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HEAD NURSE Definition: A head nurse is the one who assumes errands for managing the human and

material resources of a nursing unit and takes lead in mounting to provide quality patient care and an environment conductive to staff growth and satisfaction. General objectives: Student nurse will be able to enhance 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 responsibilities. Specific objectives: As a student head nurses we 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 Supervise the flow of activities by execution of the nursing care plan based on the nursing care Expand a skill in decision-making and other qualities of an efficient head nurse Harmonize and communicate with the other members of the health care team in providing quality 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 rendering them through frequent rounds guided by the evaluation check list.

Subordinates: Student staff nurses

Responsibilities of a Head nurse Assumes the responsibility for the delivery of quality patient care to patients within the unit. 1. Provide nursing standards and policies regarding patient care to guide the staff nurses. 2. They have the responsibility of orienting and updating the staff of the systems and standards of patient care.

3. Responsible for the implementation of the health care programs, and standards of patient care. 4. Assumes the role of patient advocate. 5. Assumes the role of staff members advocate. 6. Acts as liaison with the medical staff to coordinate medical and nursing management of patient care. 7. Serves as resource person to nursing personnel under him in assessing, planning, implementation and evaluating nursing care provided. 8. Coordinates the patient care with the other members of the health care team. 9. Keeps superior informed regarding problems or issues in patient care. 10. Evaluates the quality of patient care through frequent rounds. 11. Evaluates the nursing standard 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 needs for nursing care based on the patients history, results of physical, diagnostic, and laboratory examinations. 2. Infers correct nursing diagnosis. 3. Plans and prioritizes nursing care activities considering overall health needs of the patient. 4. Institute nursing intervention consistent with the overall plan of care with special consideration of the patients safety and comfort. 5. Provides health teaching to the patient, his family and significant others so that they may understand this illness and participate actively in his care. 6. Coordinates patient care services with members of the health team. 7. Evaluates or modifies of nursing care by means of: Effectiveness and efficiency of nursing measures rendered. Feedback from patient/family and significant others. 8. Documents accurately the observation and services rendered to the patient.

UPH- Dr. JOSE G. TAMAYO MEDICAL UNIVERSITY Sto. Nio, Bian, Laguna College of Nursing HEAD NURSE 1. Supervises and evaluates the quality of patient care through frequent rounds. 2. Oversees the action of assigned staff nurse, medication nurse and chart nurse. 3. Familiarized and take care of the emergency cart. 4. Takes note of the special procedures for the patients within the unit. 5. Keep superiors informed regarding the problems and issues in patient care with the nursing unit. 6. Participates in the selection of nursing staff for the unit. 7. Presents changes or innovations to staff in a positive manner. 8. Provides conductive climate for work and maintains effective communication within the unit department. 9. Makes the 24 hrs. Nursing report of the unit, 10. Checks daily time record of the staff. STAFF NURSE 1. Should know the patient very well. 2. Should always establish rapport to the patient. 3. Assess the patients needs for care based on the patients history, results of physical examinations, diagnosis, and laboratory exams. 4. Filling up the request admissions. 5. Oversees the activities of the nursing students. 6. Make part of the endorsement for the shift. 7. Proper endorsement (detailed clear, and updated) of the patients incoming shift. 8. Demonstrate good nursing in caring of the patients. 9. Acts as a role model to fellow students. 10. Makes a nursing care plan for the patient he/she handled.

MEDICATION NURSE 1. Must know the 10 rights in giving the medication. 2. Must know the drug action, side effects and nursing consideration of each medication. 3. Must know the color coding of the medication cards followed by the institution. 4. Always bring medication tray with you in giving medication. 5. Should always establish rapport with the patient. 6. May give medication only with the supervision of clinical instructor or staff nurse on duty. 7. Always double check the doctors order. 8. Make a drug study as a students clinical assignment. 9. Must know the computation concisely and table of equivalents. 10. Document all medications given legibly as countersigned by respective clinical instructor or staff nurse on duty. CHART NURSE 1. 2. 3. 4. Record all the vital signs taken on the TPR sheet on the patients chart. Must know the normal values of BP, PR, RR and Temperature. Reports the intake and output. Makes a narrative report of the vital signs recording system for the shift then submit to the assigned student head nurse.

PLAN OF ACTIVITIES 6-2 shift


Time 5;30-6;00 am Activities Call time Preconference Orientation Distribution of area assignment Endorsement Rounds with staff nurse Check the condition of the patient Check for the IVF level and drop factor from time received Morning care Chart reading Patients profile/data Diagnosis Past/Present history Doctors order Medication and time of medication Reporting Preparation of medication/drug study Vital signs taking, medications and VS plotting Case discussion Break time of the first six of the group Break time of the second six of the group Visit the patient, check the IVF level and drops per minute Drug preparation Drug study Vital signs taking and recording Giving of medication Lecture Preparation of SOAPIE Checking of SOAPIE Quiz Endorsement

6:00-6:30 6:30-7:00

7:00-7:15

7:15-7:45 7:45-8:00 8:00-8:15 8:15-9:00 9:00-9:30 9:30-10:00 10:00-10:30 10:30-11:00 11:00-11:30 11:30-12:00 12:00-12:15 12:15-12:45 12:45-1:00 1:00-1:15 1:15-1:30 1:30-2:00

2-10 shift

Time 1:30-2:00

Activities Call time Preconference Orientation Distribution of area assignment Endorsement Rounds with the staff nurse Check the patients condition Check for the IVF level from the time received Chart reading Patients profile Diagnosis Past/present history Doctors order Medication and time of medication Reporting Preparation of medication and drug study Vital signs taking and recording, giving of medication Case study Break of first half of the group Break of the second half Drug preparation Drug study Visit the patient, check the IVF level and if infusing well Lecture Vital signs taking and recording Giving of medications Preparation of SOAPIE Quiz Endorsement

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

2:45-3:00

3:00-3:30 3:30-4:00 4:00-4:30 4:30-5:00 5:00-5:30 5:30-6:00 6:00-6:30 6:30-7:00 7:00-7:30 7:30-8:00 8:00-8:30 8:30-8:45 8:45-9:15 9:15-9:30 9:30-10:00

10-6 shift
Time 9:30-10:00 Activities Call time Preconference Orientation Distribution of area of assignment Endorsement Rounds with the staff nurse Check the condition of the patient Check for the IVF level from the time received Chart reading Patients profile Diagnosis Past/present history Doctors order Medication and time of medication Reporting Preparations of medication/ drug study Vital signs taking and giving of 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 taking and giving of medications Lecture Preparation of SOAPIE Quiz Morning care Endorsement

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

10:45-11:00

11:00-11:30 11:30-12:00 12:00-12:30 12:30-1:00 1:00-1:30 1:30-2:00 2:00-2:15 2:15-2:45 2:45-3:30 3:30-4:00 4:00-4:30 4:30-5:00 5:00-5:30 5:30-6:00

UPH-Dr. Jose G. Tamayo Medical University Sto. Nio, Bian, Laguna College of Nursing Name: ___________________________________________________ Date: ___________ Year/Sec: ________________________ Group: _____________ Rating: ________________________________ Area: _________________________ Clinical Instructor: ________________________________________________

PERFORMANCE EVALUATION TOOL


(STUDENT HEAD NURSE TO STUDENT HEAD NURSE)

NUMERICAL RATING 5

QUANTITATIVE Outstanding

4 3 2

Very Satisfactory Satisfactory Needs Improvement

DESCRIPTION Carries out expected tasks in a very consistent manner with minimal guidance and supervision Carries out tasks in a consistent manner with minimal guidance and supervision Carries out expected tasks in a moderately consistent manner with frequent guidance and supervision Carries out expected tasks in a rarely consistent manner with close guidance and supervision Does not carry out expected tasks even with close guidance and supervision

Unsatisfactory

I.

II.

PERFORMANCE 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 IMPLEMENTATION a. Carries out assigned tasks based on the criteria of distribution of assignments b. Follows principles of time management c. Equipped with required paraphernalia for RLE d. Observes proper channels of communication

RATING

III.

IV.

e. Carries out plan of care, including: A. Bedside care B. Administration of medication C. Administration of treatments(IVF, nebulization) f. Shows initiative in performing tasks g. Accomplishes delegated tasks with prescribed time frame h. Provides psychological and spiritual support to patients i. Accepts supervision and criticism EVALUATION 1. Notifies immediate superior about untoward situations or conditions related to patient care in the area 2. Make revisions of plan in the plan of care as necessary 3. Evaluates nursing care rendered ETHICOLEGAL CONSIDERATIONS 1. Demonstrate 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 Competency Guidelines

REMARKS: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ACTUAL SCORE x 100 EVALUATED BY: ______________________________
STUDENT HEAD NURSE

TOTAL SCORE

CONFORMED BY: _____________________________


STUDENT STAFF NURSE

NOTED BY: ____________________________


CLINICAL INTRUCTOR