Colegio de Sta.

Monica
# 98 Marcos Alvarez Ave., Talon Uno, Las Pias City Tel. No. 800-8334 Telefax 802-2277

CLINICAL PERFORMANCE CHECKLIST IN EMERGENCY AND DISASTER NURSING Name of Student:___________________ Clinical Area: _________ Inclusive Dates of exposures:_________ Rating:_________________

BEHAVIOR/SKILLS 4 1. ASSESSMENT 1. Performs admission procedures diligently 2. Assesses accurately the emergency/disaster situation 3. Gathers and identifies health assessment interview to collect subjective data and a physical Examination assessment to collect objective data to include diagnostic and laboratory test 4. Explains the pathophysiological basis of patients disease condition in relation to patients Manifestations 5. Relates the diagnostic and laboratory results to patients condition 6. Analyzes the data gathering II. PLANNING 1. Identifies different situations which requires immediate attention and management by the health team 2. Prioritizes patients needs effectively 3. Prioritizes identified nursing problems 4. Formulates nursing diagnosis using the PES format 5. Prioritize the nursing diagnosis 6. Formulate a plan of care SMART States expected outcomes of nursing intervention Specific appropriate and individualized evidence based nursing intervention Define evaluation criteria III.IMPLEMENTATION 1. Performs emergency rescue and transfer correctly 2. Provides Basic Life Support accurately Carries out procedures in ensuring proper ABC Performs Artificial Respiration and/or External Chest Compression correctly 3. Implements appropriate nursing interventions that is safe and comfortable Poisoning Burns Animal and insect bites Head trauma Bone, joint and muscle injuries Foreign body obstruction Shock Emergency delivery Others specify 4. Specific patient interventions 3 2 1

Maintains client airway clearance and breathing pattern effectively

4 Administration of nebulization and oxygenation. Proper suctioning to clear airway. Perform foley catheterization aseptically. Insert NGT and to do the gastric lavage. Assist in the emergency CVP and CTT aseptically. Intake and output monitoring. Administer medication correctly as ordered observing 10 rights. Prepares and regulate IVF as indicated. Perform cardiopulmonary resuscitation correctly. 5. Provide individualized client and family teaching 6. Maintains privacy confidentiality. 7. Performs nursing interventions effectively and in a timely manner IV. EVALUATION 1. Evaluates the effectiveness of nursing care provided for clients in emergency and disaster, revising plan as indicated. 2. 3. Completes discharge protocol. 4. Prepares future plan of action. 5. Documents data concisely and accurately