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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.

 


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.






    


 


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.

 
 


Student staff nurses

 



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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.

  






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.

  


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.






    


 


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.


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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 patient¶s 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 patient¶s 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.

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,-.)(.. Call time
 Preconference

Orientation

Distribution of area of assignment

(..)(-. Endorsement

(-.)(/, Rounds with the staff nurse

Check the patient¶s condition

Check for the IVF level from the time
received

(/,)0.. Chart reading



Patient¶s profile/data

Diagnosis

Past/Present history

Doctor¶s Order

Medication and time of medication

0..)0-. Reporting

0-.)1-. Preparation of medications/Drug study/Vital
 signs

1-.)2.. V/S Plotting



2..)3... Case discussion/Preparation of SOAPIE

3...)3.-. Break of the first half of the group

3.-.)33.. Break of the second half of the group

33..)333, Drug Preparation

333,)33/, Drug study

33/,)3*.. Vital Signs and Giving medication

3*..)3*-. Quiz

3*-.)3.. Checking of SOAPIE/charting

3-.)*.. Vital Signs / Endorsement


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3-.)*.. Call time
 Preconference

Orientation

Distribution of area of assignment

*..)*-. Endorsement

*-.)*/, Rounds with the staff nurse

Check the patient¶s condition

Check for the IVF level from the time
received

*/,)-.. Chart reading



Patient¶s profile/data

Diagnosis

Past/Present history

Doctor¶s Order

Medication and time of medication

-..)--. Reporting

--.)/.. Preparation of medications/ Vital signs

/..)/3, V/S Plotting

/3,),3, Case discussion/Preparation of SOAPIE

,3,),/, Break of the first half of the group

,/,)(3, Break of the second half of the group

(3,)(/, Drug Preparation

(/,)03, Drug study

03,)0/, Vital Signs and Giving medication

0/,)1-. Lecture/ Quiz

1-.)2-. Checking of SOAPIE/charting

2-.)3... Endorsement/ Post Conference


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2-.)3... Call time
 Preconference

Orientation

Distribution of area of assignment

3...)3.-. Endorsement

3.-.)3./, Rounds with the staff nurse

Check the patient¶s condition

Check for the IVF level from the time
received

3./,433.. Chart reading



Patient¶s profile/data

Diagnosis

Past/Present history

Doctor¶s Order

Medication and time of medication

33..)33-. Reporting

33-.)3*.. Preparation of medications/ Vital signs

3*..)3*3, V/S Plotting

3*3,)33, Case discussion/Preparation of SOAPIE

33,)3/, Break of the first half of the group

3/,4*3, Break of the second half of the group

*3,)*/, Drug Preparation

*/,)-3, Drug study

-3,)-/, Vital Signs and Giving medication

-/,)/-. Lecture/ Quiz

/-.),-. Checking of SOAPIE/charting

,-.)(.. Endorsement/ Post Conference

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Area: ! "+

Name: ____________________________ Date: _________________


*ear and Section____________________ Group Number__________ Rating:
_______________

Direction: Put a check on the skills observed / performed, of not please include
remarks on the space provided.
Legend:

-- Is at a very satisfactory level. Has thorough knowledge and understanding of the


said case/topic. Could do and plan intervention on his/her own.
*- At satisfactory level. Has enough understanding to handle the case but needs
Careful guidance.
3- Needs to be reevaluated. Competency is at an unsatisfactory level and needs to
be reoriented on the subject/case at hand.

5  + 3.9 Wt 3 2 1 Score Remarks


1. Obtains and analyzes pertinent data 2
concerning patient¶s condition.
2. Determines and categorizes clinical 2
assessment of the patient.
3. Interprets prudently the physician¶s order. 2
4. Checks and accomplishes pre-operative 2
checklist prior to surgical procedure.
5. Assess patient¶s physiological, 2
psychological and patient¶s emotional
status.
  10

#5 !$"/9 Wt 3 2 1 Score Remarks


1. Formulates appropriate nursing diagnosis 1
based from thorough patients assessment.
2. Rationalizes principles of aseptic 1
technique.
3. Checks functionality of the operating room 1
/ delivery room equipment such as suction
machine, cautery and OR lights.
4. Prepares and selects surgical supplies 1
concerning the patient¶s surgical
procedure.
  4

%5 " & "3,9 Wt 3 2 1 Score Remarks


½   ½
 
1. Identifies patient and verifies 1
procedure to be done.
2. Secures consent. 1
3. Checks for clearances (cardio- 1
pulmonary clearance, pedia
clearance), diagnostic procedures.
   ½
 
1. Explains proper position for induction 2
of anesthesia and operation to be
performed.
2. Demonstrate proper aseptic/antiseptic 2
technique, sterile drapings and
handling of instruments.
3. Maintains sterility of the operating 2
room and sterile field.
½   ½
 
1. Monitors vital signs immediately after 2
the operation.
2. Evaluates patient¶s recovery from 2
anesthesia.
3. Discusses the emergency 2
resuscitative devices, equipment and
emergency drugs in the recovery
room.
  15

5 &$"/9 Wt 3 2 1 Score Remarks


1. Evaluates plan care after applying 1
necessary nursing interventions.
2. Discusses appropriate health 1
teaching (sterile wound care)
3. Performs proper documentation and 1
other important details are needed.
4. Participates in activity during post- 1
conference.
  4
   100

_______________________ ________________________

Student¶s Signature Clinical Instructor¶ Signature



















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Area:   $:

Name: ____________________________ Date: _________________


*ear and Section____________________ Group Number__________
Rating: _______________
Direction: Put a check on the skills observed / performed, of not please include
remarks on the space provided.

Legend:

-- Is at a very satisfactory level. Has thorough knowledge and understanding of the


said case/topic. Could do and plan intervention on his/her own.
*- At satisfactory level. Has enough understanding to handle the case but needs
Careful guidance.
3- Needs to be reevaluated. Competency is at an unsatisfactory level and needs to
be reoriented on the subject/case at hand.

58:$   3 2 1 REMARKS

1. Knowledge in gathering data

2. Knowledge of the different methods used in


physical assessment.

3. Adequate knowledge regarding normal values


and other laboratory results.

4. Identifies nursing problems of patient and its


cause.

5. Explains scientific principles behind patient¶s


condition and management.

6. Knowledge in setting goals and prioritization


of patient¶s needs.

7. Knows intervention to be given and the


rationale.

8. Knows the theories and rationale behind


nursing procedures being implemented.

9. Knows the principle of drug administration


and its action.

10. Knowledge on how to relate nursing


interventions to outcomes.

 

#58"$$ 3 2 1 Remarks
1. Checks, records and interprets accurately the
vital signs of assigned patients.

2. Ability to manipulate and care for the equipment.

3. Ability to collect specimens for the laboratory


examination.
4. Demonstrate skill in providing comprehensive
nursing care.
5. Performs nursing procedures with maximum
result with minimum time, effort and materials at
her/his level.

6. Implements nursing care according to priorities.


7. Provides health teaching for patient and his
family as manifested by good communication skill.
8. Coordinates with other members of the health
team with regards to patient¶s condition.
9. Ability to transcribe doctor¶s order.
10. Records accurately patient¶s conditions and
nursing intervention.
 

%5" &$  3 2 1 Remarks


1. Punctuality and regular in attendance.

2. Professionalism in uniform.
3. Honesty and sincerity.
4. Resourcefulness and creativity.
5. Sense of responsibility.
6. Initiative, Diligence and Industry.
7. Tolerance and Patience.
8. Polite and Respectful to self and others.
9. Works harmoniously with others.
10. Aware and understands the needs and
emotions of others.
 

_____________________ ________________________

Student¶s Signature Clinical Instructor¶ Signature


 
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Name: ___________________ Date:____________________


*r/Sec: __________________ Group:___________________
Rating: __________________
Area: ____________________Clinical Instructor:___________


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Outstanding Carries out expected tasks in a very consistent
5
manner with minimal guidance and supervision
Very Carries out expected tasks in a consistent
4
Satisfactory manner with minimal guidance and supervision
Satisfactory Carries out expected tasks in a moderately
3 consistent manner with frequent guidance and
supervision
Needs Carries out expected tasks in a rarely
2 Improvement consistent manner with close guidance and
supervision
Unsatisfactory Does not carry out expected tasks even with
1
close guidance and supervision

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1.1 Establishes rapport with subordinates
1.2 Able to involve patients in plan of care
1.3 Punctual and prompt in all activities
1.4 Able to maintain stability under pressure
1.5 Gathers data using interview, observation, records review
and reports
1.6 Formulates appropriate nursing care plan
1.7 Wears complete prescribed RLE uniform
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a. Carries out assigned tasks based on the criteria of distribution
of assignments
b. Follows principles of time management
c. Equipped with required paraphernalia for RLE
d. Observes proper channels of communication
e. Carries out plan of care, including:
A. Bedside Care
B. Administration of medications

C. Administration of treatments (nebulization, IVF)


f. Shows initiative in performing tasks
g. Accomplishes delegated tasks within prescribed time frame
h. Provides psychological and spiritual support to patients
i. Accepts supervision and criticisms
j. Conducts appropriate health teachings
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1. Notifies immediate superior about untoward situations or
conditions related to patient care in the area
2. Make revisions in the plan of care as necessary
3. Evaluates Nursing Care rendered
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1. Demonstrates honesty at all times
2. Conducts self in a tactful manner
3. Keeps confidential patient information
4. Observes the PNA Code of Ethics
5. Guided by RA 9173
6. Observes the 11 Core Competency Guidelines






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ACTUAL SCORE x EVALUATED B* :


100
STUDENT HEAD NURSE

$% 
CONFORME B* :

STUDENT STAFF NURSE

NOTED B*:
CLINICAL INSTRUCTOR















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Name: _________________________ Date:___________________
*r/Sec: ________________________ Group:___________
Rating: __________________ Area: ____________________
Clinical Instructor: __________________________

5 8 < , / - * 3
1. Applies as appropriate theory as a basis for decision
making in nursing practice.
2. Assesses staffs presenting symptoms to determine a
nursing diagnosis and plan of action based on a medical
expertise and knowledge.
3. Knowledge in communication, clarification and
interpretation of existing problems with staff and nursing
responsibilities.
4. Inform the staff of the likely causes of errors defects and
waste.
5. Suggest in which risk, errors, quality of problems maybe
reduce.
#5 

1. Neat and well groomed. Adheres to dress code.
2. Punctual in reporting for duty
3. Complies with the code of ethics of the nursing
profession and upholds and implements school rules.
4. Assist in training staff in particular by setting a good
example.
5. Promotion of professional responsibility, accountability
and behavior.
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1. Provide leadership in the assessment, planning,
implementation, and evaluation of comprehensive school
health program.
2. Respond to the student/ staff medical emergencies.

3. Instruct subordinates in appropriate method and


procedure in providing care.
4. Initiate and facilitate any steps necessary to improve
methods, equipments, materials and condition in the
work area for which they are responsible.

Equivalent: ______________ Rating: _______________

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5 85 Excellent Carries out expected behavior in a very consistent and
independent manner with less supervision and guidance.
4 82-84 Very Carries out expected behavior in a consistent and
Satisfactory independent manner that requires minimal supervision and
guidance.
3 79-81 Satisfactory Carries out expected behavior in rarely independent manner
requiring more supervision and guidance.
2 75-78 Fair Carries out expected behavior in rarely independent manner
requiring close supervision and guidance.
1 74 and Needs Carries out expected behavior under close supervision and
below improvement guidance.
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This evaluation is to determine and appraise the performance of the staff


according to their assign task. By writing the appropriate score in the proper column
denoting the extent to which the nurses performed these functions.

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Decorum Attendance -----------------------------------------------------15%
Requirements 20% ----------------------------------------------------- 20%
Quiz ----------------------------------------------------- 25%
Performance 40%----------------------------------------------------- 40%

_____________
Total 100%

Prepared By:
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8:$   , / - * 3
1. Gathers data appropriately and completely,     
then validating it focusing function needing
assistance support
2. Analyze and interpret collected data     
3. Knows the correct way of doing physical  
assessment.
4. Gives attention and synthesize the significant  
laboratory findings
5. Knowledge in identifying nursing problems     
and categorizing it according to the patients
need.
6. Knows the rationale behind every     
intervention given for the care of the patient.
7. Have knowledge in giving proper instruction     
for medicine
a. classification
b. nursing responsibility
c. drugs and solution
8. Explain or discuss the report clearly and able     
to answer question correctly.
9. Knowledge in preparation of patient for any     
diagnostic procedure
10. Knows how to formulate an accurate nursing     
care plan for particular cases.
     


8"$$ , / - * 3
1. Ability to give and respond to the care     
needed by the patient
2. Perform procedure properly such as doing     
physical assessment, taking VS, and giving
medication as ordered.
3. Able to provide or assist patient in  
performance of activities of daily living
whenever needed.
4. Always guided in precautionary and  
preventive measure in providing care to the
patient.
5. Able to give health teachings clearly to the     
patient.
6. Communicate effectively in identifying the     
needs of the patient.
7. Properly handling an instance of emergency     
situation.
8. Implement Nursing care plan appropriately     
9. Reassesses patient to determine whether a     
remodification of care plan is necessary.
10. Able to conduct discharged planning with the     
patient, his family and significant others.
    

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5 ± Outstanding (85)
4 ± Very Satisfactory (83-84)
3 - Moderately satisfactory (81-82)
2 ± Minimally satisfactory (75-80)
1 ± Unsatisfactory (74 and below)