VISION: WVSU as West Visayas State University
one of the TOP COLLEGE OF NURSING
TEN University in
Southeast Asia. La Paz, Iloilo City
MISSION: WVSU
to produce
globally Level IV: NCM 209
competitive INTENSIVE NURSING PRACTICUM
individuals who PATIENT ASSIGNMENT SHEET
are life-long
learners.
CORE VALUES:
S- Service
H- Harmony
WARD: Male Medical Service Ward
STUDENTS NAME PATIENTS NAME
BSN 4: Census:
_____ _____
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
CONCEPT: Case _________________________
Nursing
Team Leader: _________________________
_________________________
_________________________
_________________________
JOANNA C. PABILONA R.N., M.A.N.
RLE Preceptor
Date:
REMARKS/ACTIVITIES
7am 3pm
Receive Endorsement
Patient ASSESSMENT: NURSING
PROCESS: Interview/Chart/Kardex
TRANSCRIBING OF DOCTORS
ORDERS until 11AM ONLY
NURSES NOTES-
Giving of MEDS* ORAL; IM; SQ;
PAI
NO IVTT Meds
BEDSIDE CARE
-IVFS; VS; MIO;Physical
Assessment;Morning Care, Health
Education, ROM and Deep
breathing Exercises, Wound care,
suctioning
Other Procedures:
IO;Physical Assessment;Morning
Care, Health Education, ROM
and Deep breathing Exercises,
Wound care, suctioning
Other Procedures:
ENDORSEMENT to NOD
Objectives:
Build Rapport
Utilize Nursing Process as the
framework of care in patients
Display initiative &
resourcefulness
PROBLEMS appropriate to
patient
Develop critical thinking in the
plan of care.
Establish accuracy in
documentation.
OTHER ACTIVITIES:
Nursing Rounds
Bedside Nursing care
Perform common nursing
procedures
Do drug study; Discuss diagnosis
Bedside clinic
 VISION: WVSU as West Visayas State University
one of the TOP COLLEGE OF NURSING
TEN University in
Southeast Asia. La Paz, Iloilo City
MISSION: WVSU
to produce
globally Level IV: NCM 209
competitive INTENSIVE NURSING PRACTICUM
individuals who PATIENT ASSIGNMENT SHEET
are life-long
learners.
CORE VALUES:
S- Service
H- Harmony
WARD: Male Medical Service Ward Date:
End-shift Endorsement

STUDENTS NAME PATIENTS NAME REMARKS/ACTIVITIES

JOANNA C. PABILONA R.N., M.A.N.

RLE Preceptor
 VISION: WVSU as West Visayas State University
one of the TOP COLLEGE OF NURSING
TEN University in
Southeast Asia. La Paz, Iloilo City
MISSION: WVSU
to produce
globally Level IV: NCM 209
competitive INTENSIVE NURSING PRACTICUM
individuals who PATIENT ASSIGNMENT SHEET
are life-long
learners.
CORE VALUES:
S- Service
H- Harmony
WARD: Male Medical Service Ward
BSN 4: Census:
_____ _____
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
_________________________
CONCEPT: Case _________________________
Nursing
Team Leader: _________________________
_________________________
_________________________
_________________________
JOANNA C. PABILONA R.N., M.A.N.
RLE Preceptor
Date:
7am 3pm
Receive Endorsement
Patient ASSESSMENT: NURSING
PROCESS: Interview/Chart/Kardex
TRANSCRIBING OF DOCTORS
ORDERS until 11AM ONLY
NURSES NOTES-
Giving of MEDS* ORAL; IM; SQ;
PAI
NO IVTT Meds
BEDSIDE CARE
-IVFS; VS; MIO; Wound care,
suctioning
Other Procedures:
Blood transfusion
Removal of: NGT, Foley Catheter. .
ENDORSEMENT to NOD
Objectives:
Build Rapport
Utilize Nursing Process as the
framework of care in patients
Display initiative &
resourcefulness
Perform Management Skills in
every assigned Tasks
Identify NURSING PROBLEMS
appropriate to patient
Develop critical thinking in the
plan of care.
Establish accuracy in
documentation.
Provide appropriate health
teachings.
OTHER ACTIVITIES:
Nursing Rounds
Bedside Nursing care
Perform common nursing
procedures
Do drug study; Discuss diagnosis
Bedside clinic
End-shift Endorsement