1) What type of endorsement they are doing?

The type of endorsement they are doing in the hospital is the face to face endorsement which is
given orally. During the endorsement the listener is allowed to ask questions during the report.
2) What type of Modality of Care they practice?
The type of Modality of Care that is being practiced in the hospital is the Primary Nursing. It is
because each nurse in the Gyne-ward is assigned to a small group of patients and is accountable
for each patient’s total care continuously until discharge even when technically off duty.
3) What format of Charting they follow?
The format of charting they follow in the hospital (Gyne-ward) is the SOAP charting which
includes the patient’s complaints, signs and symptoms medication, the data’s including the vital
signs and laboratory results, the diagnosis, treatment and patient’s profile, medication strategy,
planned tests and discharge plans.
4) Types of Endorsement
 A change –of-shift report is given to all nurses on the next shift. Its purpose is to provide
continuity of care for clients by providing the new caregivers a quick summary of client needs
and details of care to be given. It may be written or given orally, either in a face to face
exchange or by audiotape recording. The face to face permits the listener to ask questions
during the report.
5) Modalities of Care
 Team Nursing
It involves having a head nurse supervise and coordinate a team nurses. The head nurse assigns
each individual nurse a group of patients. Each nurse is responsible for most of each patient’s
care. The head nurse is typically a registered nurse who assigns patients primarily according to
the abilities or expertise of each nurse. The team nursing modality includes nurses at all levels of
knowledge: registered nurses, practical nurses and nursing assistants, orderlies and aides.
 Primary Nursing
It requires all nurses on staff be registered nurses. Each nurse is assigned to a small group of
patients according to expertise but is not just responsible for the time she is on duty. The nurse
is accountable for each patient’s total care continuously until discharge even when technically
off duty. She must be responsible for care of her patients all of the time but is assisted by an
associate nurse with whom patient information is communicated.
 Nursing Case Management
It is a more recent development as the health care establishment began to explore more
efficient, but cost effective, ways to deliver patient care. This model utilizes the role of a nurse
care manager, typically a registered nurse who advocates, manages and coordinates care for
patients.
 Private Duty Nursing
It refers to a delivery method of care in which one nurse is responsible for the complete care of
one individual patient typically in the home.
 Functional Nursing
Nurses are assigned a specific task and do only that duty. The nurse performs the task for every
patient on the ward or hospital unit. There is a medication nurse, IV nurse, a dressings nurse and
so on. For each task that needs to be done, one nurse handles it for all the patients.

6) Formats of Charting
 Narrative Charting
In this method, the patient’s status, nursing interventions and patient’s responses to those
interventions are documented in chronological order covering a specific time frame. Narrative
recording is being replaced by other systems, such as charting by exception and focus charting.
When using narrative charting, it is important to organize the information in a clear, coherent
manner.
 SOAP Charting
It uses a problem – oriented approach to documentation in which nurses first identify and list
out patient’s problems and documentation is done on the basis of identified problems. The type
of documentation is typically organized in the following manner:
 Subjective (S) – Nurses document how the patient actually feels in this section such as
symptoms, patient’s complaint’s medication side effects and so on. The patient’s own
words are used as much as possible.
 Objective (O) – This section represents objective data including results of the physical
exam, vital signs, lab results and studies.
 Assessment (A) – In this section., the patient’s status such as the diagnosis, prognosis,
treatment and side effects documented along with the patient profile (age, sex,
occupation, marital status and significant characteristics)
  Plan (P) – The medication strategy, planned tests and discharge plans are documented
in this section. The section also discusses whether the plan stays the same or whether
any changes are needed.
 Flow sheet
functional health patterns. The time parameters for a flow sheet can vary from minutes
to months.
 Focus Charting
It is intended to make the client and client concerns and strengths the focus of care.
Three columns for recording are usually used: date and time, focus and progress notes.
 NCM 102.2

Submitted to:
Mrs. Kristal Liza Besario, RN, MAN

Submitted by:
Cedro, Prescela Mariz C.
Jimenez, Apple Grace S.
Liwagon, Krizza Leen F.
Ruayana, Lara Jeanne

November 13, 2017