Lipa City Colleges College of Nursing (G.A. Solis St. , Lipa City, (043)756 5!74, """.lipa#ity#olleges.

net) $%&'(&)ANC% %*AL+A,-(N AC.-%*-NG -N,&A ($%&A,-*% CA&% C()$%,%NC/ -n A##or0an#e "it1 $&C 2oar0 of Nursing )e3oran0u3 No. 04 Series 500! Name of Student: )ag6u1at, )i#1ael Angelo 7. Year/Clinical Group: 4t1 year8 Group 4 School Year: 5043 5044 Semester:/ Term: ______First Semester ____Second Semester _______Summer Inclusive Dates of Clinical otation: No9e36er 55, 56, 57, 5:, 5043 -N,&A ($%&A,-*% CA&% C()$%,%NC-%S -. SA'% AN; <+AL-,/ N+&S-NG CA&% (S<C) $% &tili'es the nursin( process in the care of ) client a% )*tains comprehensive client+s information *, chec-in( complete accomplishment of the preoperative chec-list/client+s chart *% Identifies priorit, needs of the client at the )peratin( oom c% .rovides needed nursin( interventions *ased on identified needs d% /onitors client+s responses to sur(er, 0% .romotes safet, and comfort of patients inside the ) 1% .erforms the functions of the scru* nurse a% .erforms sur(ical scru* correctl, *% 2ears sterile (o3ns and (loves asepticall, c% .repares sur(ical instruments4 spon(es4 sutures and other supplies in functional arran(ement d% 5ands instruments4 spon(es4 sutures and other needed materials accordin( to sur(eon+s preference e% .erforms sur(ical count accuratel, 6% .erforms the functions of the circulatin( nurse a% "nticipates the needs of the sur(ical team *% Sets up the ) room and needed e7uipment c% eceives client for sur(er, / endorses client post 8operativel, -N,&A ($%&A,-*% CA&% C()$%,%NC-%S d% "ssists in s-in preparation and drapin( of client 9% "dministers medications and other health therapeutics safel, --. )ANAG%)%N, (' &%S(+&C%S, %N*-&(N)%N, AN; %<+-$)%N, ()&%) $% )r(ani'es 3or- load to facilitate timel, patient Care 0% &tili'es ade7uate and appropriate resources to support the ) team 1% !nsures functionalit, of ) resources 6% /aintains a safe environment at the ) *, o*servin( the principles of asepsis ---. .%AL,. %;+CA,-(N (.%) $% Implements appropriate health education activities to client *ased on needs assessment -*. L%GAL &%S$(NS-2-L-,-%S (L&) $% "dheres to le(al and institutional protocols re(ardin( informed consent *. %,.-C( )(&AL &%S$(NS-2-L-,-%S (%)&) $% espects the ri(hts of the ) client D!SI !D "TING 4 "#! "G! "TING

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0% "ccepts responsi*ilit, and accounta*ilit, for o3n decisions and actions as an ) nurse *-. $%&S(NAL AN; $&('%SS-(NAL ;%*%L($)%N, ($$;) $% .erforms ) functions accordin( to professional standards 0% .ossesses positive attitude to3ards learnin( sur(ical and ) :related -no3led(e and s-ills *--. <+AL-,/ -)$&(*%)%N, (<-) $% .articipates in 7ualit, improvement activities related to infection control and successful ) operations 0% Identifies and reports variances in sterilit, and other ) activities -N,&A ($%&A,-*% CA&% C()$%,%NC-%S *---. &%S%A&C. (&) $% Disseminates results of ) :related research findin(s to clinical (roup and other mem*ers of the ) team as appropriate -=. &%C(&;S )ANAG%)%N, (&)) $% /aintain accurate and updated documentation of patient care =. C())+N-CA,-(N (Co33) $% !sta*lishes rapport 3ith patients4 si(nificant others and mem*ers of the health team 0% &ses appropriate information mechanisms to facilitate communication inside the ) and 3ith other departments in the hospital =-. C(LLA2(&A,-(N AN; ,%A)>(&? (C,)) $% Colla*orates plan of care 3ith other mem*ers of the health team ,(,AL SC(&% %9aluate0 2y@ C.&-S,/ ;. SAN;(*AL Clini#al -nstru#tor Li#ense Nu36er@ <1=09=1 $&C Car0 *ali0ity ;ate@ /arch 0<$=

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Confor3e@ )AG2+.A,, )-C.A%L ANG%L( 7. Signature o9er $rinte0 Na3e Student