Acknowledgement This dissertation would not have been possible without the guidance and the help of several

individuals who in one way or another contributed and extended their valuable assistance in the preparation and completion of this study. First and foremost, God, for answering our prayers for giving us the strength to make this compilation feasible thank you so much Dear Lord. Our profound gratitude to the staff nurses and administration of Quezon Institute Hospital for assistance and guidance that theyve giving us all throughout our exposure in the ward. To our dear Clinical Instructor, Mrs. Helen Loresco, RN, MAN for her untiring support and for lending us their time in guiding us during the accomplishment of this study and for her challenging tasks and motivation, as well as her recommendations for the success of this compilation. Last but not the least, my family and the one above all of us, the omnipresent financial support and immeasurable inspiration, for their moral and spiritual support in meeting betterment of this compilation.

Introduction

HEAD NURSING
Description: This course incorporates nursing leadership and management towards its all aspects to facilitate enhancement of competence and effectiveness of students as a nurse in providing quality and compassionate nursing care. HEAD NURSE Definition: 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. General Objectives: 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. Specific Objective: As a student head nurses they will be able to: 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.

Subordinates: Student staff nurses

Responsibilities of a Head Nurse 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. STAFF NURSE Definition 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. General objective: 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.

Specific Objective: As a student nurses they will be able to: 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. RESPONSIBILITIES OF THE STAFF NURSE 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 patients 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 patients 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.

Plan of Activities

Areas: Shift: 6-2 Time 5:30-6:00 Activities Call time Preconference Orientation Distribution of area of assignment Endorsement Rounds with the staff nurse Check the patients condition Check for the IVF level from the time received Chart reading Patients profile/data Diagnosis Past/Present history Doctors Order Medication and time of medication Reporting Preparation of medications/Drug study/Vital signs V/S Plotting Case discussion Break of the first half of the group Break of the second half of the group Drug Preparation Drug study Vital Signs and Giving medication Quiz Prepare for SOPIE Vital Signs / Endorsement

6:00-6:30 6:30-6:45

6:45-7:00

7:00-7:30 7:30-8:30 8:30-9:00 9:00-10:00 10:00-10:30 10:30-11:00 11:00-11:15 11:15-11:45 11:45-12:00 12:00-12:30 12:30-1:00 1:30-2:00

Shift: 2-10 Time 1:30-2:00 Activities Call time Preconference Orientation Distribution of area of assignment Endorsement Rounds with the staff nurse Check the patients condition Check for the IVF level from the time received Chart reading Patients profile/data Diagnosis Past/Present history Doctors Order Medication and time of medication Reporting Preparation of medications/Drug study V/S Plotting Vital signs Case discussion Break of the first half of the group Break of the second half of the group Drug Preparation Drug study Vital Signs and Giving medication Lecture Prepare for SOPIE Quiz Endorsement

2:00-2:30 2:30-2:45

2:45-3:00

3:00-3:30 3:30-4:00 4:00-4:15 4:15-5:00 5:00-5:30 5:30-6:00 6:00-7:15 7:15-7:45 7:45-8:00 8:00-8:30 8:30-9:00 9:00-9:30 9:30-10:00

Shift: 10-6 Time 9:30-10:00 Activities Call time Preconference Orientation Distribution of area of assignment Endorsement Rounds with the staff nurse Check the patients condition Check for the IVF level from the time received Chart reading Patients profile/data Diagnosis Past/Present history Doctors Order Medication and time of medication Reporting Preparation of medications/Drug study V/S Plotting Vital signs / Giving medications Case discussion Break of the first half of the group Break of the second half of the group Drug Preparation Drug study Vital Signs and Giving medication Lecture Prepare for SOPIE

10:00-10:30 10:30-10:45

10:45-11:00

11:00-11:30 11:30-12:00 12:00-12:15 12:15-1:00 1:00-1:30 1:30-2:00 2:00-2:15 2:15-2:45 2:45-3:00 3:00-3:30 3:30-4:00

4:00-4:30 4:30-5:00

Quiz Endorsement

University of Perpetual Help System-Binan Campus Dr. Jose G. Tamayo Medical University Sto.Nino, Binan Laguna COLLEGE OF NURSING CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Concept: Acute Biological Crisis Area: EMERGENCY ROOM Name: ________________________ Date:________________ Year___ Section___ Group Number___ Rating:_______________ Direction: Legend: 3Is at a very satisfactory level. Has thorough knowledge and understanding of the said case/topic. Could do and plan intervention on his/her own. Put a check on the skills observed / performed, of not please include remarks on the space provided.

21-

At satisfactory level. Has enough understanding to handle the case but needs Careful guidance. Needs to be reevaluated. Competency is at an unsatisfactory level and needs to be reoriented on the subject/case at hand. Wt 2 3 2 1 Score Remarks

A. ASSESSMENT 10% 1. Assess different manifestations that are related to Acute Biological Crisis through the different methods used in physical and appropriate data gathering. 2. Performs physical examinations correctly and with confidence. 3. Identifies and differentiates between normal and abnormal findings in Acute Biological Cases. 4. Determines the significance of laboratory and diagnostic findings to the emergent problems 5. Picks out critical and essential data in nursing history relevant to the current situations. Subtotal

2 2 2 2 10 Wt 2 2 4 3 2 1 Score Remarks 3 2 1 Score Remarks

B. PLANNING 4% 1. Knowledge in setting goals and prioritization of patients needs with Acute Biologic Crisis in the emergency room. 2. Identify changes in patients needs and nursing problems as they occur and make necessary adjustments in nursing measures. Subtotal C. INTERVENTIONS 15% Assess the capability needed by the client for self-management in the emergency. Ensures safety, comfort and privacy in rendering care of patients with acute biologic crisis. Provides necessary curative measures. Provides immediate restorative/rehabilitative measures during temporary stay in the ER. Utilizes available physical and professional resources. Makes referrals to appropriate health professionals, as needed. Shows commitment to the welfare of the client. Implements the plan of care jointly with the client. Performs nursing procedures/activities: 9.1 with ease and confidence 9.2 correctly 9.3 systematically 9.4 practices bioethical principles in care Wt 1 2 1 1 1 1 1 1 1 1 1 1

1. 2. 3. 4. 5. 6. 7. 8. 9.

9.5 provides after care 9.6 demonstrate situational flexibility and adaptability Subtotal D. EVALUATION 4% 1. Evaluates plan of care of client using the outcome criteria and performs appropriate documentation and recording of changes in the clients evident status after the interventions. 2. Displays critical thinking in the analysis of the current management being employed and modifications that has to be done as needed. 3. Discusses with the appropriate health team results of interventions. 4. Accepts suggestions, constructive criticisms and employ appropriate modifications in the plan of care. Subtotal Grand Total

1 1 15 Wt 1 3 2 1 Score Remarks

1 1 4 10 0

________________________ _________________________ Students Signature Clinical Instructor Signature

University of Perpetual Help System-Binan Campus Dr. Jose G. Tamayo Medical University Sto.Nino, Binan Laguna COLLEGE OF NURSING CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Area: OPERATING ROOM

Name: ____________________________ Date:_________________ Year___ Section___ Group Number___ Rating:_______________ Direction: Put a check on the skills observed / performed, of not please include remarks on the space provided.

Legend: 321Is 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. Needs to be reevaluated. Competency is at an unsatisfactory level and needs to be reoriented on the subject/case at hand. Wt 2 2 2 2 2 10 Wt 1 1 1 1 4 3 2 1 Score Remarks 3 2 1 Score Remarks

A. ASSESSMENT 10% 1. Obtains and analyzes pertinent data concerning patients condition. 2. Determines and categorizes clinical assessment of the patient. 3. Interprets prudently the physicians order. 4. Checks and accomplishes pre-operative checklist prior to surgical procedure. 5. Assess patients physiological, psychological and patients emotional status. Subtotal B. PLANNING 4% 1. Formulates appropriate nursing diagnosis based from thorough patients assessment. 2. Rationalizes principles of aseptic technique. 3. Checks functionality of the operating room / delivery room equipment such as suction machine, cautery and OR lights. 4. Prepares and selects surgical supplies concerning the patients surgical procedure. Subtotal

C. INTERVENTION 15% Pre Operative Phase 1. Identifies patient and verifies procedure to be done. 2. Secures consent. 3. Checks for clearances (cardio-pulmonary clearance, pedia clearance), diagnostic procedures. Intra Operative Phase 1. Explains proper position for induction of anesthesia and operation to be performed. 2. Demonstrate proper aseptic/antiseptic technique, sterile drapings and handling of instruments.

Wt 1 1 1

Score

Remarks

2 2

3. Maintains sterility of the operating room and sterile field. Post Operative Phase 1. Monitors vital signs immediately after the operation. 2. Evaluates patients recovery from anesthesia. 3. Discusses the emergency resuscitative devices, equipment and emergency drugs in the recovery room. Subtotal D. EVALUATION 4% 1. Evaluates plan care after applying necessary nursing interventions. 2. Discusses appropriate health teaching (sterile wound care) 3. Performs proper documentation and other important details are needed. 4. Participates in activity during postconference. Subtotal Grand Total

2 2 2 2 15 Wt 1 1 1 1 4 10 0 _________________________ Clinical Instructor Signature 3 2 1 Score Remarks

________________________ Students Signature

University of Perpetual Help System-Binan Campus Dr. Jose G. Tamayo Medical University Sto.Nino, Binan Laguna COLLEGE OF NURSING CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Concert: Staff Nursing Area: GENERAL WARD

Name: ____________________________ Date:_________________ Year___ Section___ Group Number___ Rating:_______________ Direction: Legend: 321Is 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. Needs to be reevaluated. Competency is at an unsatisfactory level and needs to be reoriented on the subject/case at hand. A. KNOWLEDGE 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 patients condition and management. 6. Knowledge in setting goals and prioritization of patients needs. 7. Knows intervention to be given and the rationale. 8. Knows the theories and rationale behind nursing procedures being implemented. 3 2 1 REMARKS Put a check on the skills observed / performed, of not please include remarks on the space provided.

9. Knows the principle of drug administration and its action. 10. Knowledge on how to relate nursing interventions to outcomes. Subtotal:

B. SKILLS 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 patients condition. 9. Ability to transcribe doctors order. 10. Records accurately patients conditions and nursing intervention. Subtotal: C. ATTITUDES AND VALUES 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. Subtotal: _____________________ ________________________ Students Signature

Remarks

Remarks

Clinical Instructor Signature

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, Laguna College of Nursing Name: ____________________________________Date:___________________ Yr/Sec:______________Group:___________ Rating:__________________ Area:____________________Clinical Instructor:__________________________

P E R F O R M AN C E

E V AL U AT I O N

T O O L

(STUDENT HEAD NURSE TO STUDENT NURSE) NUMERICAL RATING 5 4 3 2 1 QUANTITATIVE Outstanding Very Satisfactory Satisfactory Needs Improvement Unsatisfactory DESCRIPTION Carries out expected tasks in a very consistent manner with minimal guidance and supervision Carries out expected tasks in a consistent manner with minimal guidance and supervision Carries out expected tasks in a moderately consistent manner with frequent guidance and supervision Carries out expected tasks in a rarely consistent manner with close guidance and supervision Does not carry out expected tasks even with close guidance and supervision

PERFORMANCE I. ASSESSMENT / PLANNING 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 II. IMPLEMENTATION 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 III. EVALUATION 1. Notifies immediate superior about untoward situations or

RATING

conditions related to patient care in the area 2. Make revisions in the plan of care as necessary 3. Evaluates Nursing Care rendered V. ETHICOLEGAL CONSIDERATIONS 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 REMARKS :

ACTUAL SCORE x 100 TOTAL SCORE

EVALUATED BY:
STUDENT HEAD NURSE

CONFORME BY :
STUDENT STAFF NURSE

NOTED BY:
CLINICAL INSTRUCTOR

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, Laguna College of Nursing

HEADNURSE 1. 2. 3. 4. 5. Supervises and evaluates the quality of patient care through frequent rounds Oversees the action of assigned staff nurse, medication nurse and chart nurse. Familiarized and take care of the emergency cart. Takes note of the special procedures for the patients within the unit. Keep superiors informed regarding the problems and issues in patient care with the nursing unit. 6. Participates in the selection of nursing staff for the unit. 7. Presents changes or innovations to staff in a positive manner. 8. Provides conducive climate for work and maintains effective communication within the unit department. 9. Makes the 24 hrs. Nursing report of the unit. 10. Checks daily time record of the staff. STAFF NURSE 1. Should know the patient very well. 2. Should always establish rapport with the patient. 3. Assess the patients needs for care based on the patients history, results of physical examinations, diagnosis, and laboratory exams. 4. filling up the request admissions 5. Oversees the activities of the nursing students. 6. Make part of the endorsement for the shift. 7. Proper endorsement (detailed, clear, and updated) of the patients incoming shift. 8. demonstrate good nursing in caring of patients 9. Acts as a role model to fellow students. 10. Makes a nursing care plan for the patient he/she handled. MEDICATION NURSE 1. Must know the 10 rights in giving the medication. 2. Must know the drug action, side effects and nursing consideration of each medications. 3. Must know the color coding of the medication cards followed by the institution. 4. Always bring medication tray with you in giving medication. 5. Should always establish rapport with the patient. 6. May give medication only with the supervision of clinical instructor or staff nurse on duty. 7. always double check with the doctors order 8. Make a drug study as a students clinical assignment. 9. Must know the computation concisely and table of equivalents

10. Document all medications given legibly as countersigned by respective clinical instructor or staff nurse on duty CHART NURSE 1. 2. 3. 4. Record all the vital signs taken on the TPR sheet on the patients chart. Must know the normal values of BP, PR, RR and Temperature. Reports intake and output Makes a narrative report of the vital signs recording system for the shift then submit to the assigned student head nurse.

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, Laguna College of Nursing

E N D O R S E M E N T

S H E E T

Name: ______________________________Date:______________ Yr/Sec: ______________Group:__________ Area: _____________ Clinical Instructor: _____________________ BED # :______________________________ PATIENTS NAME: ______________________________ AGE : ______________________________ DIAGNOSIS : ______________________________ VITAL SIGNS: ____ TEMP = ____ CR = ____ PR = ____ RR = ____ BP = ____ ____ TEMP = ____ CR = ____ PR = ____ RR = ____ BP = ____ SIGNIFICANT FINDINGS UPON ASSESSMENT: ______________________________ MEDS DUE NEXT SHIFT : ______________________________ DIET : ______________________________ ONGOING IV FLUID: ______________________________ IVF TO FOLLOW : ______________________________ OTHER CONTRAPTIONS : ______________________________ INTAKE : ______________________________ OUTPUT : ______________________________ IV INFUSED : ______________________________ ORAL ____ VOM ____ NGT ____ TOTAL____ NURSING CARE RENDERED : ___________________________

NAME/SIGNATURE OF STUDENT: ________________________ CLINICAL INSTRUCTOR : __________________________

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio Bian, Laguna College of Nursing HEAD NURSE PERFORMANCE CHECKLIST Name: ____________________________________Date:___________________ Yr/Sec: ______________Group:___________ Rating: __________________ Area: ____________________ Clinical Instructor:__________________________ A. Knowledge 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. B. Attitude 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. C. Skills 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. 5 4 3 2 1

Equivalent: ______________ Point scale 5 4 3 2 1 Grade 85 Excellent

Rating: _______________ Equivalent

Carries out expected behavior in a very consistent and independent manner with less supervision and guidance. 82-84 Very Carries out expected behavior in a consistent Satisfactory and independent manner that requires minimal supervision and guidance. 79-81 Satisfactory Carries out expected behavior in rarely independent manner requiring more supervision and guidance. 75-78 Fair Carries out expected behavior in rarely independent manner requiring close supervision and guidance. 74 and Needs Carries out expected behavior under close below improvement supervision and guidance.

Name: _____________________ ___________________________ Yr/sec./Group#:______________ _________________

Area: Clinical Instructor:

Scaling Interpretation 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.

Criteria for Grading 15% Decorum Attendance------------------------------------------20% Requirements----------------------------------------------------25% Quiz----------------------------------------------------------------40% performance-----------------------------------------------------_____________ Total 100%

Prepared By: CABANISAS, AGNES LIBERTY M. BSNIV-(F) 6 Group 18

PERFORMANCE CHECKLIST KNOWLEDGE 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. 5 4 3 2 1

SKILLS 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.

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

PLAN OF ACTIVITIES 2-10 shift 1:30- 2:00pm 2:00- 2:30 2:30-3:00 3:00-3:30 3:30-4:00 4:00-4:20 4:20- 4:35 4:35-5:30 5:30-6:00 6:00-6:30 6:30-7:15 7:15-7:45 7:45- 8:00 8:00- 8:10 8:10- 9:00 9:00-9:45 9:45- 10:00 Pre- conference Endorsement Rounds Reading of patients chart VS, preparation of medication Giving of medication Plotting of vital signs Bedside care, NPI Break 1st Batch Break 2nd Batch Sample charting Checking of sample charting VS, giving medication Plotting of vital signs Charting and final rounds Post conference Endorsement

PLAN OF ACTIVITIES 10-6 shift 9:30-10:00 10:00-10:15 10:15- 10:30 10:30- 11:00 11:00-11:30 11:30-12:00 12:00-12:20 12:20-1:00 1:00-1:30 1:30-2:00 2:00-2:45 2:45-3:00 3:00-3:30 3:30-4:00 4:00-4:30 4:30-5:00 5:00-5:30 5:30-6:00 Pre- conference Endorsement Rounds Reading of patient chart Bedside care/NPI Vs, preparation of medication Giving of medication Plot of vital sign Break 1st Batch Break 2nd Batch Sample charting Checking of sample charting Preparation of medication VS, giving medication Plotting of vital signs Final rounds Post conference Endorsement

OBJECTIVES Head Nurse General Objective: As a student nurse, she will be able to acquire knowledge and at the same time practice her own leadership and management skills, and understand thoroughly the importance of being systemically in rendering nursing care the patients. Specific Objectives: As a student head nurse, she will be able to: 1. Learned and identify the concept of management and leadership 2. Application of Nursing principle as a basis in managing her subordinate 3. Appreciation and evaluation on the work of his/her subordinate through the use of performance checklist. Subordinates General Objective: As a nursing student, he/she will show a better knowledge, skills and attitude in rendering their task while working with their fellow students and able to acknowledge the value of having a director. Specific Objectives: 1. Be able to know the proper collection of data and using of nursing process, in assessing the problem of patient and the cause of his disease. 2. Possessing an attitude of being objective and work with their costudent in Camaraderie. 3. Be able to impact useful health teaching to client specific disease to they can apply it in their respective lives.