Head Nursing Tool

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 Responsibilities of a Head Nurse

Assumes the responsibility for the delivery of quality patient care to patients within the unit. 1. Provide nursing standards standards and policies regarding patient care care to guide the staff staff nurses. 2. They have have the responsibi responsibility lity of orienting orienting and updating updating the staff of the systems systems and standard of patient care. 3. Responsible Responsible for the the implementatio implementation n of the health care care programs, programs, and standards of patient care. 4. Assumes Assumes the role of patie patient nt advocate advocate.. 5. Assumes Assumes the the role role of staff staff membe members rs advoc advocate. ate. 6. Acts as liaison with the medical staff to coordinate coordinate medical medical and nursing management of patient care. 7. Serves as resource person person to nursing personnel under him in assessing, assessing, planning, planning, implementation and evaluating nursing care provided.

8. Coordinates Coordinates the patient care with with the other members members of the health care team. team. 9. Keeps superior informed regarding problems or issues issues in patient patient care. care. 10. Evaluates Evaluates the quality of patient care through through frequent rounds. rounds. 11. Evaluates Evaluates the nursing standard cyclically 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 individual needs for for nursing nursing care based on patient’s patient’s history, history, results results of physical, diagnostic, and laboratory examinations. 2. Infer Inferss correct correct nursi nursing ng diagn diagnos osis. is. 3. Plans and and prioritizes prioritizes nursing nursing care activities considering considering overall overall health needs of of the patient. 4. Institute nursing intervention intervention consistent consistent with the overall plan of care with with special special consideration of the patient’s safety and comfort. 5. Provides health teaching teaching to patient, his his family and significant significant others others so that that they may understand this illness and participate actively in his care. 6. Coordin Coordinates ates patien patientt care services services with with members members of the health health team. team. 7. Evaluate Evaluatess or modifi modifies es of nursi nursing ng care care by means means of: of: Effectiveness and efficiency of nursing measures rendered. • Feedback from patient/family and significant others. • 8. Documents Documents accurately accurately the the observation observation and services services rendered rendered to the patient.

Plan of Activities A ctivities

Areas: Shift: 6-2 Time

Activities

5:30-6:00

Call time Preconference Orientation • Distribution of area of assignment •

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

Endorsement Rounds with the staff nurse Check the patient’s condition • Check for the IVF level from the • time received Chart reading Patient’s profile/data • Diagnosis • Past/Present history • Doctor’s 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

6:45-7:00

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

Activities

1:30-2:00


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

Endorsement Rounds with the staff nurse Check the patient’s condition • Check for the IVF level from the • time received Chart reading Patient’s profile/data • Diagnosis • Past/Present history • Doctor’s 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

2:45-3:00

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

Activities

9:30-10:00


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

Endorsement Rounds with the staff nurse Check the patient’s condition • Check for the IVF level from the • time received Chart reading Patient’s profile/data • Diagnosis • Past/Present history • Doctor’s 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 Quiz Endorsement

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

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:_______________ Dire Direct ctio ion: n:

Put Put a chec check k on the the skill skillss obse observ rved ed / perf perfor orme med, d, of not not ple pleas asee inclu include de remarks on the space provided.

Legend: 321-

Is at a very very satisf satisfact actory ory level. level. Has thorou thorough gh knowled knowledge ge and and underst understand anding ing 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. ASSES ASSESSM SMEN ENT T 10% 1. Assess Assess diffe differen rentt manifes manifestat tation ionss that are are related to Acute Biological Crisis through the different methods used in physical and appropriate data gathering. 2. Perfor Performs ms physic physical al examinat examination ionss correctl correctly y and with confidence. 3. Identi Identifi fies es and diffe differen renti tiates ates betw between een normal and abnormal findings in Acute Biological Cases. 4. Determ Determine iness the signif significa icance nce of labora laborator tory y and diagnostic findings to the emergent problems 5. Picks Picks out out critic critical al and esse essenti ntial al data data in nursing history relevant to the current situations. Subtotal

Wt 2

2 2

2

2

10

3

2

1

Score

Remarks

B. PLANN LANNIN ING G 4% 4% 1. Knowledge Knowledge in in setting setting goals and priori prioritizat tization ion of of patients needs with Acute Biologic Crisis in the emergency room. 2. Identi Identify fy change changess in patient patient’s ’s needs needs and nursing nursing problems as they occur and make necessary adjustments in nursing measures. Subtotal C. INTER INTERVE VENT NTIO IONS NS 15% 15% 1. Assess Assess the the capabi capabilit lity y needed needed by the the clien clientt for self-management in the emergency. 2. Ensure Ensuress safety safety,, comfor comfortt and priva privacy cy in rendering care of patients with acute biologic crisis. 3. Provides necessary curative measures. 4. Prov Provid ides es imme immedi diat atee restorative/rehabilitative measures during temporary stay in the ER. 5. Utiliz Utilizes es availab available le phys physica icall and and professional resources. 6. Makes Makes refer referral ralss to appro appropri priate ate healt health h professionals, as needed. 7. Shows Shows commi commitme tment nt to to the welf welfare are of of the the client. 8. Implem Implement entss the plan plan of care care join jointly tly wit with h the client. 9. Perfor Performs ms nursing nursing proced procedure ures/a s/acti ctivit vities ies:: 9.1 with ease ease and confide confidence nce 9.2 correctly 9.3 systematically 9.4 prac practi tices ces bioe bioeth thic ical al prin princi cipl ples es in care care 9.5 provides after care 9.6 demonstrate situational flexibility and adaptability Subtotal

D. EV EVALUATION 4% 1. Evalua Evaluates tes plan plan of of care care of cli client ent usin using g the outcome criteria and performs appropriate documentation and recording of changes in the client’s evident status after the interventions. 2. Displa Displays ys criti critical cal thinki thinking ng in the analy analysis sis of the current management being employed and modifications that has to be done as needed. 3. Discus Discusses ses with with the the approp appropria riate te healt health h team results of interventions. 4. Accepts Accepts sugges suggestio tions, ns, cons constru tructi ctive ve criticisms and employ appropriate modifications in the plan of care. Subtotal Grand Total

Wt 1

Wt 2

3

2

1

Score

2

4 3

2

1

Score

Remarks

3

2

1

Score Remarks

2

1 1

1 1 1 1 1 1 1 1 1 1 15

Wt 1

1

1 1

4 10 0

Remarks

________________________ _________________________ Student’s Signature

Clinical Instructor’ Signature


COLLEGE OF NURSING CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Area: OPERATING ROOM

Name: ____________________________ Date:_________________ Year___ Section___ Group Number___ Rating:_______________ Dire Direct ctio ion: n:


Legend: 321-


A. ASSES ASSESSM SMEN ENT T 10% 10% 1. Obtain Obtainss and analyz analyzes es pert pertine inent nt data data concerning patient’s condition. 2. Determ Determine iness and cate categor gorize izess clinic clinical al assessment of the patient. 3. Inte Interp rpre rets ts pru prude dent ntly ly the the phys physic icia ian’ n’ss orde order. r. 4. Checks Checks and and accomp accomplis lishes hes pre-o pre-oper perati ative ve checklist prior to surgical procedure. 5. Assess Assess patien patient’ t’ss physio physiolog logical ical,, psychological and patient’s emotional status. Subtotal

Wt 2 2 2 2 2

10

3

2

1

Score

Remarks

B. PLA PLANNIN NNING G 4% 4% 1. Formul Formulate atess appropri appropriate ate nursin nursing g diagnosi diagnosiss based from thorough patients assessment. 2. Ration Rationali alizes zes prin princip ciples les of of asept aseptic ic technique. 3. Checks Checks func functio tional nality ity of the the operat operating ing room / delivery room equipment such as suction machine, cautery and OR lights. 4. Prepar Prepares es and and select selectss surgic surgical al suppl supplies ies concerning the patient’s surgical procedure. Subtotal

Wt 1

C. INTE INTERV RVEN ENTIO TION N 15% 15% Pre – Operative Phase 1. Identi Identifi fies es patien patientt and verifi verifies es procedu procedure re to be done. 2. Se S ecures consent. 3. Checks Checks for for cleara clearance ncess (cardio (cardio-pul -pulmon monary ary clearance, pedia clearance), diagnostic procedures. Intra – Operative Phase 1. Explai Explains ns proper proper positi position on for induc inducti tion on of anesthesia and operation to be performed. 2. Demons Demonstra trate te proper proper asepti aseptic/a c/anti ntisep septic tic technique, sterile drapings and handling of instruments. 3. Mainta Maintains ins steri sterili lity ty of the the operati operating ng room room and sterile field. Post – Operative Phase 1. Monito Monitors rs vital vital signs signs immedi immediatel ately y after after the operation. 2. Evalua Evaluates tes patien patient’s t’s recove recovery ry from from anesthesia. 3. Discus Discusses ses the the emerge emergency ncy resu resusci scitat tative ive devices, equipment and emergency drugs in the recovery room. Subtotal

Wt

D. EVAL EVALUA UATI TION ON 4% 4% 1. Evalua Evaluates tes plan plan care care after after applyin applying g necessary nursing interventions. 2. Discus Discusses ses appr appropr opriat iatee health health teachi teaching ng (sterile wound care) 3. Perfor Performs ms proper proper docume documenta ntatio tion n and other important details are needed. 4. Parti Particip cipate atess in activi activity ty durin during g postpostconference. Subtotal Grand Total

3

2

1

Score

Remarks

3

2

1

Score

Remarks

3

2

1

Score

Remarks

1 1

1

4

1 1 1

2 2

2

2 2 2

15

Wt 1 1 1 1 4 10 0

________________________ Student’s Signature

____________________ Clinical Instructor’ Signature


COLLEGE OF NURSING CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Concert: Staff Nursing Area: GENERAL WARD

Name: ____________________________ Date:_________________ Year___ Section___ Group Number___ Rating:_______________ Dire Direct ctio ion: n:


Legend: 321-


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 patient’s condition and management. 6. Knowledge in setting goals and prioritization of patient’s needs. 7. Knows intervention to be given and the rationale. 8. Knows the theories and rationale behind beh ind nursing procedures being implemented.

3

2

1

REMARKS

9. Knows the principle of drug administration ad ministration 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 patient’s condition. 9. Ability to transcribe doctor’s order. 10. Records accurately patient’s condition’s and nursing intervention. Subtotal:

3

2

1

Remarks

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:

3

2

1

Remarks

_____________________ ________________________ Student’s Signature

Clinical Instructor’ Signature

UPH- Dr JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Niño Biñan, Laguna College of Nursing

Name: ____________________________________Date:___________________ Yr/Sec:______________Group:___________ Rating:__________________ Area:____________________Clinical Instructor:__________________________

P E R F O R M A N C E

E V A L U A T I O N

T O O L

(STUDENT HEAD NURSE TO STUDENT NURSE) NUMERICAL RATING 5 4 3 2 1

QUANTITATIVE Outs Outsttandi anding ng Very Satisfactory Sati Satisf sfac acto tory ry Needs Improvement Unsati Unsatisfa sfacto ctory ry

DESCRIPTION Carr Carrie ies s out out expe expect cted ed tas tasks ks in in a very very con consi sist sten entt man manne nerr wit with h minimal guidance and supervision Carries out expected tasks in a consistent manner with minimal guidance and supervision Carr Carrie ies s out out expe expect cted ed task tasks s in in a mode modera rate tely ly cons consis iste tent nt manner with frequent guidance and supervision Carries out expected tasks in a rarely consistent manner with close guidance and supervision Does Does not not carr carry y out out expect expected ed task tasks s even even with with clos close e guida guidance nce 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 distribution of assignments b. Follows principles of time management 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 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 Core Competency Guidelines

REMARKS :

ACTUAL SCORE x 100

EVALUATED BY: STUDENT HEAD NURSE

TOTAL SCORE

CONFORME CONFORME BY : STUDENT STAFF NURSE

NOTED BY: CLINICAL INSTRUCTOR


HEADNURSE

1. 2. 3. 4. 5.

Supervises Supervises and evaluates the quality quality of patient care through through frequent frequent rounds Oversees the action action of assigned staff nurse, nurse, medication medication nurse and chart chart nurse. nurse. Familia Familiarize rized d and take take care care of the the emerge emergency ncy cart. cart. Takes note of the special special procedures procedures for the patients within the the unit. Keep superiors superiors informed regarding the problems problems and issues issues in patient care with the nursing unit. 6. Particip Participates ates in in the select selection ion of nursi nursing ng staff staff for the the unit. unit. 7. Presents Presents change changess or innovatio innovations ns to staff staff in a positive positive manne manner. r. 8. Provides conducive climate for work and maintains maintains effective communication communication within the unit department. 9. Makes Makes the 24 hrs. hrs. Nursing Nursing report report of the unit. unit. 10. Checks daily daily time record record of the staff. staff. STAFF NURSE

1. Shoul Should d know know the pati patient ent very very well well.. 2. Should Should always always establ establish ish rappo rapport rt with with the patie patient. nt. 3. Assess the the patient’s patient’s needs needs for care based based on the patient’s patient’s history, results of physical examinations, diagnosis, and laboratory exams. 4. filli filling ng up the the reque request st admi admissi ssions ons 5. Oversee Overseess the activi activities ties of of the nursi nursing ng student students. s. 6. Make part of the the endor endorseme sement nt for for the the shift. shift. 7. Proper endorsement endorsement (detailed, (detailed, clear, and and updated) updated) of the patient’s patient’s incoming incoming shift. 8. demonst demonstrat ratee good nursing nursing in caring caring of patie patients nts 9. Acts as a role model model to to fellow fellow students students.. 10. Makes a nursing care plan for the patient patient he/she handled. handled. MEDICATION NURSE

1. Must know know the the 10 rights rights in in giving giving the the medicat medication ion.. 2. Must know know the drug action, action, side side effects effects and nursing consideration consideration of of each medications. 3. Must know know the color coding coding of of the medication medication cards followed by the institution. institution. 4. Always Always bring bring medicati medication on tray with with you in giving giving medic medicatio ation. n. 5. Should Should always always establ establish ish rappo rapport rt with with the patie patient. nt. 6. May give medication medication only with the supervision supervision of clinical clinical instructor instructor or or staff nurse nurse on duty. 7. always always doubl doublee check check with the doctors doctors order order 8. Make a drug drug study study as a stude student’s nt’s clini clinical cal assign assignment ment.. 9. Must know know the computa computation tion concis concisely ely and and table of equiva equivalent lentss 10. Document all medications medications given legibly as countersigned countersigned by respective clinical clinical instructor or staff nurse on duty CHART NURSE

1. Record all the vital signs signs taken taken on the TPR sheet on the patients chart. 2. Must know know the the normal normal values values of BP, BP, PR, RR and and Tempera Temperature ture..

3. Repo Reports rts inta intake ke and and outpu outputt 4. Makes a narrative report of of the vital vital signs recording system for for the shift shift then submit to the assigned student head nurse.


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 #:______________________________ PATIENT’S NAME: ______________________________ AGE AGE : _____ ________ _____ _____ _____ ____ _____ _____ _____ _____ ____ ___ _ DIAGNOSIS 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 FOL FOLLO LOW W : ____ ______ _____ _____ ____ _____ _____ _____ _____ ____ _____ _____ __ OTHER CONTRAPTIONS CONTRAPTIONS : ______________ _____________________ _______________ _________ _ INTAKE : ______________________________ OUTPUT : ______________________________ IV INFUSED : ______________________________ ORAL ORAL ____ ____ VOM ____ NGT ____ TOTAL____ NURS NURSING ING CARE CARE REN RENDE DERE RED D

: _____ _______ ____ _____ _____ _____ _____ ____ _____ _____ ___ _

NAME/SIGNATURE OF STUDENT: ________________________ CLINICAL CLINICAL INSTRUCTOR INSTRUCTOR : ______________ _____________________ ____________ _____


HEAD NURSE PERFORMANCE CHECKLIST Name: ____________________________________Date:___________________ Yr/Sec: ______________Group:___________ Rating: __________________ Area: ____________________ Clinical Instructor:__________________________ A. Knowledge 1. Applies Applies as as appropri appropriate ate theory theory as as a basis basis for decision making in nursing practice. 2. Assess Assesses es staffs staffs prese presenti nting ng symptom symptoms s to determine a nursing diagnosis and plan of action based on a medical expertise and knowledge. 3. Knowle Knowledge dge in commun communicat ication, ion, clarific clarificatio ation n and interpretation of existing problems with staff and nursing responsibilities. 4. Inform Inform the the staff staff of the likel likely y causes causes of error errors s defects and waste. 5. Suggest Suggest in which which risk, risk, error errors, s, qualit quality y of problems maybe reduce. B. Attit ttitud ude e 1. Neat Neat and well groomed groomed.. Adheres Adheres to dress dress code. 2. Punct Punctual ual in in report reporting ing for for duty duty 3. Complie Complies s with the the code code of ethics ethics of of the nursin nursing g profession and upholds and implements school rules. 4. Assist Assist in traini training ng staff staff in particu particular lar by settin setting ga good example. 5. Promotio Promotion n of profess professiona ionall responsi responsibili bility, ty, accountability and behavior. C. Skills 1. Provide Provide leader leadership ship in the assessm assessment, ent, planning, implementation, and evaluation of comprehensive school health program. 2. Respon Respond d to the the studen student/ t/ staff staff medic medical al emergencies. 3. Instruct Instruct subor subordina dinates tes in appro appropria priate te method method and procedure in providing care. 4. Initiate Initiate and and facilita facilitate te any steps steps neces necessary sary to 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

Grade

4

82-84

3

79-81

2

75-78

1

74 and below

85

Rating: _______________

Equivalent Excellent

Carries out expected behavior in a very consistent and independent manner with less supervision and guidance. Very Carries out expected behavior in a consistent Satisfactory and independent manner that requires minimal supervision and guidance. Satisfactory Carries out expected behavior in rarely independent manner requiring more supervision and guidance. Fair Carries out expected behavior in rarely independent manner requiring close supervision and guidance. Needs Carries out expected behavior under close 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 Gathers data appropr appropriate iately ly and

5

4

3

2

1

5

4

3

2

1

completely, then validating it focusing function needing assistance support 2. Analyze Analyze and interpre interprett collec collected ted data 3. Knows Knows the the correct correct way of doing doing physi physical cal assessment. 4. Gives Gives attent attention ion and and synth synthesiz esize e the the significant laboratory findings 5. Knowle Knowledge dge in identify identifying ing nursing nursing problems and categorizing it according to the patients need. 6. Knows Knows the rationa rationale le behin behind d every every intervention given for the care of the patient. 7. Have Have knowl knowledge edge in givin giving g prop proper er instruction for medicine a. clas classi sifi fica cati tion on b. nursi nursing ng res respon ponsib sibili ility ty c. drug drugs s and and solu soluti tion on 8. Explain Explain or or discuss discuss the repor reportt clearly clearly and able to answer question correctly. 9. Knowle Knowledge dge in in prepar preparatio ation n of patie patient nt for for any diagnostic procedure 10.Knows 10. Knows how to formulate an accurate nursing care plan for particular cases.

SKILLS 1. Ability Ability to give give and and respo respond nd to the care care needed by the patient 2. Perform Perform procedur procedure e properl properly y such such as doing physical assessment, taking VS, and giving medication as ordered. 3. Able Able to provi provide de or or assist assist patie patient nt in performance of activities of daily living whenever needed. 4. Always Always guided guided in in precaut precautiona ionary ry and and preventive measure in providing care to the patient.

5. Able Able to give give healt health h teachin teachings gs clearl clearly y to the patient. 6. Commun Communicat icate e effective effectively ly in identif identifying ying the the needs of the patient. 7. Properl Properly y handli handling ng an an insta instance nce of emergency situation. 8. Impl Implem ement ent Nur Nursin sing g care care plan plan appropriately 9. Reasses Reassesses ses patie patient nt to determ determine ine wheth whether er a remodification of care plan is necessary. 10. Able to conduct discharged 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

Pre- conference

2:00- 2:30

Endorsement

2:30-3:00

Rounds

3:00-3:30

Reading of patients chart

3:30-4:00

VS, preparation of medication

4:00-4:20

Giving of medication

4:20- 4:35

Plotting of vital signs

4:35-5:30

Bedside care, NPI

5:30-6:00

Break 1 st Batch

6:00-6:30

Break 2 nd Batch

6:30-7:15

Sample charting

7:15-7:45

Checking of of sa sample ch charting

7:45- 8: 8:00

VS, gi giving me medication

8:00- 8:10


8:10- 9:00

Charting and final rounds

9:00-9:45

Post conference

9:45- 10:00

Endorsement

PLAN OF ACTIVITIES

10-6 shift

9:30-10:00

Pre- co conference

10:00-10:15

Endorsement

10:15- 10:30

Rounds

10:3 0:30- 11: 11:00

Reading ing of of pat patie ient nt chart hart

11:00-11:30

Bedside ca care/NPI

11:30-1 30-12 2:00 :00

Vs, pr preparat ration ion of me medic dicatio tion

12:00-12:20

Giving of medication

12:20-1:00

Plot of vital sign

1:00-1:30

Break 1 st Batch

1:30-2:00

Break 2 nd Batch

2:00-2:45

Sample charting

2:45-3:00

Checking of of sa sample ch charting

3:00-3:30

Preparation of medication

3:30-4:00

VS, giving medication

4:00-4:30


4:30-5:00

Final rounds

5:00-5:30

Post conference

5:30-6:00

Endorsement

OBJECTIVES Head Nurse

General Objective: As a student nurse, s she he 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 identify the the concept concept of manageme management nt and leadership leadership 2. Application Application of Nursing principle as a basis basis in managing managing her subordinate subordinate 3. Appreciation Appreciation and and evaluation evaluation on on the work work of his/her subordinate subordinate through 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 know the proper proper collection collection of data and using using of nursing process, in assessing the problem of patient and the cause of his disease. 2. Possessing Possessing an attitude of being being objective objective and work with with their costudent in Camaraderie. 3. Be able to impact impact useful useful health health teaching teaching to client specific specific disease disease to they can apply it in their respective lives.

Head Nursing Tool

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