TARLAC STATE UNIVERSITY

COLLEGE OF SCIENCE
Department of Nursing

Tel.no.: (045) 982-2447 Fax: (045) 982-0110 website: www.tsu.edu.ph

TABLE OF SPECIFICATION

Faculty Member: MARY CRIS T. ROMBAOA, RN, RM, MAN Subject & Year Level: NCM 106- RLE ICU , LEVEL IV Period: December 2, 2019 (1 HR)

Content/Learni % over % over

Number of Comprehens Number
ng Unit total # of Knowledge Application Analysis Synthesis Evaluation total
Hours ion Of Items
Covered hours items
22
ASSESSMENT 36.67% 12, 25, 42 - 60 17, 22 36.67%
minutes
14 4, 7, 13, 19, 26, 33,
PLANNING 23.33% 2, 15, 20, 35 31, 14 23.33%
minutes 28, 30 36
9, 10, 11,
IMPLEMENTAT 21 6, 8, 14,
ION
35% 21, 24, 27, 37 3, 32 18, 29 22, 23, 34, 21 35%
minutes 38, 40, 41
39
EVALUATION 3
5% 16, 1, 5 3 5%
minutes
TOTAL 1 Hour 100% 16.67% 3.33% 6.67% 53.33% 20% 0% 60 100%
Date Submitted: November 29, 2019

_____________________________________________
MARY CRIS TABLANTE - ROMBAOA, RN, RM MAN
Clinical Instructor
Noted:
___________________________
PROF. SUSAN Z. MAGLAQUI
RLE Chairperson, Nursing Department
___________________________
PROF. MARY JANE N. RIGOR
Dean, College of Science

Form No.: TSU-COS-SF-14 Revision No.: 00 Effectivity Date: June 22, 2016 Page 1 of 1