Head Nurse Edit22
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EMILIO AGUINALDO COLLEGE School of Nursing and Midwifery In Partial Fulfillments of the Requirements in N105 NURSING MANAGEMENT (Intensive Practicum) DOCUMENTATION IN HEADNURSING Submitted by: Luna, Michelle P. Submitted to: Amparo Lim, RN, RM, MAN Clinical Instructor December 2011
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EMILIO AGUINALDO COLLEGE
School of Nursing and Midwifery
In Partial Fulfillments of the Requirements in N105
NURSING MANAGEMENT
(Intensive Practicum)
DOCUMENTATION IN HEADNURSING
Submitted by:
Luna, Michelle P.
Submitted to:
Amparo Lim, RN, RM, MAN
Clinical Instructor
December 2011
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MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
ORGANIZATIONAL CHART
JUDITH R. GUANLAO
Clinical Instructor
Lima, Jessica Paula Lozano, Rhodora
Student Head Nurse Student Head Nurse
Facelo, Jhimver Jabasa, Kevin Marquez, Diana Lucero, Hyacinth
Medication Nurse Staff Nurse Medication Nurse Staff Nurse
Jaramillo, Bernadette Kashim, Adawiya Lum, James Albert Manalaysay, Jan Ivan
Staff Nurse Staff Nurse Staff Nurse Staff Nurse
Lauz, Florizza Marasigan, Michael Khevin
Staff Nurse Staff Nurse
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MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
SCHEDULE OF ACTIVITIES
TIME ACTIVITIES
Prepared By: Noted By:
Luna, Michelle P. Amparo Lim, RN, RM, MAN
Student Head Nurse Clinical Instructor
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MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
ATTENDANCE SHEET
STUDENT NAME TIME-IN SIGNATURE TIME-OUT SIGNATURE
Prepared By: Noted By:
Luna, Michelle P. Amparo Lim, RN, RM, MAN
Student Head Nurse Clinical Instructor
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MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
PATIENT CLASSIFICATION SHEET
CATEGORY l – Self care or Minimal Care
CATEGORY ll – Moderate care or Intermediate Care
CATEGORY lll – Total, Complete of Intensive Care
CATEGORY lV – Highly Specialized Critical Care
ROOM NO. PATIENT’SINITIAL
AGE DIAGNOSIS CATEGORYOF CARE
Prepared By: Noted By:
Luna, Michelle P. Amparo Lim, RN, RM, MAN
Student Head Nurse Clinical Instructor
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MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
STUDENT ASSIGNMENT SHEET
Prepared By: Noted By:
Luna, Michelle P. Amparo Lim, RN, RM, MAN
Student Head Nurse Clinical Instructor
ROOM NO. PATIENT’SINITIAL
AGE DIAGNOSIS STAFF NURSE
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MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
8 HOURS NURSING SHEET
AM PM NOC AM PM
CENSUS POST-OP
ADMISSION PRE-OPDISCHARGE
TRANSFER
TOTAL TOTAL
SPECIAL PROCEDURE
ROOMNO.
PATIENT’SINITIAL
PROCEDURE SCHEDULE
Prepared By: Noted By:
Luna, Michelle P. Amparo Lim, RN, RM, MAN
Student Head Nurse Clinical Instructor
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MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
NARRATIVE REPORT
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Prepared By: Noted By:
Luna, Michelle P.
Medication Nurse Student Head Nurse
MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
NARRATIVE REPORT
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Prepared By: Noted By:
Luna, Michelle P. Amparo Lim, RN, RM, MAN
Student Head Nurse Clinical Instructor
MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
NARRATIVE REPORT
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Prepared By: Noted By:
Amparo Lim, RN, RM, MAN
Staff Nurse Clinical
Instructor
MEDICAL CENTER MANILA – 6TH MAIN
December 2, 2011 (6:00am – 2:00pm)
PERFORMANCE EVALUATION TOOL
STAFF NURSENAME:
CRITERIA StandardGrades
ActualGrades
l. KNOWLEDGEa. Assessed health condition accurately 3b. Identifies need/problems of client before, during and after
the procedure3
c. Properly intervenes the identified nursing problems by
performance of independent and dependent nursingfunctions with minimum supervision
3
d. Explain rationale for each intervention 3e. Evaluates the effectiveness of nursing intervention 3f. Assumes the independence and responsibility over assign
task 3
g. Needs the least supervision when doing assigned task 3h. Document pertinent observation and cases 3i. Gives appropriate health teaching instruction to client
according to needs3
ll. SKILLSa. Applies the principles of asepsis when preparing materials
and equipment5
b. Prepares and set up need supplies and equipment 5c. Uses/ operates tools and equipment 5d. Maintained the equipment and supplies used in good 5
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working condition and in order of caree. Reports and records data are complete and accurate 5
lll. ATTITUDEa. Established good intrapersonal relationship with client’s
family, co-worker, staff, leader, and CI3
b. reports to duty in complete uniform with paraphernaliaand properly groomed and on time
3
c. has initiative, responsible and efficient 3
d. show respect to himself and others 3e. shows interest and enthusiasm in his work 3f. submits requirements on time 5
TOTAL
Attendance: 10%
Attitude: 10%
Requirements: 10%
Quiz: 20%
Performance Evaluation: 40%
Total: 100%
Prepared By: Noted By:
Luna, Michelle P. Amparo Lim, RN, RM, MAN
Student Head Nurse Clinical Instructor
