COLLEGE OF NURSING

RELATED LEARNING EXPERIENCE

Leadership and Management
(Head Nursing)

Clinical Area: Station 4C

Date/Shift: January 31, 2020 (6 AM – 3PM)
Head Nurse: Hanna Kathleen V. Se

A.) GENERAL OBJECTIVES:

-At the end of the medical rotation, the students will be able to render safe, comprehensive
nursing care to a medical client, assist in close coordination with the member of the health team,
and apply the nursing process in rendering nursing care to clients.

B.) SPECIFIC OBJECTIVES:

1.) QUALITY AND SAFE CARE
-Demonstrate professional attitudes and habits towards:
a.) Clients and significant others.
b.) Other members of the health team and affiliates.
-Evaluation of health care rendered to patients.

2.) MANAGEMENT OF RESOURCES AND ENVIRONMENT

-Observes ward policies, procedures and protocols on infection control and waste disposal.
-Observes organization of work and proper budgeting of time and resources.

3.) HEALTH EDUCATION

-Provides health education based on identified learning needs of the client.

4.) LEGAL RESPONSIBILITIES

-Check the completeness of informed consent and other legal forms.

5.) ETHICO-MORAL RESPONSIBILITIES

-Respect client’s Bill of Rights at the ward.
-Adheres to the code of Ethics for Nurses.

6.) PERSONAL AND PROFESSIONAL RESPONSIBILITIES

-Demonstrates professional behavior at all times.
7.) QUALITY IMPROVEMENT
-Reports significant actual or potential observations regarding the client and the ward practices.

8.) RECORDS MANAGEMENT

-Maintains legible, accurate and updated documentation of patient care in the chart.

9.) COMMUNICATIONS
-Communicate therapeutically with the client and their significant others.
-Establishing professional relationships with members of the health team.
-Utilizes proper channel of communication.
-Observes complete and accurate endorsements procedures.

10.) COLLABORATION AND TEAM WORK

-Maintains a collaborative relationship with other members of health team.
 SCHEDULE OF ACTIVITIES
Time
5:30 AM – 5:45 AM
5:45 AM – 6:00 AM
6:00 AM – 6:45 AM
6:45 AM – 7:45 AM
7:45 AM – 8:00 AM
8:00 AM – 8:30 AM
8:30 AM – 10:00 AM
10:00 AM – 10:45 AM
10:45 AM – 11:45 AM
11:45 AM – 12:00 PM
12:00 PM – 12:30 PM
12:30 PM – 1:15 PM
1:15 PM – 2:00 PM
2:00 PM – 2:30 PM
2:30 PM – 2:45 PM
2:45 PM – 3:00 PM
Activities
Call Time
 Pre-conference
 Checking of attendance, grooming
and paraphernalias
 Sub-grouping the members and
delegation of areas of
responsibilities
Endorsement
 Rounds (Initial Assessment)
 Bedside care
Vital signs taking and plotting
Carry out due medications
 Bedside care
 Assessment on patient
 Health teachings
 Continuous Kardex update
 Head Nurse’s round
 Rechecking the patient’s chart
[Doctors order; Medications( to be
shifted or withhold);
Laboratories)] then carry out
Break
Vital signs taking and plotting
Carry out due medications
 Continuous Kardex update
 Head Nurse’s round
 Rechecking the patient’s chart
[Doctors order; Medications( to be
shifted or withhold);
Laboratories)] then carry out
 Taking Input and Output
 Charting
 FDAR
Rechecking of the patients’ charts
Endorsement
Post Conference
 HEAD NURSE RESPONSIBILITIES AND DUTIES

1. Maintain and provide update to all medical records and administer all routine tests and
examinations for patients and supervise efficient working of staff and coordinate with
nursing director to develop all clinical services.
2. Manage all patients in units and provide and recommend most cost effective methods and
assist in physicians to conduct all everyday rounds and participate in periodic performance
and evaluate performance improvement plans.
3. Oversee work of nursing department and supervise all medical and laboratory services as
per resident requirement and mange recruitment of staff and provide required training for
same.
4. Administer all nursing services provided and ensure compliance to all joint commission
guidelines and participate in various committees and manage all communication with staff
and associate ancillary departments.
5. Organize and schedule all committee meetings and maintain efficient schedule for all
nursing activities and ensure achievement of all facility and resident requirements.
6. Prepare schedule for all shifts and ensure no overlapping and oversee all nursing facility
according to hospital policies and manage all resources for same.
7. Monitor all patient care activities and ensure adherence to all hospital policies to satisfy all
patient requirement and evaluate all assignments for members of shifts and maintain all
policies and procedures for nursing unit.
8. Develop quality assurance program for all nursing activities and maintain control standards
on all work to prepare required reports and participate in meetings and assist to resolve all
issues in nursing departments.
9. Coordinate with shift head nurse to organize all nursing staff meetings and prepare reports
for same and ensure compliance to all objectives.
10. Provide orientation to all new employees and prepare training program for same as per
requirement and implement all changes on systems and evaluate all continuous quality
improvement programs and documents for same.
 REQUIRED KNOWLEDGE, SKILLS, ABILITIES AND ATTRIBUTES

 Thorough knowledge of application of current nursing techniques and procedures;

thorough knowledge of nursing service policies and procedures; thorough knowledge of
nursing service philosophy; thorough knowledge of the organization, function, policies,
regulations and procedures of the hospital and/or home health care setting as they relate to
Pnursing services
 Skill in the use of computer applications such as spreadsheets, word processing, e-mail and
database software
 Ability to coordinate, supervise and implement standards of nursing practice on a specific
nursing unit on an on-going basis
 Ability to collaborate with nursing service administration in the development of nursing
unit staffing and budgeting
 Ability to set priorities; ability to motivate staff
 Ability to establish and maintain effective working relationships
 Ability to communicate clearly, both orally and in writing
 Resourcefulness; integrity; tact; initiative; sound professional judgment; physical condition
commensurate with the duties of the position.