University of Perpetual Help System Laguna Sto.

Nio, Bian Laguna NCM 105 BSN IV- M (13) Group 49

ENDORSEMENT SHEET

Affiliating Hospital: ___DHM Clinical Instructor: Mr. Wilbert Cansino RN, MAN NAME DIAGNOSIS DIET IVF MEDICATIONS Contraptions

University of Perpetual Help System Laguna Sto. Nio, Bian Laguna NCM 105 BSN IV- M (13) Group 49
ACTIVITY SHEET

Affiliating Hospital: DMH Clinical Instructor: Mr. Wilbert Cansino RN,MAN BSNIV-13(M) Group 49 NCM 105 January 14, 2010
NAME 1.Apritado,Nina Jane 2.Aya,Liana Katherina 3.Bagasina, Rona 4.Balanay,Joanna Marie 5.Bayani, Albert John 6.Cabrillas, Nadine 7.Campusano, Lucky 8.Caspe, Alphabet 9.Castrillo, Marjorie 10.Juanitas,Roy Master 11.Santos, Anne Leslie Activities: > Bedside Care > Vital Signs > Medications (Oral/IV) > IV regulations >I&O PATIENT BED NO.

University of Perpetual Help System Laguna Sto. Nio, Bian Laguna

NCM 105 BSN IV- M (13) Group 49

ACTIVITY SHEET

Affiliating Hospital: DMH Clinical Instructor: Mr. Wilbert Cansino RN,MAN BSNIV-13(M) Group 49 NCM 105 January 15, 2010
NAME 1.Apritado,Nina Jane 2.Aya,Liana Katherina 3.Bagasina, Rona 4.Balanay,Joanna Marie 5.Bayani, Albert John 6.Cabrillas, Nadine 7.Campusano, Lucky 8.Caspe, Alphabet 9.Castrillo, Marjorie 10.Juanitas,Roy Master 11.Santos, Anne Leslie Activities: > Bedside Care > Vital Signs > Medications (Oral/IV) > IV regulations >I&O PATIENT BED NO.

HEAD NURSING GRADING SHEET

Grading System:
Performance . . . . . . . . . . . . . . 50% Quiz.. Decorum. . . . . . . . . . . . . . . . 20%

10%

Attendance. . . . . . . . . . . . . . . 10% Requirements. . . . . . . . . . . . . 10% 100%

NAME

PERFORMANCE

QUIZ

DECORUM

ATTENDANCE

REQUIREMENTS

FINAL GRADE

CLINICAL PERFOMANCE AND EVALUATION CHECKLIST

NAME

Safe and Quality Nursin g Care

Managem ent of Resource and Environm ent

Health Educati on

Legal Respo nsibili ties

Personal and Professio nal Develop ment

Quality Improve ment

Rese arch

Com muni catio n

TOTA L GRA DE

HEAD NURSING GRADING SHEET

Grading System: Performance . . . . . . . . . . . . . . 50% Quiz Decorum. . . . . . . . . . . . . . . . 20% 10%

Attendance. . . . . . . . . . . . . . . 10% Requirements. . . . . . . . . . . . . 10% 100%

NAME

PERFORMANCE

QUIZ

DECORUM

ATTENDANCE

REQUIREMENTS

FINAL GRADE

University of Perpetual Help System Laguna Sto. Nio, Bian Laguna NCM 105

BSN IV-M (13) Group 49 TPR SHEET Patients name Time 4pm 8pm 4pm 8pm 4pm 8pm 4pm 8pm 4pm 8pm 4pm 8pm 4pm 8pm 4pm 8pm 4pm 8pm 4pm 8pm T CR/PR RR BP IVF Level Oral Urine Output

UNIVERSITY OF PERPETUAL HELP SYSTEM LAGUNA Sto. Nio Bian Laguna COLLEGE OF NURSING CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Concept: LEADERSHIP AND MANAGEMENT Area: Intensive Care Unit Name: Year/sec./grp. #: Legend 4- Competent. (Students perform consistently in an efficient and effective manner) 3- Progress Acceptable. Performance is usually effective and efficient but needs careful guidance. 2- Needs Improvement. Task performance is not done properly for majority of time. 1- Progress Unacceptable. No progress in performance and performance is consistently ineffective and inefficient. Competency Safe and quality nursing 1.Provided needed services of the patient 2. Performs correct and purposeful cephalo-caudal and neurological assessment 3. Monitor Vital Signs, I&O correctly, completely and timely. 4. Prioritizes Problem accordingly and select appropriate interventions. 5. Promotes safety and comfort of a critically-ill patient and safe care in the following: 4 3 2 1 Rating: Inclusive Dates of Clinical Rotation:

5.1 Airway Care Management 5.2 Ensures patency of life-lies and tubes 5.3 Administers medication and other health therapeutics safely according to the rights and standards of medication administrations. 5.4 Maintains privacy 5.5 Maintains proper body alignment , turns to sides and promotes patient comfort while positioning. 5.6 Promotes nutrition (feeds), comfort, hygiene, activities of daily living

Management of resources and environment 1. Ensure availability of every equipment needed in different ward managements, procedures and diagnostic examinations. 2. Maintains quiet and safe environment 3. Observe proper disposal of hazardous and non hazardous waste

Health Education 1. Implements proper health teaching to the client/relatives.

Legal Responsibility 1. Respect the right of the client 2. Accept the responsibility for own actions and decision. 3. Maintain privacy and confidentiality of clients information. 4. Adheres to the code of ethics for nurses

Personal and Professional development 1. Performs functions according to standards and projects professionalism thus accepts criticism and recommendations. 2. Possesses positive attitude for everything that is to be done.

Quality Improvement 1. Report positive and negative observations of the patient. 2. Recognize some problems that can be solve by yourself.

Research 1. Identifies and initiates a research study on an identified researchable problem and utilizes findings of research studies in critical care nursing

Communication 1. Maintain therapeutic communication skills with parents or guardian of the client 2. Established professional relationship with team members 3. Utilized proper channel of communication TOTAL SCORE=

Signature over printed Name Student

Subordinates/staff nurse

General objective As a student staff nurse he/she will be able to build their competence and focus their efforts for maximum impact and function effectively and carefully in the role of a staff or employee of the hospital. Specific Objectives As a student nurse he/she will:

Gain knowledge and be responsible in his/her actions Focus on direct patient bedside care Exhibit skills in providing nursing care to the patient Provide safe and effective care for critically ill patients. Take part in any activities of the team

Duties and Responsibilities of staff nurse: Under direct supervision of the head nurse, the staff shall: Establish themselves as independent, critical thinkers, and will fight for what they believe is right Leads himself/herself by assuming responsibilities thus influencing his/her own performance Recognize interdependence with leaders and learn to challenge them while at the same time respecting leaders authority Be active and responsible in his/her actions Contribute in health care service rendered by the team Endow with safety and security of the patient

Academic qualification and Experience/Skills of staff nurse: Be a good follower Ability to decide within himself/herself Execute the duties assigned by the head nurse correctly Being accountable in any procedures he/she doing

HEAD NURSE

Definition It is managerial work, which involves accountability for maintaining high standards of professional nursing services, in the operation of a clinical or special unit. The work is performed under general management, allowing for the work out of individual judgment in directing subordinates. Incumbent may be mandated to work overtime when necessary to meet staffing requirements and related work, as required and assigned. General Objective As a student head nurse he/she will be able to obtain variety of ideas with the necessary things to get acquainted regarding the assigned tasks. He/she will be able to broaden his/her skills being the leader of the group, become a role model his/her to subordinates in terms of nursing skills and understanding of individuals strengths, weaknesses and potentials, and is committed to the team.

Specific Objectives The student will demonstrate ability to: Be familiar and knowledgeable in the things that should be done in an Intensive Care Unit Gain knowledge and be responsible in his/her actions Provide safe and effective care for critically ill patients Exhibit skills in providing nursing care to the patient.

Duties and Responsibilities of Head Nurse Facilitate care provided and assess staff by maintaining high visibility to patients/families and staff on area Provide leadership and a resource role in the provision of patient care and other unit activities Demonstrate effective communication and collaboration skills when interacting with patients/families, other health care team members Formulate a daily management plan prior to the actual duty Guide the staff nurses in their individual and professional needs Determine appropriate development activities for the staff nurses Have an harmonious relationship and respect the suggestions of his/her subordinates

Academic qualification and Experience/Skills of Head Nurse: Has a clinical experience Experience to manage a team or staff Ability to work without close supervision Ability to influence others in the achievement of goals of the team Good communicator among staff nurses Team oriented, open-minded and flexible in all things Has high professional and ethical standards of conduct Knows and practices good management