Professional Documents
Culture Documents
Guidelines:
• Morning circle starts at 5:45 am. Those who have connectivity
issues must log in before the call time.
• Students who are experiencing brownouts or other connectivity
issues must immediately inform his Clinical Instructor directly
or through his groupmates. A proof must be sent when the
student’s connection is restored.
• After reciting the Nurse’s Prayer, proof of attendance through
picture taking will follow.
Con’t...
• Students must wear white shirts with hair properly fixed. Light
make up is recommended.
• Routine inspection of ward kits is also present during morning
circle. A lacking item is a deduction in points.
• Endorsement of the patient’s status and other pertinent
instructions will be provided during the circle.
• Daily charting must be submitted at 10am in MS Teams. The
rest of the daily requirements must be completed at 2pm.
Daily Activities
To do:
Rubric for Charting
Daily requirements to do list:
Rubric for NH&PA (ROS, and Lab/Dx test)
Rubric for AnaPhy and Patho
Rubric for Drug Study
Rubric for NCP
Rubric for Discharge Plan
Rubric for Case Presentation
Rubric for Individual Conference
Team Participation Rate through MS Forms
Day of Month - must have the correct days of the month during the week of
rotation
Day of Disease - must be consistent with the number of days of rotation
No. of Days - most of the time, this is parallel with the Day of Disease
Weight - must reflect on Day 1 only, unless if ordered for daily monitoring
Con’t TPR SHEET
In filling the TPR sheet:
always remember that there is an
interval of 5 counts for RR and PR and
0.5 for Temp between reach reading
to identify the correct reading, the
number above the line denotes the
corresponding value of the data
make sure to align your values to the
correct timing of the shift, as well as the
day of the month
Con’t TPR SHEET
In filling the TPR sheet:
For Day 2-5, only the designated time of
the shift must be filed, don’t connect the
lines.
Remember the following line colors:
Temp - black
Pulse - red
Respi - black
BP- black
PS - red
Con’t TPR SHEET
In filling the TPR sheet:
Lines in Pain Score must directly point
to the exact reading of the data. Lines
should not be placed in the middle of
the box.
In filling the stool, urine and BP - it
must be in the correct shift and must be
placed at the center of the box
BP SHEET
Con’t BP SHEET
• Patient’s information like the name, case number, ward and bed
number must be filled at all times.
• The arrows must point to the desired BP value to have a correct
reading.
• Arrows must also be in line with the correct date and time of
the shift.
• For Day 2-5, only the date and time of the shift must be filled.
MAR SHEET
fill in the nurse’s name once,
unless if you are to fill a new
sheet
initials must be placed at the
center of the box
place the given medications
and dosage in the designated
area
time of administration must
be encircled followed with
the student’s initial then the
CI’s initial
MAR SHEET
Date and time must be placed. Time when the patient is received and endorsed
must be indicated.
Focus must be in accordance with what is written in NANDA. Except for medical
terms like hyperthermia that we need to state: Altered Comfort: Hyperthermia.
Data must be written in cephalocaudal manner observation of the patient, only
include information that is related to your focus.
Con’t FDAR SHEET
Actions must be in past tense form. Always start with nurse’s rounds done;
monitored vital signs; checked and regulated IVF flow rate. Then followed by
actions addressing your focus. Always separate phrases with semi-colon ( ; ). End
actions with either of the following: bedside care rendered, watched for any
unusualiies, referred accordingly, etc.
Responses must be concise.
MONITORING SHEET
Note:
Macroset - bottle must be
replaced if below 100ml.
Microset - make sure to fill the
soluset, first. If main bottle is
already empty or below 100
whichever comes first. Main
bottle must be replaced.
INTAKE AND OUTPUT SHEET
Always start with bottle number 1, as the first bottle received on Day 1 of the
rotation. Nurse’s name and signature of the staff must be seen on bottle number
1. Then continue with bottle number 2, if you have replaced the bottle on that
same day, with the student and CI’s name.
On the next day of duty, continue to bottle number 3 and so on until rotation
ends.
Go directly to the next bottle number you have replaced the following day. No
need to indicate the bottle before your shift.
GCS SHEET
Check the
appropriate GCS
score according to
the instructions of
your Clinical
Instructor.
LABOR MONITORING SHEET