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BUTUAN DOCTORS’ COLLEGEJ.C. AQUINO AVENUE, BUTUAN CITY
A Compilation of Student Head Nursing
Activities
In Partial Fulfillment of the Requirements for
the Degree of Bachelor of Science in Nursing
Submitted to the Faculty of Butuan Doctors’ CollegeNursing Department
Submitted by:
Rickson P. RambuyonStudent Head Nurse
BSN IV-A
Submitted to:
MRS. Nerissa C. Solis, RN, MNClinical Instructor
BDH Floor 1
Approved by:
MR. ARIEL R. SINCO, RN, MNLevel IV Coordinator
TABLE OF CONTENTS
INTRODUCTIONACKNOWLEDGEMENTDEDICATIONNURSES’ PRAYERNIGHTINGALES PLEDGEBDCHYMNMISSION AND VISION OF BDCORGANIZATIONAL STRUCTURE OF BDC NURSING DEPARTMENTFLOW OF COMMUNICATION BETWEEN SCHOOL AND HOSPITALMISSION AND VISION OF BDHORGANIZATIONAL STRUCTURE OF BDHORGANIZATIONAL STRUCTURE OF BDH-NCSO CCI & STUDENT NURSES
BUTUAN DOCTORS’ HOSPITAL PROFILE Brief History of BDH BDH Personnel Medical Consultant Facilities available, Bed capacity, etc. Medical Staff Directory Special Features and Equipments Services Offered
MODALITIES OF CARE AND STAFFING PATTERN
ORIENTATION GUIDE TO THE WARD ASSIGNMENT Organizational Structure of Ward Personnel Organizational Structure of the Nursing Service Vicinity-Locator Map Ward description Medical Consultants visible in the ward and their color code Medication Ticket Flow Chart of Admission, Discharge Chronological Order of the Chart
SHN REQUIREMENTS General & Specific Objectives of SHN Policies, Rules and Regulation of Students SHN Daily Plan Activities Daily Student Progress Report
UNDERSTUDENTS REQUIREMENTS Bedside Clinic Activity Ward Class Activity Assignments
STUDENT NURSE EVALUATIONGrades of Understudents
INTRODUCTION
Student Head Nursing is one of the activities in nursing department that develops
one’s capability and ability in managing other people. It is when the senior nursing student
functions as the head among students. They are exposed to be an accountable and
responsible individual for several students in the clinical area while establishing a
harmonious relationship between each other. They act to supervise their understudent
using their knowledge, skills, and attitude.
Student head nursing also enables the process of management put into action
through planning of activities for the inclusive dates of assignment, organizing, staffing,
directing the understudents with regards to the standard policies and procedure, and
controlling the things involved which may cause clinical errors in the area.
Through this, it molds student to be a good and effective leader or manager in the
near future. May it be in the hospital, community, school, or in any institution.
Moreover, it encourages every student on how to provide effective care to the
patient using the management skills learned to achieve a sound judgment.
ACKNOWLEDGEMENT
I would like give thanks and praises to our Almighty God, Who is the source of all our
strength, knowledge, patience and wisdom and without Him everything is impossible.
I would like to extend my heartfelt gratitude to the following people who is in one way or
another helped me in the completion of this compilation.
To my family who is always there to support me in my journey of pursuing this course.
To our Clinical Instructor, Mrs. Nerissa C. Solis, RN, for her kindness and patience in
imparting their knowledge to all of us.
To my understudents who are very cooperative and are willing to learn and up to date in
submitting their requirements during the rotation.
And to my classmates and friends, for helping me to make this compilation a complete
one.
DEDICATION
I WOULD LIKE TO
DEDICATE
THIS WORK
TO MY FAMILY,
MY DAD AND MY MOM
FRIENDS,
AND MOST OF ALL
TO OUR ALMIGHTY GOD,
WHO IS THE SOURCE OF EVERYTHING
A Nurse’s Prayer
As I care for my patient today,
Be there with me, oh Lord, I pray,
Make my words kind –
It means so much.
And in my hands
Place Your healing touch.
Let Your love shine through
In all that I do.
So those who are in need
May hear You, feel you,
And see You in me.
Amen.
Nightingale’s Pledge
I solemnly pledge myself before God and in the presence of this assembly
to pass my life in purity and to practice my profession faithfully.
I will abstain from whatever is deleterious and mischievous and will not
take or knowingly administer any harmful drug.
I will do all in my power to maintain and elevate the standard of my
profession and will hold in confidence all personal matters committed to my
keeping and all family affairs coming to my knowledge in the practice of my
calling.
With loyalty will I endeavor to work closely with the health team, and
devote myself to the welfare of those committed to my care.
So help me God.
BUTUAN DOCTORS’ COLLEGE HYMN
Here in the heart of Butuan
BDC proudly stands
Land from afar we travel
Seeking for light and wisdom
Where forth we go we will remember
Deep in our hearts and slumber
We will cherish you forever
To forget you BDC we will never do
How could we forget you
You have given us the guide
You’ll stay with us forever
Here in our thoughts you’ll linger
How could we ever repay you
Now are the fruits at hand
We will cherish you forever
BUTUAN DOCTORS’ COLLEGE
May you always be.
BUTUAN DOCTORS’ COLLEGEEstacio Village, Butuan City
MISSION AND VISION OF BUTUAN DOCTORS’
COLLEGE
VISION:
Butuan Doctors’ College aspires to develop purpose
driven professionals.
MISSION:
To achieve her vision, Butuan Doctors’ College is
committed to develop:
An instutition anchored on ethical values that strengthen
capabilities to achieve excellence.
CORE VALUES
B- Beneficence A compassionate and sincere acts to do good for others.
D- Dynamism Sustaining desire to excel and be competitive.
C- Commitment A pledge of loyalty to the institution and dedication to the
profession.
FLOW OF COMMUNICATION BETWEEN SCHOOL & HOSPITAL
HOSPITAL
Dean of Nursing
Assistant Dean of Nursing
Level IV Coordinator
RLE Coordinator
Clinical Instructor
Student Head Nurse
Student Nurse
PATIENT
Assistant Hospital Administrator
Chief Nurse
Nurse Supervisor
Head Nurse
Senior Nurse
Staff Nurse
Volunteer Nurse
Nursing Aid
Midwives
VISION AND MISSION OF BUTAUN DOCTORS HOSPITAL
VISION:
Butuan Doctors’ Hospital aspires to become a haven of health and wellness of
every member of the community it serves and a center of medical excellence for health
professional who believe that health is a basic human right.
MISSION:
It is the hospital’s Christian mission to develop and provide; A facility within
atmosphere of health, cleanliness and wellness that welcomes all who needs her services.
Health Professional of the highest competence committed to providing the best care. State
of the art facilities and equipment to attract physician in the different specialties and to
allow them to achieve there fullest potentials and capabilities. The opportunity to study,
improve and learn to continuously improve and keeping with the tremendous advance in
health care of all over the world.
ORGANIZATIONAL STRUCTURE OFBUTUAN DOCTORS’ HOSPITAL
DR. CLAUDIO B. ESTACIOHOSPITAL DIRECTOR
DR. JUAN DELFIN GARCIAHOSPITAL ADMINISTRATOR
DR. GENEROSO DE JESUSMEDICAL DIRECTOR
NURSING SERVICE DEPARTMENT
ADMINISTRATIVE DEPARTMENTMEDICAL DEPARTMENT
MARIANITA GORME, RNCHIEF NURSE
TERESITA MAGUIKAY, RNSUPERVISOR (WARD/PEDIA)
MA.VICTORIA B. CAMBRAY, RNSUPERVISOR SPECIAL AREA
J.BUREROS, RNFL 1A HEAD NURSE
I.ROMANO, RNFL 2A HEAD NURSE
J. JAPITANA, RNFL 3 HEAD NURSE
E. CUNADA, RNOB-NICU RN
AMBULANCE NURSE
A.FESALBONI, RNER HEAD NURSE
RJ MORDENO, RNICU HEAD NURSE
M. MADERAN, RNFL 2B HEAD NURSE
T. BERNIDO, RNOR HEAD NURSE
U. PINO, RNENDOSCOPY NURSE
C. MONTILLA, RNHEMODIALYSIS NURSE
HEART STATION
SUSAN QUIMODADMINISTRATIVE OFFICER
LYRA M. GO, CPA, RNCHIEF ACCOUNTANT
J. OBACASHIER
M. PATRIARADIOLOGY IN CHARGE
B. AMANTILLOHMO COORDINATOR
J. MANGUBATHST IN CHARGE
MRS. V.DEMAINCSR HEAD
H.FALCONLABORATORY CHIEF
A.MACAHILIGENG’G/MAINTENANCE
A.SALIGANULTRA IN CHARGE
M. TRAZARESMED.RECORD
HEAD
J. ALBANOADMITTING
SECTION
R. BADUYACT SCAN IN CHARGE
ANCILLARY SERVICES
N. PASOKDIETARY WARD
N. BURIASLAUNDRY/LINEN
M. NABONGSECURITY
M. ARBIS, RMHOUSEKEEPING
AMBULANCE
DR.C.BAUTISTACHIEF OF CLINICS
DR.C.OCLARITANESTHESIOLOGY/
OR NURSE
DR.P.NEBRADANICU HEAD
DR.V.ATUPANSURG.PATHOLOGY
HEAD
DR.P. LIMCAUCOCLINICAL
PATHOLOGY HEADDR.J. DERAMPATENRADIOLOGY/ULTRA HEAD
DR.R VILLANUEVAREHAB.HEAD
DR.L VENTURARADIOLOGY HEAD
DR. R. SYHEMODIALYSIS HEAD
DR. E. GAMBEENDOSCOPY HEAD
DR. D. DAYANICU HEAD
DR. C. ITAOOB/DR HEAD
DR.LOZANOENT HEAD
DR. E. TANOPTHALMOLOGY HEAD
DR. M. AMANTEORTHOPEDIC HEAD
DR. E. PARINASER HEAD
DR. R. PONCEDIABETOLOGY
DR. J. DACUDAONEUROSURGERY
ORGANIZATIONAL STRUCTURE OF BUTUAN DOCTORS’
HOSPITAL-NSO CCI & STUDENT NURSES
PRESIDENT BDH DIRECTORDr. Claudio Estacio
ADMINISTRATORDr. Juan Delfin Garcia ASSISTANT DEAN
Carmenchu B. Vicente, RN, MN
DEAN OF NURSINGPurita R. Escobar, RN, MAN, DM
LEVEL IV COORDINATORAriel R. Sinco, RN
CLINICAL INSTRUCTOR
STUDENT HEAD NURSE
NURSING STUDENT
CHIEF NURSEMarianita Gorme,RN
ASSISTANT CHIEF NURSE
NURSE SUPERVISOR
STAFF NURSE
PATIENT
HISTORY OF BUTUAN DOCTORS’ HOSPITAL
Fifty years ago the late Manuel O. Estacio, M.D., establishes a humble five-bed, family clinic in front of Butuan’s public square. Professional competence, right partnership, and his shared youthful passion to succeed were the main ingredients of the clinic’s reliable service. Complementing his effort as lone resident physician and administrator of the clinic would come from a nursing attendant, a utility worker and most importantly, for his wife, Victoria, the nurse.
The young doctor aptly names its pioneering medical facility “Emmanuel Hospital” after the name of the Son Of God- the child being sent by the Heavenly Father to fulfill a mission of saving humanity. So, it came to pass the Angels reveal of the Child Emmanuel’s coming to bring forth “Peace on Earth and Goodwill to All”. The same Christian mission would be carried out by the hospital as it responds to the challenges of public health care and to the increasing demand for more medical-related services.
VICTORIOUS EMMANUEL AND BUTUAN’S WHIRLWIND 50’S:
Emmanuel Hospital cares to grow with the new city. And the visionary doctor takes a spot in the city’s history by starting four years earlier. In 1952, Butuan becomes a charter city and the capital of the undivided Agusan Province. The logging industry was already in place. Butuan covets the proud name “Timber City of the South”.
Butuan progress was rather frenzy and many of its local partaker has to succumb to an overwhelming lot of unfamiliar, perhaps, alienating ideas and experiences brought by such increasing contact with the equality-confused Japanese, Russian, American and European nationals who came in large vessels at the Port of Masao. There’s a rush of people having diverse interest and a whirlwind of new social maladies as the logging industry gobbles up the forest areas. Gastro-intestinal disease and those from the forest, most notably, malaria and certain allergies became widespread. Public health in Butuan needed attention. Meantime, Emmanuel Hospital earns public respect and succeeds to better equip its two-story building.
HISTORY OF BUTUAN DOCTORS’ COLLEGE
The history of Butuan Doctors’ College started in 1968 when Dr. Manuel Estacio conscious of the increasing health needs of the community felt the call of expanding his old hospital, then the Emmanuel Hospitals. Together with nine other doctors, he formed Butuan Doctors’ Hospital, Inc. and constructed a 100 bed capacity situated in an 8,000 square meter lot and was inaugurated in October 1969. Moved by the desire to contribute to the improvement of nursing education in the Philippines, Butuan Doctors’ Hospital Board of Directors opened the Butuan Doctors’ Hospital School of Nursing in Northern Mindanao.
June 26, 1971 - inauguration of the School offering a program in General Nursing with Paz de Leon as first Principal.January 1974 - Mrs. Purita R. Escobar took over as principal.
1976 - Transition from GN program to Bachelor Science in Nursing (BSN) - Two year Medical secretarial Course offered.
1977 - One-year Health Aide and Medical Secretarial. 1978 - Recognition of Health Aide; and Medical Secretarial. 1979
1980 - Opening of Bachelor of Arts and B.S. in Nutrition and Dietetics.1981 - Opening of Bachelor of Science in Biology.1982 - Opening of Two-Year Midwifery Course.1983 - Recognition of Graduate in Midwifery.1984 - Recognition of Bachelor of Arts.1985 - Recognition of Bachelor of Science in Biology.
June 1987 - Installation of Dr. Victoria B. Estacio as President.1993 - Opening of Bachelor of Science in Medical Technology and Associate in
Radiologic Technology1995 - Recognition of Associate in Radiologic Technology.
- Opening of Bachelor of Science in Physical Therapy. 1997 - Recognition of Bachelor of Science in Medical Technology. - Opening of Bachelor of Science in Radiologic Technology. - Offering of Master in Nursing in Consortium with Cebu State College
FACILITIES AVAILABLE AND SERVICES OFFERED
In-patient 100 beds (Annex B) 2 4 Bay Emergency Room Ambulance Operating Room Tertiary Laboratory Radiology 500 MA Fixed X-Ray Unit (Hitachi) 250 MA Portable X-Ray GE Logic 500 Ultrasound Medison Ultrasound CT SCAN (GE) Laser Printer (KODAK) Automatic Developer (KODAK
2000/5000) Pharmacy-24 hours ICU-4 Bay NICU-Incubators CPAP Bili Lights 1 Radiant Warmer OR/DR Complex 2 Major O.R 1 Minor 2 DR Labor Room Recovery Room Blood Bank
INFRASTRUCTURE:A. POWER
450 KVA/150 KVA Transformer bank
Stand-by Generator: Caterpillar 350 KVA
B. COMMUNICATION 60 Line/trunk phone system Smart phone ( Cellular) Smart repeater system In-house E-mail system (widow
spaced)C. if LAN 9 13 stations
Computerized: Billing/ Cashier Procurement Inventory Account Management Financial Report PHIC/HMO Billing/Reports Charging/room allocation Admission/Records Clinical Report generation
D. WATER SOURCES Deep Well-not potable AWASS-not potable Water Purifier 9reverse osmosis
E. FIRE SAFETY DEVICES Sprinkler system Fire Alarm system Fire Hose unit (8 units) Dry Chemical Extinguisher (26)
ANNEX-AMEDICAL STAFF DIRECTORY:
MEDICINE CARDIOLOGY GASTROENTEROLOGY NEPHROLOGY DIABETOLOGY ONCOLOGY REHABILITATION MEDICINE
SURGERY GENERAL SURGERY ORTHOPEDICS
UROLOGY NEURO-SURGERY
PEDIATRICS OB-GYNE
PERINATOLOGY OB-GYNE ULTRASOUND
OPTHALMOLOGY
E.E.N.T.
ANESTHESIA
PATHOLOGY
CENTER FOR MEDICAL ARTS:
Out-patient Department Services:
Doctors’ Offices All major specialties and most
subspecialties (ANNEX-A) Specialty Clinics
Diabetes/Obesity Clinic Menopause Clinic Chemotherapy Unit Heart Station
2 –D Echo Stress Test Holter Monitoring ECG Video Endoscopy Center Gastroscopy Bronchoscopy ENT Video Endoscopy Hearing Care Center
Audiometry Tymphanometry Hearing Aids
Argon Eye Laser Special Chemistry Special Ultrasound
OB (3D/4D) Gynecology –Transvaginal
Ultrasound Direct Biopsies-Liver, Breast,
Thyroid ECC Industrial Clinic Proposed OWWA Clinic Rehabilitation Center E.R. Complex CT Scan Proposed MAMMOGRAPHY E.e Out-Patient Surgery Dialysis Center Pharmacy Dental Clinic
MODALITY OF CARE AND STAFFING PATTERN
Primary nursing care practiced as the hospital’s modality of care. The staff nurse is
responsible in every nursing and medical aspect of the patient, from admission up to the
time of discharge. In this manner, not only the knowledge and skills are being developed
and nurtured, but the right attitude as well as rendering optimum nursing care to the
patients will be enhanced. This ensures that tender loving care will be given to the patient.
Furthermore, efficiency and effectivity in the services offered will be fostered.
Another modality used is “Functional Nurse” wherein a nurse is given a specific and
greater control over worked activities, thus reducing the possibility of committing
unnecessary errors and blunders during their shift.
The method of staffing pattern used in this agency is modified cyclical wherein staff
nurses has an equal distribution of good and bad hours, and which may be assigned to any
staff member. Assignment of workdays and shifts for personnel is done according to a
predictable schedule of two rotations each month. A sufficient number of personnel are
maintained to ensure maximum efficiency, for work to improve and for the achievement of
its goals and objectives.
ORGANIZATIONAL STRUCTURE OF WARD PERSONNEL
JOJI J. JAPITANA, RNHead Nurse of Floor 3
THEA VICENTE, RNCharge Nurse
MARCELINA SIMBULAN, RNVital Sign Nurse
JO BALLARA, RNMedication Nurse
POLICIES, RULES & REGULATIONS
I. That the students should observe the following:
A. Type a uniform in the Ward and ER Female:
Checked uniform with white apron. Ladies wear caps and nameplates at all times while on duty. They should wear white stockings and clean white duty shoes. They should keep their hair neat clean and in place.
Male: Plain white buttoned polo and white pants, optional white undershirt. Gentlemen wear badges and nameplates at all times on duty. They should wear white socks and clean white shoes.
B. CHN UNIFORM Female:
White blouse and dark blue pants except maong Black shoes and black socks Nameplate
Male: White polo and dark blue pants except maong Black shoes and black socks Nameplate
C. OR/DR UNIFORM Male and Female
Dark blue scrub suit Bonnet and Mask White socks OR/DR slippers
D. SPECIAL AREAS (ICU, NICU, OPD, DIALYSIS, REHAB) TRAVELING-SUIT Male and female
Scrub suit (checkered) & white pants Clean white duty shoes & white socks Nameplate
E. Females are required to wear light makeup. No heavy perfumes for both Male and Female.
II. PARAPHERNALIA Ballpoint pen (red, blue, black) Pencil with eraser 6 inches ruler Bandage scissor with rubber
tourniquet Jot down notebook Oral and rectal thermometer
Medicine glass/plastic cap Medicine Tray Nail cutter Sphygmomanometer &
stethoscope Penlight Drug handbook or MIMS/PIMS
Umbrella-CHN only Complete CHN bag-CHN only
III. ATTENDANCE
Attendance will be checked at exactly 7:45-8:15 in the morning or during circle & 3:45-4:15 for the afternoon circle during the tour of duty assigned.
Student nurse is considered absent if he/she arrives 15 minutes after nurse’s endorsement. If he/she arrives within the endorsement, he/she considered late.
Student nurse should be in the clinical area 30 minutes before the time of duty. In case of absences, the student must secure an admission slip signed by the dean/
clinical instructor before he/she allowed going on duty the following day. Failure to secure an admission slip would mean another day of absence.
A student nurse who lives his/her post without proper endorsement, is considered absent and will be subjected to disciplinary action.
In case of personal necessitates, the student must ask permission from the Clinical instructor before leaving the post.
IV. REQUIREMENTS
Every student is required to submit 1 PATIENT PROFILE and 1-3 NURSING CARE PLAN of his/her patient everyday.
A written DRUG STUDY is to be submitted for those medication that were given during the shift aside form the oral drug study conducted before the actual administration of the medications.
Each student nurse is required to conduct a BEDSIDE CLINIC WARD CLASS AND HEALTH TEACHING with proper documentation and a CASE STUDY of the patient handled.
Quizzes area given to measure student nurse’s attitude in the ward. Evaluation exam is given at the last day of exposure as a means of evaluating a
student nurse’s knowledge to the area assigned. PATIENT ANALYTICAL REPORT: at the last week of exposure, student nurses
assigned will conduct a PAR presentation which is to be properly documented and submitted on the last day of exposure.
V. OTHERS Student nurses are requested and expected to render good quality care to their
assigned patients. Student nurses should address each other by Family names. Student nurses are not allowed to entertain visitors during duty days/hours except
for some urgent matters, which will be referred first to the Clinical instructor. Cellular phones should be turned off or placed in a silent mode during duty hours
and are not allowed to be used. Eating is strictly prohibited outside break hours. Student nurses are not allowed to go to mall or anywhere outside school premises
wearing Type A Uniform. Holding hands and sitting on the patient’s bed/hallway are strictly prohibited while
on duty. Student nurses should observe Professional conduct in the assigned area. Wearing Nursing cap/apron outside the hospital premises/canteen are prohibited.
VI. EXTENSION OF DUTY
A. Uniform Violation/penalty: Colored hairnet/pins (female) 4 hrs. Dirty shoes/stockings 4 hrs. Heavy make-up or without make up 4 hrs. Male w/ mustache/beard 4 hrs. Male wearing colored undershirt 4 hrs. Student without handkerchief 4 hrs. Male with long hair 4 hrs. Wearing of jewelries 4 hrs. Without nameplate, badges 4 hrs. Wearing maong pants (CHN) 4 hrs. Uncut fingernails/ with polish 4 hrs. Untidy Nursing cap 4 hrs. B. Paraphernalia Lacking 1 paraphernalia 2 hrs. C. Attendance Absent during Orientation 3 days With medical Certificate 1 day Late for first call 4 hrs. Late for second call 1 day In ward, late within 15 to 30 minutes 4 hrs. Late after the endorsement absent Absent for 4 days or 50% of the attendance To the whole rotation fail
B. Clinical behavior
Leaving the area with Clinical instructor permission but failure to come back after 15 minutes 1 day Caught rooming around the hospital 1 day Using cell phone during duty hours 1 day Entertaining visitors during duty hours 3 hrs. Talking/laughing/shouting during duty hours 4 hrs. Eating during duty hours 4 hrs. Students who leave the post without proper endorsement 1 day Wearing of cap to the canteen/outside premises 1 day Wearing white rubber shoes 1 day E. Attitude Impolite 1-3 days Dishonesty 1-3 days Insubordinate 1-3 days Student caught smoking during duty hours or school hour And within the hospital/school 1-3 days Female student found pregnant without the benefit of marriage or
Male responsible for the pregnancy will be subjected to disciplinary action Any student found to be addicted to drugs shall be subjected to suspension or
expulsion
DEPARTMENTAL PURPOSES AND OBJECTIVESDepartment of Nursing
The Department of Nursing believes that an educational program based on the
principles of the physiological biological and social sciences and using practical problem
solving will best stimulate creative thinking, self-direction and respect for all people.
To this end, the Department of Nursing strives:
To provide opportunities for the student to develop understanding and ability in
recognizing patient’s needs physical, emotional, social and spiritual in providing
intelligent nursing care.
To provide opportunities for the student to develop proficiency in communication
for effective interpersonal relations as a professional nurse and an active
contributing citizen of the community.
To develop in the; student attitude of inquiry to understand scientific and social
changes of contemporary times and their application to curative, preventive, and
teaching functions of a nurse.
To provide opportunities for the student to develop her individual potentials and
competence to function as active member of the profession and of the community.
To provide opportunity to develop ability to participate in research activities for the
improvement of nursing care.
To develop awareness to the contribution of Community Health Agencies and other
members of the health team for the total welfare of the community.
THE NURSING SERVICE
PHILOSOPHY:
The Butuan Doctors’ Hospital Nursing Service believes that the highest possible equality of patient care can be attained by meeting all aspects of patient’s needs and providing continuous professional growth of its personnel, thru research and in-service training.
OBJECTIVES:
To give the highest possible quality of nursing care in terms of total patient needs. This involves spiritual, psychological, social, physical, rehabilitation and educational needs of the patient.
To assist the physician in the medical care of the patient and to carry out such therapy as it is prescribed.
To promote continuous in-service program training to all personnel. To promote and encourage nursing studies and research in order that quality of
performance maybe improve and maximum utilization of personnel efficiency obtained.
To coordinate with school of nursing and to provide adequate facilities and learning experiences for the students in the hospital.
HEAD NURSE:
The key person who administers and supervises the nursing service of the ward.
RESPONSIBILITIES:
The patients care management The units management
DUTIES:
Administrative: Endorses and receives endorsement to and from incoming proceeding shifts paying
particular attention to:
Patient census All new and serious patient Special treatment to be done during the early part of the shift or to be carried over
the three shifts. Unusual occurrence Plans and directs the nursing service activities in the units. Coordinates the activities and cooperate with department or agency for the welfare
of the patient. Interprets policies, and regulation of the hospital to staff and patient, gamily and
community and execute them. Makes written assignments to each personnel in ward. Coordinates and supervises the performance of the professional and non-
professional personnel. Identify nursing service problems and needing study and participates in their
solution. Make requisition and see to it that supplies and equipments are used economically
and carefully. Evaluate the services rendered continuously and plans for its improvements. Provided and maintains comfortable, orderly, clean and safe environments. Accomplish accurate and informative, legible ward records.
I. Patients’ chartII. Medicines, injection, diet, and treatment listsIII. Nurses report book
IV. Ward briefsV. Directory patients personnelVI. 24-hours report (11-7 shift)VII. Monthly inventoriesVIII. Efficiency recordIX. Etc.
Keeps a complete file of ward policies administration and equipment. Assigns other duties to her personnel when necessary.
NURSING:
Makes rounds for personnel observation of patients. Accompanies the doctor in his rounds. Sees to the execution of doctor’s order. Gives medicines, injections, and treatment when called for. Renders emergency nursing as needed and give personal attention to certain
situation when necessary. Teaches patients good nursing as needed and gives personal attention to certain
situation when necessary.
STAFF NURSE:
The nurse who gives and direct nursing care to patients.
RESPONSIBILITIES:1. Rendering bedside nursing care effectively.2. Meeting patient nursing needs.
DUTIES:
Renders total nursing care Physical Gives daily personal hygiene Uses safety device Assist in maintaining a clean, safe and healthful environment Administers medicine, injections, and treatments Identifies nursing needs and problems and tries to meet them. Mental Gains confidence of patients and watcher. Recognizes problems and utilizes other agencies for their solution. Promotes good patient-nurse relationship.
Assist in the therapeutic management of the disease Takes and records TPR. Assist during physical examination and other diagnosis procedures. Prepares and assist patients for treatment. Observe, report, and records any changes in patients condition.
A. ADMINISTRATIVE: Endorses and receives responsibilities from incoming and outgoing shifts. Assist in the general nursing activities in the units. Acts in the capacity of the head nurse as designated. Participates in the inter and intra-department activities. Accomplish accurate information and legible records in the ward, e.g. patients
charts, etc.
B. EDUCATIONAL:
Orient newly admitted patient with regards to: Physical set-up Ward routines Hospital personnel Co-patients Rules and regulations Articles needed for use
Assist in incidental teaching and evaluation of non-professional personnel Contribute to the educational program of student nurse Utilized opportunities for personnel meeting and conferences
CHRONOLOGICAL ORDER OF THE CHART
Discharge form
Clearance
Consent to care
Patient’s Clinical Record
Admission Form
Doctor’s Progress Notes
Doctor’s Order
Nurse’s Notes
Medication Sheet
Vital sign’s Sheet
Vital sign’s Record Form
IVF Sheet
All the Laboratory Results
I & O Sheet
FLOW OF WORK(ADMISSION)
Record Finding Vital Signs taking and weighing of patient Interview of patient and filling up clinical case record/personal data Examination by the resident physician on duty If orders are STAT, ER staff nurse carries the Doctor’s order and usher patient to
room of choice and or unit of admission
FLOOR 1 FLOOR 2-A FLOOR 3 ICU OR DR FLOOR 2-B
Continue in assessing the patient’s condition The nurse will carry out the Doctor’s order if not yet carried out by ER Staff nurse, if
for: X-ray ---------------------------------to x-ray room Laboratory examination ------------to laboratory Pharmacy
Giving of medications per Doctor’s order Vital Signs will be rechecked The attending Physician will examine the patient everyday Assess the patient with the use of your senses
ADMISSION
EMERGENCY ROOM
HOSPITAL INFORMATION
FLOW CHART OF DIRECT ADMISSION
FLOW OF WORK(DISCHARGE)
NOD receive a call fromAdmission Section
Prepare the desired Room of the patient
Received patient/wheelchair
Gather patient’s dataInspect patient’s chart
Take initial vital signs
Carry out Doctor’s Order:Start IVFStart new medicationTransmit lab request
NOD inform the A/PPatient’s roomLatest vital signsPresent complain of patientReferral of lab result
Remind A/P to complete form 3 during his/her rounds within 24 hours
Continuous patient care
Chart every after shift
WARD
“MAY GO HOME” AS ORDERED BY THE PHYSICIAN
DO THE CHARTING AND FILL OUT FORMS
LET THE INSTRUCTOR SIGN YOUR CHARTING AND THE STAFF NURSE
CENTRAL SUPPLY ROOM
PHARMACY
RETURN EXCESS MEDICATIONS OR GIVE THE REMAINING MEDICATIONS TO THE PATIENTAND INSTRUCT PROPERLY WHEN TO TAKE THE MEDICATIONS IF IT WILL BE HOME MEDICATIONS
X-RAY
LABORATORY ROOM PHYSICAL THERAPY
BILLING SECTION
CASHIER
CLEARANCE
WARD NOD SECURITY GUARD
PROVIDE DISCHARG
EHEALTH
TEACHINGS
DISCHARGE
MEDICATION TICKET OF BDH
TICKETS
SCHEDULE COLORS TIMING
OD/ONCE A DAY WHITE 6:00 AM
HS/HOURS OF SLEEP WHITE 9:00 PM
q 6 / every 6 hrs. WHITE 6-12-6-12
BID / twice a day YELLOW 8 AM- 8 PM
q 12 / every 12 hrs. YELLOW 6 AM- 6 PM
TID / thrice a day PINK 6-12-6
QID / 4X a day GREEN 6-10-2-6
q 4 / every 4 hrs. GREEN 6-10-2-6
q 8 / every 8 hrs. BLUE 6-2-10
STAT / now/immediately RED NOW
PRN / as needed ORANGE AS NECESSARY
RTC / round the clock GREEN AS TIMED
AC / before meals PINK 5 AM- 11 AM- 5 PM
PC / after meals PINK 7 AM- 1 PM- 7 PM
MEDICAL CONSULTANT VISIBLEIN THE WARD
Dr. Claudio B. Estacio(RED)
Dr. Chita ItaoDr. Castulo Oclarit
(ORANGE)
Dr. Chyrrl BautistaDr. R. Gonzales
(BLUE)
Dr. Psyche Netroda(YELLOW)
Dr. R. Munez(PINK)
Dr. E. Uriarte(GREEN)
Dr. Aala Dr. M. Aala Dr. Brodith Dr. E. Coleto Dr. JM. Dacudoa
Dr. D. Dayan Dr. M. Deresas Dr. Duenas Dr.A. Gambe Dr. Erik Gambe
Dr. Virginia Yu Dr. J. Yap Dr. E. Urag Dr. S. Sy Dr. Rafael Sy
Dr. AJ Robles Dr. A. Robles Dr. R. Ponce Dr. L. Ponce Dr. L. Parinas
Dr. D. Nakila Dr. Hangos Dr. Jugao Dr. R. Lagare Dr. MJ Layese
Dr. Lim- Yu ( W H I T E )
STUDENT HEAD NURSEFLOW OF COMMUNICATION
Dean of Nursing Department
Asst. Dean of Nursing Department
Clinical Coordinator
Clinical Instructor
BDH Director
Chief Nurse
Supervisor
Staff Nurse
Student Head Nurse
Student Nurse
Patient
NURSING DEPARTMENTBUTUAN CITY
GRADING SYSTEM IN CLINICAL DUTY
Name of Student: ______________________________________________________________Area of Assignment: ____________________Rotation: ______________Section: __________Inclusive Dates of Assignment: ___________________________________________________
I. PERFORMANCE (50%) FINAL GRADE Implementation of Nsg. care/Nsg. intervention
A. Independent Nursing Care (30%) _________ Initiative 5% Efficiency of care/mastery/usage of Nursing Process 10% Consumption of available resources 2.5% Knowledge of principles and rationale 5% Attitude towards health care team and clients 2.5% Outcomes of care 5%
B. Dependent Nursing Care (20%) _________
Knowledge and skills in pharmacology/ 5%Rights in giving meds.
Efficiency in carrying out doctors’ order 5% Knowledge and skills of disease process 5% Ability to coordinate with the health care team 5%
II. REQUIRED WARD ACTIVITIES (10%) _________ A. Ward Class (5%)
Performance 2.5% Delivery/Content 2.5%
B. Bedside Clinic (5%) Performance 2.5% Delivery/ Content 2.5%
III. WRITTEN REQUIREMENTS (15%) _________ A. Patient’s Profile (5%)
Completeness and promptness 2.5% Content 2.5%
B. NCP (5%) Completeness and promptness 2.5% Content 2.5%
C. Drug Study (5%) Completeness and promptness 2.5% Content 2.5%
IV. ATTITUDE (10%) ________ Punctuality 5% Respect and courtesy to CI and the staff 5%
GENERAL OBJECTIVES
That the student will be able to implement and develop knowledge, skills, and
attitude appropriate for achieving effective nursing care towards the patient in the hospital
setting by using the four steps in the nursing process namely: Assessing, Planning,
Implementing and Evaluating in the delivery of care.
SPECIFIC OBJECTIVES
That the student nurse will be able to develop skills, knowledge, and attitude in
relation to nursing care and render it to the patient.
To be able to know the feeding of how it is to be like in the actual hospital setting
Personnel, Clinical Instructor, Nursing staff without prejudice and to gain respect in
the process.
To be able to accomplish activities being planned and carry out the responsibilities
as a student nurse.
To be able to develop critical thinking and sound judgment in the care and
management of the patient.
Length of Duty
February 18 – 27, 2008Inclusive Date of Duty
Floor 1Area of Assignment
12MN – 8AMShift
Under Students:
Manelyn PaconJosephine Racoma
Delilah Reyes
Mrs. Nerissa C. Solis, RN, MNClinical Instructor
General Objectives
Within two weeks of duty I will be able to function as a Student Head Nurse and Impart my Knowledge to my understudents and to coordinate always with my clinical Instructor and
be able to finish my rotation with accomplishment of the requirements and needed.
Specific Objectives
I will be able:
1. To develop the attitude and skills needed of a good Student Head Nurse following the proper standards of care.
2. To guide my understudents on their daily duties and activities and be able to assess their performance.
3. To share my knowledge and skills to my understudents and encourage them to make the best of their performance.
Daily Plan of Activities
Date Time Activities
February 18, 2008
7:45 – 8:00Am
8:00 – 8:15Am8:15 – 8:30Am
8:30 – 10:30Am10:30 – 11:30Am
12:00NN1:00 – 1:15Pm1:15 – 2:00Pm2:00 – 2:30Pm2:30 – 3:00Pm
3:00Pm
February 19, 2008
7:45 – 8:00AmChecking of AttendanceChecking of UniformsCollecting of assignments
8:00 – 8:15Am Pre-test
8:15 – 8:30Am Checking of papers8:30 – 10:30Am Checking and discussion of assignments with
rationalization10:30 – 11:30Am Class discussion and interaction
Giving of data for the afternoon activities12:00NN Lunch Break
1:00 – 1:15Pm Checking of attendance
1:15 – 2:00PmLibrary workCollection of ActivitiesActivity discussion and rationalization
2:00 – 2:30PmGiving of Post-test related to activity discussed.Checking of papers
2:30 – 3:00Pm Giving of assignmentsPlanning of activities for tomorrow
3:00Pm Dismissal
February 20, 2008
7:45 – 8:00AmChecking of AttendanceChecking of UniformsCollecting of assignments
8:00 – 8:15Am Pre-test
8:15 – 8:30Am Checking of papers8:30 – 10:30Am Checking and discussion of assignments with
rationalization
10:30 – 11:30AmBed side clinic Individual Reporting and Interaction Class discussion and rationalization
12:00NN Lunch Break1:00 – 1:15Pm Checking of attendance
1:15 – 2:00Pm Giving of activity and research work2:00 – 2:30Pm Collecting of activity and discussion2:30 – 3:00Pm Post-test related to morning activity
Giving of assignments and planning of activities for tomorrow
3:00Pm Dismissal
February 21, 2008
7:45 – 8:00AmChecking of AttendanceChecking of UniformsCollecting of assignments
8:00 – 8:15Am Collection of assignments regarding Dorothea Orem’s Theories
8:15 – 10:30Am Group reporting on the different theoriesDiscussion with the topics reported
10:30 – 11:30Am Giving of pre-test regarding the Report12:00NN Lunch Break
1:00 – 1:15Pm Checking of attendance1:15 – 2:30Pm Library work
Group Interaction2:30 – 3:00Pm Giving of Post-test
3:00Pm Dismissal
February 26, 2008
7:45 – 8:00Am Checking of AttendanceChecking of Uniforms
8:00 – 9:00Am Meeting with the Clinical Instructor for instructions and checking of activities
9:00 – 11:130Am Library work12:00NN Dismissed
February 26, 2008
8:00AmChecking of AttendanceChecking of UniformsCollecting of assignments
8:00Am – 12:00NN Attended the Methodology at the Old AVR1:00 – 1:15Pm Checking of attendance
1:15 – 3:00Pm
Ward ClassDiscussion and Interaction regarding ward classGiving of Post-test regarding on the ward class
3:00Pm Dismissed
Daily Students Progress Report
Date Students Descriptions
February 19, 2008 Manelyn Pacon She arrived early with complete
uniform and assignments. During the discussion she participated and interacted well, she was silent in class. She was able to submit her activities on time, follow instructions and get good scores on quizzes.
Josephine Racoma She arrived early in the area with
complete uniform and assignments. She participated well during the discussion, was able to share her ideas on the class, she is active and always ask questions but she’s good in class getting good scores on their quizzes.
Delilah Reyes She arrived on the area early with
complete uniform and assignments. She’s good in class, silent sometimes but talks when she wants to share something. She behave well and listen attentively. She got high scores on their quizzes. But that day she always ask permission to go to the bathroom.
February 20, 2008 Manelyn Pacon She arrived early on the area with
complete uniform and assignments. She got good scores on their pre-test. She had a complete and correct assignments on the Activities of Daily living. During discussion she participated well and able to share her Ideas on class.
She had her Bedside Clinic that day and was able to discuss it to us. It was good she was able to give data’s and information but there were information’s not mentioned particular at the present condition of her patient but it was corrected after.
She corrected her activity on the different classification of drugs and submitted in on the afternoon. She behaves well in class, comes on time and listen attentively.
She arrived early at the area with
Josephine Racoma complete uniform and assignments. She did well on her pre-test that morning. She submitted her assignment on ADL in was complete and correct.
She had her bedside clinic that morning, she was able to discuss and share it to us, it was nice the data and information are good but was lacking of some information’s particularly bout their patients and so it was corrected after.
At the afternoon she submitted her revised activity on the different drugs it was now complete. She was good in class and as usual very active and ask questions and sometimes contradicts but accepted cause she has her point.
Delilah Reyes She comes almost late on the area
with complete uniform and assignments. She did best on the pre-test for she got a high score that morning. She submitted her assignment on the ADL in was correct and complete.
She had her Bedside clinic that morning and like with the other groups it was good but as usual some information’s was not mentioned such as the present condition of their patient and initial Vital Signs and so it was corrected after the report.
She submitted her activity on the different drugs on the afternoon it was correct but she was not able to attend the post-quiz because she went to the Comfort Room and did not return after.
She was good that day only that she was not able to attend post-test and she almost comes late. She was good in the class and listen attentively.
February 21, 2008 Manelyn Pacon She arrived early on the area with
complete uniform and assignments. She submitted her assignments on Orem’s theory it was complete and correct.
That morning she reported it to us, during the report she presented a visual aid it was nice but only reads the report. She was corrected after. She did good in their quizzes pre and
post. She behave well in class and listen attentively.
Josephine Racoma She arrived on the area on time with
complete uniform and assignments. She submitted her assignment on Orem’s Theory in was correct and complete.
She also reported on the class and had her visual aids. She discussed it well but mostly just read the report just like the others. She did good on their quizzes that day. She behaves well on the class and listen attentively.
Delilah Reyes She arrived early on the area with
complete uniform and attendance. She submitted her assignment on
Orem’s theory it was correct and complete. That morning she reported also on Orem’s Nursing Theory together with her group of Pacon and Racoma. She discussed her part well and was able to explain and give some examples to us.
She behaved well and listen attentively in the class. She did good on her pre and post quizzes that by by getting good and high scores.
February 26, 2008 Manelyn Pacon She arrived early on the area with
complete uniform. She submitted her assignments and
activities to our Clinical Instructor for checking.
On the morning she did research and preparation for their ward class activity the next day and do some library works with supervision.
She was present the whole morning and finishes her library work and research.
Josephine Racoma She arrived early on the area with
complete uniform. Submitted her assignments and
activities to our clinical instructor for checking, it was complete.
That morning she also did some research and preparation for their ward class activity on the next day, she did some library works and finishes it.
Delilah Reyes She arrived early on the area with
complete uniform. She submitted her assignments to
our clinical instructor for checking.
She have some research that morning in the library for their ward class the next day. She finishes it there with supervison.
February 27, 2008 Manelyn Pacon She arrived early on the area with
complete uniform. She attended the methodology at
the old AVR on the entire morning and was able to participate on the activities done.
Josephine Racoma She arrived early on the area with
complete uniform. She attended the methodology at
the old AVR on the entire morning and was able to participate on the activities done.
Delilah Reyes She arrived early on the area with
complete uniform. She attended the methodology at
the old AVR on the entire morning and was able to participate on the activities done.
Grades of Under-students
Name:
Name:
Name:
Performance (50%)Required Ward Activities(10%)Written Requirements (15%)Examination (15%)Attitude (10%)
Total Performance (50%)Required Ward Activities(10%)Written Requirements (15%)Examination (15%)Attitude (10%)
Total Performance (50%)Required Ward Activities(10%)Written Requirements (15%)Examination (15%)Attitude (10%)
Total
ORGANIZATIONAL STRUCTURE OFBUTUAN DOCTORS’ COLLEGE
NURSING DEPARTMENT
Clinical Instructors:
Josehpine Aromin, RNMarivick M. Piencenaves, RNOscar Dorano, RNElaine Lauria, RNJeffrey Apat, RN Clinical Instructors:
Jennifer Arana, RNMeraluna C. Cacho, RNNerissa C. Solis, RNMichael C. Luarez, RNMargarita A. Sanglay, RNRey Pacanza, RNJerome Bajao, RNRosie Silaga, RNAlester Padillo, RNClares Leona C. Plaza, RNIone A. Lacorte, RNJesus Picardal, RNRyan Lister Flores, RNEden Paulette A. Consad, RNCristie C. Vapor, RN
Paulynne May E. Racho, RNLeslie Vee Wagas, RN
Clinical Instructors:
Marivick M. Suguitan, RNMa. Lourdes Tayag, RNLeila Gutierrez, RNPrecilla Monton, RNMary Jane Gallao, RNAnne Luarez, RNJuliet Callet, RNEvangeline Cabilao, RN
PURITA R. ESCOBAR, RN, MAN, DMDean
CARMENCHU B. VICENTE, RN, MNAssistant Dean
RIZZA E. BESA, RNLevel II Coordinator
ESTRELLA P.ROM, RNLevel III Coordinator
ARIEL R. SINCO, RNLevel IV Coordinator
Mercedez Abigail Dumanayos, RNLeoneth Marie Lim, RNShiela V. Fumar, RNEdward C. Benolerao, RNMelvin Mendoza, RNJennifer Mae P. Estella, RN Jemelyn Coletp, RN
Organizational Structure
Orientation Guide
SHN Requirements
Student Nurse Requirements