Republic of the Philippines

JOSE B. LINGAD MEMORIAL GENERAL HOSPITAL

Mac Arthur Highway, Dolores, City of San Fernando, Pampanga
DAILY ACCOMPLISHMENT SCORECARD

NOVEMBER 1-31 2022

UNIT: OB NICU PERIOD COVERED :
Last Name First Name Middle Name Month Date Year

LEGEND :
1 Poor P 2 Unsatisfactory 3 Satisfactory 4 Very Satisfactory 5 Outstanding

0 RESPONSIBILITIES / FUNCTIONS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL AVE

I PUNCTUALITY
II UNIFORM
III RECEIVING AND ENDORSEMENT OF FLOOR STOCKS/EQUIPMENT
a. No excess medications
b. Number of received tallies with actual medicine and supply
c. Complete accomplishment of floor stock receiving forms
d. Accurate charging of medicine and supplies
e. Checking of availability and expiration of emergency medicine and supplies
f. Checking of functionality/comprehensiveness/preventive maintenance of equipment
IV QUALITY CIRCLE
V CRIB TO CRIB ENDORSMENT
VI PATIENT CARE
a. checking of identification bands and crib tags
b. vital signs monitoring and recording
c.room charting
d. documentation
e. carrying out doctors order
f. prompt attending patients needs
g. proper inserting and referring of laboratory results
h. health education
VII MEDICATION ADMINISTRATION
a. practice the 10Rs of medication
b. no medication error within the shift
VIII ADMISSION
a. Assessment of patient
b. preparing needed materials for umbilical catheterization and assisting in other treatment/procedures
c. room transfer
d. documentation
e.carrying out doctors order
f. arranging of medication in the patients medication box
IX DISCHARGING PROCESS
a. Completion of chart requirements
b. Checking of chart contents thru checklist
c. Achievement of target process cycle time
d. Rendering of Alagang Pinoy Tagubilin and scheduling of OPD follow-up
X INFECTION CONTROL
a. Practice handwashing/ aseptic technique
b. Perform 5S
c. Usage of forms for
c1 CAUTI Care Bundle Checklist
c2 VAP Bundle Checklist
c3 UVC Bundle Checklist
d. sterilization of infant clothing,umbilical catherization set and donning gowns for mothers
XI PATIENTS SAFETY
a. No incidece of baby switching and wrong identification
b. No incidence of fall during the shift
c. No incidence of IV burn
XII KANGAROO MOTHER CARE AND BREASTFEEDING PROGRAM
a. Iinitiation of KMC enrollment thru referal to MSSD
b. Health education on KMC
c. Accomplishment of KMC Evaluation sheet/checklist
XIII NEONATAL CARE FOR WELL BABY (CS)
a. Assist Pedia ROD in newborn catching
b. Placing of proper ID band
c. Performs newborn care routine (skin drying, anthropometric measurement
giving of prophylaxis-Vit K, erythromycin eye ointment and initial Hepa-B shot)
d. Facilitate early feeding thru direct breastfeeding or cup feeding
e.Rooming-in

SIGNATURE OF RATEE