QUESTION ANSWER
VMPOG The people who are involved in formulation of our VMPOG
are from the Department of Health, the doctors and
supervising Nurse. And it was based on the standard of
Department of Health manual, Administrative Order.
In the updating or visiting our VMPOG, we are under the
International standard operation or the ISO, so we cannot
change it without the approval of the ISO officers, but if there
is new update we integrate it and my own understanding of
our VMPOG is always be patient oriented, following the rules
and policies for the sake of our patients and that is our main
goal.
Our VMPOG this are our standards and partners in
implementing and in rendering quality nursing care to the
patients/client.
My contribution in achieving our VMPOG maybe is
commitment, commit yourself to the VMPOG towards in the
implementation.
PLANNING I think you should ensure that your goals are clear and
specific as possible once you know your goals. Establish clear
path to reaching them. Planning to meet goals involves
writing the steps that you can do. You should know your
goals, prioritize, plan ahead of time and Deciding in advance.
What To Do, How To Do It, When To Do It and Who Will
Do It.
When you plan, you need to follow the objectives, standard,
policies, procedure, commitment and assumptions like what if
your plan fails and what are the alternatives you will do. It
must be reasonable, understandable, measurable, believable
and achievable.
The key of everything is the budget. Because if you have
ANALYSIS
The VMPOG reflects the hospital strategies and
objectives. It medicates a long term direction of
the hospital and it continues to follow through
implementing strategies to address its long term
goal to render good quality nursing care
When you plan ahead you are forced to identify
what exactly it is you want to accomplish and
how you intend to do it. With a plan in hand you
are able to focus more on exactly what you need
to do. This helps to create a bigger picture, which
in turn can help to improve communications and
share responsibilities by identifying who needs to
do what and when.
Decisions play important roles as they determine
both organizational and managerial activities.
The rules help set a common objective to be
achieved by the employees working within the
company. Every individual has their own goals
 money, you can do everything to serve the people. And our but in order to make everyone work towards one
greatest problems are under staff, salary, lack of technology common objective, it is essential to have rules as
and lack of funds. they help the entity to set equal goals that are to
be achieved by the employees.
Strategic planning can therefore help an
organization develop the right goals and targets
and help everyone focus their efforts into
meeting them and a budget is a plan that helps
you prioritize your spending. With a budget, you
can move to focus your money on the things that
are most important to you.

ORGANIZING The leadership style we used most often is democratic Organizing is said to be the process in which the
because we are actively participative in activities and we manager have establish the objective through
consider the IPVMO, Population, availability of nursing, planning, and the manager directing the plans
admin. Policies on rotation and budget because our and proper scheduling to the subordinate and to
employee’s need 16 hours of duty a day in one week, and our know and understand their responsibilities
bed capacity is 18 up to 40 and we do the outpatient if the according to instruction being laid.
nurse is scheduled to 3pm – 11pm and the budget is we are
depending on the government because we are under
government of Ilocos Norte. We are also required to attend to
seminars and training to empower our knowledge.
There no powerful and powerless here because we are
dealing each other like siblings in here specially those who
are old and have authority we respect them liked they
respected others.
We are following the structural formation of staff and we
have a chain of command like for example "if I’m not on duty
I will call the one who are above me not directly to chief
nurse”.
And in every position they have their own responsibilities
and liability and as we mentioned of lacking, the lacking here
is the facilities because we are under renovation
DIRECTING A schedule is a time table showing planned work days in
shifts for nursing personnel so that patient care is assured. A
desirable distribution of off duty days can be achieved and
individual members of the nursing team will feel that they are
treated fairly. They will also know their schedule in advance.
Today we follow a time table and groups. For example, 7-3,
3-11. And the staffs tell me in advance if they have
appointments or meetings so I can schedule their offs first.
All of us have contributions in making the plan, the staffs say
it in advance if they have prior meetings or agenda and I will
be the one to make the plan and our head will check it. In
terms of factors in planning the schedule there are some such
as adequate coverage for 24 hour and seven days a week the
shift of the staff should be complete also with staggered
vacations, holidays and weekends. Weekends are scheduled in
such a way that everyone gets a fair share of rest. The floaters
also are a factor in case of any emergencies and the adequate
mix of nurses and nursing attendants should be observed so
that they only assume legally responsibilities according to
their position, education, training and experience.
I supervise my subordinates as often as possible and I
delegate tasks to them if I know that they have the ability to
do it and it the same time I also assist them. Delegating helps
the organization to be more efficient and helps leaders
identify who are best suited to tackle tasks or projects,
develop their skills and gain knowledge. In uniting staffs,
every 3rd Saturday of the month we have a gathering or get
together so that we can get to know each other more and just
to relax.
In communication, we use the downward flow of
communication wherein the flow comes from higher to lower.
Directing is said to be a process in which the
managers instruct, guide and oversee the
performance of the workers to achieve
predetermined goals. It is the function which is
the starting point of the work performance of
subordinates and from this the action takes place,
subordinates understand their jobs and do
according to the instructions laid.
In order for the organization to function well
good directing of plans and proper scheduling
must be implemented. As for Marcos District
Hospital they have a schedule which is proper
with the number of staffs as well as activities
within the hospital. The staffs also get to enjoy
day offs fairly and have gatherings once in a
while which is very important for the staffs to
feel secured and to promote effective and
efficient yet enjoyable working environment. In
terms of delegating the senior nurse ensures that
she delegates tasks once in a while mainly for
task to be done efficient but also to give them in-
depth training and knowledge.
Having strong communication skills aids in all
aspects of life from professional life to personal
life and everything that falls in between. Good
communication skills are essential to allow
others and yourself to understand information
more accurately and quickly. And the staffs at
the Dona Josefa Edralin Marcos District Hospital
have it as evidenced by minor conflicts in their
organization, good interpersonal relationship,
 For example, if I ask for a leave on that day the nurse 1 will teamwork as well as no violations of rules and
first come to me and then I’ll be the one who will regulations.
communicate to our chief nurse. In terms of barriers we Therefore, Directing initiatate action, motivation
haven’t encountered it yet as well as in violating rules and and stability of the organization.
because we treat everyone here like siblings. But in every
organization there will always be a conflict. But just minor
problems such as difference in values or beliefs, personality
clashes, poor performance or misunderstandings.
So we just deal it by talking or if I know that some of them
are not in good terms my strategy is I will schedule them in
the same shift so that they will have no choice but to talk.
Since we are in the same organization good communication
and camaraderie are important factors.

CONTROLLING Helps the managers monitor the effectiveness of their Based on the information given, controlling is
planning. Vision, provides direction for staff and promotes the about evaluation. Needing to make thing better
development of an effort for the staff and organization. whether it is the employee’s performance or
Mission, to partner with patients families, health care team having enough and the right equipment. Being
and one another is providing compassionate innovative and able to communicate with one another helps
expert nursing care. As it is stated in our mission, we are benefit the performance and the improvement on
trying and doing our very best to provide all the needs of our the department and in the hospital as a whole.
client. We are in the road, we are doing, and we are trying and
striving to keep the mission. Because some of the client are
not satisfied all their needs. Every six months there is
evaluation, performance evaluation system.
To determine job competence, controlling is evaluation. It
based in her job description and performance standard. Nurses
behavior must be observe, we evaluate and help fixed
employees flaws in a way in controlling the environment.
Analysis and assessment of nursing unit management s not for
individual appraisal but evaluates the nursing units in its
effectiveness to work with the employees. In facilities audit
covers the inventory of buildings, equipment.
 There is yearly budget for the nursing budget. Financial plan
that includes estimated expenses as well as in coming for a
period of time. Each department handles their department
every fourth quarter, budgeting for flatting, syringes and
equipment. One most spell out what they need to achieve. Be
specific, be honest, give deadlines, be realistic, and listen to
you employees. Evaluate performance not personality. Don’t
be closed minded, listen to others, give clear behavioral
feedback don’t be biased, be consistent and set consequences
if thing don’t change.
As a nurse there is to giving tender loving care to patient. That
is our goal, I want to implement mortality, patient satisfaction
and improve health status.

JOB We are provided with job description upon entering an
SATISFACTION institution and we enjoy working every day even though our
salary is low it’s okay for us since if you really love your
work and if you have passion in taking care of your patients,
salary is not an issue. And we choose to stay here because we
are near to our families and there’s no place like home.
They are very satisfied to their job despite the
low salary because giving quality care to their
patients is their passion and they feel happy in
doing the best they can for their patients.

SUPERVISOR We are encouraged and applauded by our supervisor and if
RELATIONS you did something good she will recognize you. She will give
us something in return. In terms of managerial style our
supervisor is satisfactory since she gives us the freedom but
supervise us at the same time. If you did something she will
talk to you in private and in a nice way.
In trainings they are not the ones who will provide trainings
but they will talk to us and pushes us to attend different
trainings and seminars.
One responsibility of an excellent supervisor is
to build and to maintain a professional
interpersonal relationship with subordinates.
Good relationships lead to happy employees,
which can help to increase production and to
create harmony among team members.

WORKING We work in a safe, healthy and comfortable environment Working in a safe, healthy and comfortable work
ENVIRONMENT because even though we don’t have a 24 hour guard on duty place, plays a big impact to be an effective leader
 we are near to the police station. Healthy, because we have a and manager. It can help you to work properly
fresh air and as to our building we are not comfortable this and to be productive in work.
time because its under renovation and we don’t have yet
enough space and equipments.

RENUMERATION We are satisfied to our current salary, but of course we still Depending on the type of organization and the
AND BENEFITS aiming a higher salary, regarding to our benefits, aside from job benefits may be quite different offering
our salary we also have a health benefits, still are aiming more benefits to employees is important because it
benefits, the benefits we have right now, we are happy, shows them you are invested and not overall
because we are contented that we can help people/patients to health, but their future, benefit package can help
take care and rendered quality nursing care. attract and retain talent. Benefits can improve the
employees work because they know that they are
ensured and secured to the company.

RECOGNITION On the recognition and awards we don’t have in the hospital
AND AWARDS because we are under the government, we have provincial
recognition, civil services for recognition and life of service
from civil service. If we are given a change of what kind of
award/incentives we like, we would like to receive from them
a money, car or certificate with financial support. The biggest
accomplishment as a nurse is building a good relationship to
my colleague
Giving recognition and awards motivates
employee to strive in their work, provides a
sense of accomplishment and makes employees
feel valued to their work. Top performers should
recognize their efforts and value. Recognition
and awards can boost employee engagement,
increase productivity and loyalty to the company
leading to better and higher goal.

LEADERSHIP An efficient leader is someone who influences and inspire
ABILITIES subordinates to achieve their goals and a leader should first
become a follower in order to become a good leader. And one
must have the commitment and passion.
In terms of leadership style it is both democratic and
transformational leadership. Democratic because it is a two
way relationship and transformational because we are
working for the needed change of this organization.
In my opinion a leader is someone who sets the direction and
take risks for the organization meanwhile a manager manages
A great leader posses a clear vision, is
courageous, has integrity, honesty, humility and
clear focus which their senior nurse posses. She
exemplifies a model leadership style that made
the organization effective, efficient and
successful in giving quality care to their patients.
the entire organization and expects control. While the values
and beliefs that prevails in this organization are integrity,
ethics respect and doing the right thing. If there is one thing
that we want to change is that this organization resists
changing.