45

2:45-3:00

3:00-3:30 3:30-4:00 4:00-4:15 4:15-5:00 5:00-5:30 5:30-6:00 6:00-7:15 7:15-7:45 7:45-8:00 8:00-8:30 8:30-9:00 9:00-9:30 9:30-10:00

Shift: 10-6 Time 9:30-10:00 Activities Call time Preconference Orientation Distribution of area of assignment Endorsement Rounds with the staff nurse Check the patients condition Check for the IVF level from the time received Chart reading Patients profile/data Diagnosis Past/Present history Doctors Order Medication and time of medication Reporting Preparation of medications/Drug study V/S Plotting Vital signs / Giving medications Case discussion Break of the first half of the group Break of the second half of the group Drug Preparation Drug study Vital Signs and Giving medication Lecture Prepare for SOPIE Quiz Endorsement

10:00-10:30 10:30-10:45

10:45-11:00

11:00-11:30 11:30-12:00 12:00-12:15 12:15-1:00 1:00-1:30 1:30-2:00 2:00-2:15 2:15-2:45 2:45-3:00 3:00-3:30 3:30-4:00 4:00-4:30 4:30-5:00

University of Perpetual Help System-Binan Campus Dr. Jose G. Tamayo Medical University Sto.Nino, Binan Laguna COLLEGE OF NURSING C !"!C# P$%&'%M#"C$ #"D $(# U#T!'" CH$C) !ST Concept: Acute Biological Crisis Area* $M$%G$"C+ %''M Name: !ate: "ear Section Rating: !irection: Legen(: ,+ -+ .+ Is at a 'er, satis*actor, le'el. -as t%oroug% &no.le(ge an( un(erstan(ing o* t%e sai( case)topic. Coul( (o an( plan inter'ention on %is)%er o.n. At satis*actor, le'el. -as enoug% un(erstan(ing to %an(le t%e case #ut nee(s Care*ul gui(ance. Nee(s to #e ree'aluate(. Competenc, is at an unsatis*actor, le'el an( nee(s to #e reoriente( on t%e su#/ect)case at %an(. 0t 2 1 2 3 Score Remar&s

Group Num#er

$ut a c%ec& on t%e s&ills o#ser'e( ) per*orme(, o* not please inclu(e remar&s on t%e space pro'i(e(.

#. #SS$SSM$"T ./0 3. Assess (i**erent mani*estations t%at are relate( to Acute Biological Crisis t%roug% t%e (i**erent met%o(s use( in p%,sical an( appropriate (ata gat%ering. 2. $er*orms p%,sical e4aminations correctl, an( .it% con*i(ence. 1. I(enti*ies an( (i**erentiates #et.een normal an( a#normal *in(ings in Acute Biological Cases. 5. !etermines t%e signi*icance o* la#orator, an( (iagnostic *in(ings to t%e emergent pro#lems 6. $ic&s out critical an( essential (ata in nursing %istor, rele'ant to t%e current situations. Su#total

2 2 2 2 37

B. P #""!"G 10 3. 8no.le(ge in setting goals an( prioriti9ation o* patients nee(s .it% Acute Biologic Crisis in t%e emergenc, room. 2. I(enti*, c%anges in patient:s nee(s an( nursing pro#lems as t%e, occur an( ma&e necessar, a(/ustments in nursing measures. Su2total C. !"T$%($"T!'"S .30 3. Assess t%e capa#ilit, nee(e( #, t%e client *or sel*+management in t%e emergenc,. 2. Ensures sa*et,, com*ort an( pri'ac, in ren(ering care o* patients .it% acute #iologic crisis. 1. $ro'i(es necessar, curati'e measures. 5. $ro'i(es imme(iate restorati'e)re%a#ilitati'e measures (uring temporar, sta, in t%e ER. 6. Utili9es a'aila#le p%,sical an( pro*essional resources. ;. <a&es re*errals to appropriate %ealt% pro*essionals, as nee(e(. =. S%o.s commitment to t%e .el*are o* t%e client. >. Implements t%e plan o* care /ointl, .it% t%e client. ?. $er*orms nursing proce(ures)acti'ities: ?.3 .it% ease an( con*i(ence ?.2 correctl, ?.1 s,stematicall, ?.5 practices #ioet%ical principles in care ?.6 pro'i(es a*ter care ?.; (emonstrate situational *le4i#ilit, an( a(apta#ilit, Su2total !. E@ALUAAION 5B 3. E'aluates plan o* care o* client using t%e outcome criteria an( per*orms appropriate (ocumentation an( recor(ing o* c%anges in t%e client:s e'i(ent status a*ter t%e inter'entions. 2. !ispla,s critical t%in&ing in t%e anal,sis o* t%e current management #eing emplo,e( an( mo(i*ications t%at %as to #e (one as nee(e(. 1. !iscusses .it% t%e appropriate %ealt% team results o* inter'entions. 5. Accepts suggestions, constructi'e criticisms an( emplo, appropriate mo(i*ications in t%e plan o* care. Su2total Grand Total 0t 3 2 3 3 3 3 3 3 3 3 3 3 3 3 36 0t 3

0t 2 2 5 1 2

Score

Remar&s

Score

Remar&s

Score Remar&s

3 3 5 37 7

Stu(ent:s Signature

Clinical Instructor: Signature

University of Perpetual Help System-Binan Campus Dr. Jose G. Tamayo Medical University Sto.Nino, Binan Laguna COLLEGE OF NURSING C !"!C# P$%&'%M#"C$ #"D $(# U#T!'" CH$C) !ST Area: 'P$%#T!"G %''M

Name: !ate: "ear Section Rating: !irection: Legen(: ,+ -+ .+

Group Num#er

$ut a c%ec& on t%e s&ills o#ser'e( ) per*orme(, o* not please inclu(e remar&s on t%e space pro'i(e(.

Is at a 'er, satis*actor, le'el. -as t%oroug% &no.le(ge an( un(erstan(ing o* t%e sai( case)topic. Coul( (o an( plan inter'ention on %is)%er o.n. At satis*actor, le'el. -as enoug% un(erstan(ing to %an(le t%e case #ut nee(s Care*ul gui(ance. Nee(s to #e ree'aluate(. Competenc, is at an unsatis*actor, le'el an( nee(s to #e reoriente( on t%e su#/ect)case at %an(. 0t 2 2 2 2 2 37 1 2 3 Score Remar&s

#. #SS$SSM$"T ./0 3. O#tains an( anal,9es pertinent (ata concerning patient:s con(ition. 2. !etermines an( categori9es clinical assessment o* t%e patient. 1. Interprets pru(entl, t%e p%,sician:s or(er. 5. C%ec&s an( accomplis%es pre+operati'e c%ec&list prior to surgical proce(ure. 6. Assess patient:s p%,siological, ps,c%ological an( patient:s emotional status. Su2total

B. P #""!"G 10 3. Formulates appropriate nursing (iagnosis #ase( *rom t%oroug% patients assessment. 2. Rationali9es principles o* aseptic tec%niCue. 1. C%ec&s *unctionalit, o* t%e operating room ) (eli'er, room eCuipment suc% as suction mac%ine, cauter, an( OR lig%ts. 5. $repares an( selects surgical supplies concerning t%e patient:s surgical proce(ure. Su2total

0t 3 3 3 3 5

Score

Remar&s

C. !"T$%($"T!'" .30 Pre Operative Phase 3. I(enti*ies patient an( 'eri*ies proce(ure to #e (one. 2. Secures consent. 1. C%ec&s *or clearances Dcar(io+pulmonar, clearance, pe(ia clearanceE, (iagnostic proce(ures. Intra Operative Phase 3. E4plains proper position *or in(uction o* anest%esia an( operation to #e per*orme(. 2. !emonstrate proper aseptic)antiseptic tec%niCue, sterile (rapings an( %an(ling o* instruments. 1. <aintains sterilit, o* t%e operating room an( sterile *iel(. Post Operative Phase 3. <onitors 'ital signs imme(iatel, a*ter t%e operation. 2. E'aluates patient:s reco'er, *rom anest%esia. 1. !iscusses t%e emergenc, resuscitati'e (e'ices, eCuipment an( emergenc, (rugs in t%e reco'er, room. Su2total D. $(# U#T!'" 10 3. E'aluates plan care a*ter appl,ing necessar, nursing inter'entions. 2. !iscusses appropriate %ealt% teac%ing Dsterile .oun( careE 1. $er*orms proper (ocumentation an( ot%er important (etails are nee(e(. 5. $articipates in acti'it, (uring post+ con*erence. Su2total Grand Total

0t 3 3 3

Score

Remar&s

2 2 2 2 2 2 36 0t 3 3 3 3 5 37 7 1 2 3 Score Remar&s

Stu(ent:s Signature

Clinical Instructor: Signature

University of Perpetual Help System-Binan Campus Dr. Jose G. Tamayo Medical University Sto.Nino, Binan Laguna COLLEGE OF NURSING C !"!C# P$%&'%M#"C$ #"D $(# U#T!'" CH$C) !ST Concert: Sta** Nursing Area: G$"$%# 4#%D

Name: !ate: "ear Section Rating: !irection: Legen(: ,+ -+ .+

Group Num#er

$ut a c%ec& on t%e s&ills o#ser'e( ) per*orme(, o* not please inclu(e remar&s on t%e space pro'i(e(.

Is at a 'er, satis*actor, le'el. -as t%oroug% &no.le(ge an( un(erstan(ing o* t%e sai( case)topic. Coul( (o an( plan inter'ention on %is)%er o.n. At satis*actor, le'el. -as enoug% un(erstan(ing to %an(le t%e case #ut nee(s Care*ul gui(ance. Nee(s to #e ree'aluate(. Competenc, is at an unsatis*actor, le'el an( nee(s to #e reoriente( on t%e su#/ect)case at %an(. #. )"'4 $DG$ 1 2 3 RE<AR8S

3. 8no.le(ge in gat%ering (ata 2. 8no.le(ge o* t%e (i**erent met%o(s use( in p%,sical assessment. 1. A(eCuate &no.le(ge regar(ing normal 'alues an( ot%er la#orator, results. 5. I(enti*ies nursing pro#lems o* patient an( its cause. 6. E4plains scienti*ic principles #e%in( patient:s con(ition an( management. ;. 8no.le(ge in setting goals an( prioriti9ation o* patient:s nee(s. =. 8no.s inter'ention to #e gi'en an( t%e rationale. >. 8no.s t%e t%eories an( rationale #e%in( nursing proce(ures #eing implemente(.

?. 8no.s t%e principle o* (rug a(ministration an( its action. 37. 8no.le(ge on %o. to relate nursing inter'entions to outcomes. Su2total*

B. S)! S 3. C%ec&s, recor(s an( interprets accuratel, t%e 'ital signs o* assigne( patients. 2. A#ilit, to manipulate an( care *or t%e eCuipment. 1. A#ilit, to collect specimens *or t%e la#orator, e4amination. 5. !emonstrate s&ill in pro'i(ing compre%ensi'e nursing care. 6. $er*orms nursing proce(ures .it% ma4imum result .it% minimum time, e**ort an( materials at %er)%is le'el. ;. Implements nursing care accor(ing to priorities. =. $ro'i(es %ealt% teac%ing *or patient an( %is *amil, as mani*este( #, goo( communication s&ill. >. Coor(inates .it% ot%er mem#ers o* t%e %ealt% team .it% regar(s to patient:s con(ition. ?. A#ilit, to transcri#e (octor:s or(er. 37. Recor(s accuratel, patient:s con(ition:s an( nursing inter'ention. Su2total* C. #TT!TUD$S #"D (# U$S 3. $unctualit, an( regular in atten(ance. 2. $ro*essionalism in uni*orm. 1. -onest, an( sincerit,. 5. Resource*ulness an( creati'it,. 6. Sense o* responsi#ilit,. ;. Initiati'e, !iligence an( In(ustr,. =. Aolerance an( $atience. >. $olite an( Respect*ul to sel* an( ot%ers. ?. 0or&s %armoniousl, .it% ot%ers. 37. A.are an( un(erstan(s t%e nee(s an( emotions o* ot%ers. Su2total*

Remar&s

Remar&s

Stu(ent:s Signature

Clinical Instructor: Signature

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, La !na Co""# # o$ N!r%in Name: ____________________________________Date:___________________ Yr/Sec:______________Group:___________ Rating:__________________ Area:____________________Clinical Instructor:__________________________

P E R & O R M A N C E

E V A L U A T I O N

T O O L

'STUDENT HEAD NURSE TO STUDENT NURSE( NUMERICAL RATING 5 % ( * + )UANTITATIVE Outstanding &er" Satis'actor" Satis'actor" Needs Impro!ement ,nsatis'actor" DESCRIPTION Carries out expected tas s in a !er" consistent manner #it$ minimal guidance and super!ision Carries out expected tas s in a consistent manner #it$ minimal guidance and super!ision Carries out expected tas s in a moderatel" consistent manner #it$ 're)uent guidance and super!ision Carries out expected tas s in a rarel" consistent manner #it$ close guidance and super!ision Does not carr" out expected tas s e!en #it$ close guidance and super!ision

PER&ORMANCE I. ASSESSMENT * PLANNING +-+ .sta/lis$es rapport #it$ su/ordinates +-* A/le to in!ol!e patients in plan o' care +-( 0unctual and prompt in all acti!ities +-% A/le to maintain sta/ilit" under pressure +-5 Gat$ers data using inter!ie#1 o/ser!ation1 records re!ie# and reports +-2 3ormulates appropriate nursing care plan +-4 5ears complete prescri/ed R6. uni'orm II. IMPLEMENTATION a- Carries out assigned tas s /ased on t$e criteria o' distri/ution o' assignments /- 3ollo#s principles o' time management c- .)uipped #it$ re)uired parap$ernalia 'or R6. d- O/ser!es proper c$annels o' communication e- Carries out plan o' care1 including: A- 7edside Care 7- Administration o' medications C- Administration o' treatments 8ne/uli9ation1 I&3: '- S$o#s initiati!e in per'orming tas s g- Accomplis$es delegated tas s #it$in prescri/ed time 'rame $- 0ro!ides ps"c$ological and spiritual support to patients i- Accepts super!ision and criticisms ;- Conducts appropriate $ealt$ teac$ings III. EVALUATION +- Noti'ies immediate superior a/out unto#ard situations or

RATING

conditions related to patient care in t$e area *- <a e re!isions in t$e plan o' care as necessar" (- .!aluates Nursing Care rendered V. ETHICOLEGAL CONSIDERATIONS +- Demonstrates $onest" at all times *- Conducts sel' in a tact'ul manner (- =eeps con'idential patient in'ormation %- O/ser!es t$e 0NA Code o' .t$ics 5- Guided /" RA >+4( 2- O/ser!es t$e ++ Core Competenc" Guidelines REMAR+S ,

AC?,A6 SCOR. x +AA TOTAL SCORE

.&A6,A?.D 7Y:
S?,D.N? @.AD N,RS.

CON3OR<. 7Y :
S?,D.N? S?A33 N,RS.

NO?.D 7Y:
C6INICA6 INS?R,C?OR

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, La !na Co""# # o$ N!r%in

HEADNURSE 1. 2. 3. 4. 5. 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. Record all the vital signs taken on the TPR sheet on the patients chart. 2. Must know the normal values of BP, PR, RR and Temperature.

3. Reports intake and output 4. Makes a narrative report of the vital signs recording system for the shift then submit to the assigned student head nurse.

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, La !na Co""# # o$ N!r%in

E N D O R S E M E N T

S H E E T

Name: ______________________________Date:______________ Yr/Sec: ______________Group:__________ Area: _____________ Clinical Instructor: _____________________ 7.D B :______________________________ 0A?I.N?CS NA<.: ______________________________ AG. : ______________________________ DIAGNOSIS : ______________________________ &I?A6 SIGNS: ____ ?.<0 D ____ CR D ____ 0R D ____ RR D ____ 70 D ____ ____ ?.<0 D ____ CR D ____ 0R D ____ RR D ____ 70 D ____ SIGNI3ICAN? 3INDINGS ,0ON ASS.SS<.N?: ______________________________ <.DS D,. N.E? S@I3? : ______________________________ DI.? : ______________________________ ONGOING I& 36,ID: ______________________________ I&3 ?O 3O66O5 : ______________________________ O?@.R CON?RA0?IONS : ______________________________ IN?A=. : ______________________________ O,?0,? : ______________________________ I& IN3,S.D : ______________________________ ORA6 ____ &O< ____ NG? ____ ?O?A6____ N,RSING CAR. R.ND.R.D : ___________________________

NA<./SIGNA?,R. O3 S?,D.N?: ________________________ C6INICA6 INS?R,C?OR : __________________________

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, La !na Co""# # o$ N!r%in @.AD N,RS. 0.R3OR<ANC. C@.C=6IS? Name: ____________________________________Date:___________________ Yr/Sec: ______________Group:___________ Rating: __________________ Area: ____________________ Clinical Instructor:__________________________ A. +no-"#. # +- Applies as appropriate t$eor" as a /asis 'or decision ma ing in nursing practice*- Assesses sta''s presenting s"mptoms to determine a nursing diagnosis and plan o' action /ased on a medical expertise and no#ledge(- =no#ledge in communication1 clari'ication and interpretation o' existing pro/lems #it$ sta'' and nursing responsi/ilities%- In'orm t$e sta'' o' t$e li el" causes o' errors de'ects and #aste5- Suggest in #$ic$ ris 1 errors1 )ualit" o' pro/lems ma"/e reduceB. Attit!.# +- Neat and #ell groomed- Ad$eres to dress code*- 0unctual in reporting 'or dut" (- Complies #it$ t$e code o' et$ics o' t$e nursing pro'ession and up$olds and implements sc$ool rules%- Assist in training sta'' in particular /" setting a good example5- 0romotion o' pro'essional responsi/ilit"1 accounta/ilit" and /e$a!iorC. S4i""% +- 0ro!ide leaders$ip in t$e assessment1 planning1 implementation1 and e!aluation o' compre$ensi!e sc$ool $ealt$ program*- Respond to t$e student/ sta'' medical emergencies(- Instruct su/ordinates in appropriate met$od and procedure in pro!iding care%- Initiate and 'acilitate an" steps necessar" to impro!e met$ods1 e)uipments1 materials and condition in t$e #or area 'or #$ic$ t$e" are responsi/le/ 0 1 2 3

.)ui!alent: ______________ Point %5a"# 5 % ( * + Gra.# F5 .xcellent

Rating: _______________ E6!i7a"#nt

Carries out expected /e$a!ior in a !er" consistent and independent manner #it$ less super!ision and guidanceF*GF% &er" Carries out expected /e$a!ior in a consistent Satis'actor" and independent manner t$at re)uires minimal super!ision and guidance4>GF+ Satis'actor" Carries out expected /e$a!ior in rarel" independent manner re)uiring more super!ision and guidance45G4F 3air Carries out expected /e$a!ior in rarel" independent manner re)uiring close super!ision and guidance4% and Needs Carries out expected /e$a!ior under close /elo# impro!ement super!ision and guidance-

Name: _____________________ ___________________________ Yr/sec-/GroupB:______________ _________________

Area: Clinical Instructor:

Scaling Interpretation ?$is e!aluation is to determine and appraise t$e per'ormance o' t$e sta'' according to t$eir assign tas - 7" #riting t$e appropriate score in t$e proper column denoting t$e extent to #$ic$ t$e nurses per'ormed t$ese 'unctions-

Criteria 'or Grading +5H Decorum AttendanceGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG *AH Re)uirementsGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG *5H Iui9GGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG %AH per'ormanceGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGGG _____________ ?otal +AAH

0repared 7": CABANISAS, AGNES LIBERTY M. BSNIV-'&( 8 Gro!9 3:

PER&ORMANCE CHEC+LIST +NO;LEDGE +- Gat$ers data appropriatel" and completel"1 t$en !alidating it 'ocusing 'unction needing assistance support *- Anal"9e and interpret collected data (- =no#s t$e correct #a" o' doing p$"sical assessment%- Gi!es attention and s"nt$esi9e t$e signi'icant la/orator" 'indings 5- =no#ledge in identi'"ing nursing pro/lems and categori9ing it according to t$e patients need2- =no#s t$e rationale /e$ind e!er" inter!ention gi!en 'or t$e care o' t$e patient4- @a!e no#ledge in gi!ing proper instruction 'or medicine a- classi'ication /- nursing responsi/ilit" c- drugs and solution F- .xplain or discuss t$e report clearl" and a/le to ans#er )uestion correctl">- =no#ledge in preparation o' patient 'or an" diagnostic procedure +A- =no#s $o# to 'ormulate an accurate nursing care plan 'or particular cases/ 0 1 2 3

S+ILLS +- A/ilit" to gi!e and respond to t$e care needed /" t$e patient *- 0er'orm procedure properl" suc$ as doing p$"sical assessment1 ta ing &S1 and gi!ing medication as ordered(- A/le to pro!ide or assist patient in per'ormance o' acti!ities o' dail" li!ing #$ene!er needed%- Al#a"s guided in precautionar" and pre!enti!e measure in pro!iding care to t$e patient-

5- A/le to gi!e $ealt$ teac$ings clearl" to t$e patient2- Communicate e''ecti!el" in identi'"ing t$e needs o' t$e patient4- 0roperl" $andling an instance o' emergenc" situationF- Implement Nursing care plan appropriatel" >- Reassesses patient to determine #$et$er a remodi'ication o' care plan is necessar"+A- A/le to conduct disc$arged planning #it$ t$e patient1 $is 'amil" and signi'icant ot$ers-

L# #n., 5 J Outstanding 8F5: % J &er" Satis'actor" 8F(GF%: ( G <oderatel" satis'actor" 8F+GF*: * J <inimall" satis'actor" 845GFA: + J ,nsatis'actor" 84% and /elo#:

PLAN O& ACTIVITIES 2-3< %=i$t +:(AG *:AApm *:AAG *:(A *:(AG(:AA (:AAG(:(A (:(AG%:AA %:AAG%:*A %:*AG %:(5 %:(5G5:(A 5:(AG2:AA 2:AAG2:(A 2:(AG4:+5 4:+5G4:%5 4:%5G F:AA F:AAG F:+A F:+AG >:AA >:AAG>:%5 >:%5G +A:AA 0reG con'erence .ndorsement Rounds Reading o' patients c$art &S1 preparation o' medication Gi!ing o' medication 0lotting o' !ital signs 7edside care1 N0I 7rea +st 7atc$ 7rea *nd 7atc$ Sample c$arting C$ec ing o' sample c$arting &S1 gi!ing medication 0lotting o' !ital signs C$arting and 'inal rounds 0ost con'erence .ndorsement

PLAN O& ACTIVITIES 3<-8 %=i$t >:(AG+A:AA +A:AAG+A:+5 +A:+5G +A:(A +A:(AG ++:AA ++:AAG++:(A ++:(AG+*:AA +*:AAG+*:*A +*:*AG+:AA +:AAG+:(A +:(AG*:AA *:AAG*:%5 *:%5G(:AA (:AAG(:(A (:(AG%:AA %:AAG%:(A %:(AG5:AA 5:AAG5:(A 5:(AG2:AA 0reG con'erence .ndorsement Rounds Reading o' patient c$art 7edside care/N0I &s1 preparation o' medication Gi!ing o' medication 0lot o' !ital sign 7rea +st 7atc$ 7rea *nd 7atc$ Sample c$arting C$ec ing o' sample c$arting 0reparation o' medication &S1 gi!ing medication 0lotting o' !ital signs 3inal rounds 0ost con'erence .ndorsement

OBJECTIVES H#a. N!r%# G#n#ra" O>?#5ti7#, As a student nurse1 s$e #ill /e a/le to ac)uire no#ledge and at t$e same time practice $er o#n leaders$ip and management s ills1 and understand t$oroug$l" t$e importance o' /eing s"stemicall" in rendering nursing care t$e patientsS9#5i$i5 O>?#5ti7#%, As a student $ead nurse1 s$e #ill /e a/le to: +- 6earned and identi'" t$e concept o' management and leaders$ip *- Application o' Nursing principle as a /asis in managing $er su/ordinate (- Appreciation and e!aluation on t$e #or o' $is/$er su/ordinate t$roug$ t$e use o' per'ormance c$ec listS!>or.inat#% G#n#ra" O>?#5ti7#, As a nursing student1 $e/s$e #ill s$o# a /etter no#ledge1 s ills and attitude in rendering t$eir tas #$ile #or ing #it$ t$eir 'ello# students and a/le to ac no#ledge t$e !alue o' $a!ing a directorS9#5i$i5 O>?#5ti7#%, +- 7e a/le to no# t$e proper collection o' data and using o' nursing process1 in assessing t$e pro/lem o' patient and t$e cause o' $is disease*- 0ossessing an attitude o' /eing o/;ecti!e and #or #it$ t$eir coG student in Camaraderie(- 7e a/le to impact use'ul $ealt$ teac$ing to client speci'ic disease to t$e" can appl" it in t$eir respecti!e li!es-