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OLIVAREZ COLLEGE TAGAYTAY COLLEGE OF NURSING NCM 107 INSTRUCTIONAL PLAN NCM 107 A/B

RESPONSIBILTY 1-DEMONSTRATES MANAGEMENT AND LEADERSHIP SKILLS TO PROVIDE SAFE AND QUALITY CARE.
COMPETENCY
1.1 Implements appropriate and efficient methods/strategies/tools to manage multiple nursing interventions for clients with comorbidities, complex and rapidly changing health status with consultation as needed.

PERFORMANCE INDICATIORS
1. Identifies tasks or activities that needed to be accomplished. 2. Plans the performance of tasks or activities based on priorities. 3. Verifies the competencies of the staff prior to delegating tasks. 4. Categorize tasks and procedures that can be assigned to other members of the health team. 5.Delegates tasks accordingly 1. Identifies appropriate and efficient methods and tools to organize and prioritize use of human materials. Financial and other resources. 2. Utilizes cost effectiveness strategies. 3. Participates actively in the creation of a preventive maintenance program to ensure proper function of equipment. 4. Adopts measures to work within the budget allocation without compromising related principles and standards.

KEY AREAS OF RESPONSIBILITY


Management of resource and environment Communication Quality Improvement Collaboration and Team work

CONTENT A. Management 1. Definition/description 2. Universal principles of management. 3. Theories of Management 4. Management process. a. Roles that managers fulfill in an organization 5. Strategic planning process b. Vision/mission/philosophy/objectives/core values 6. Standards of Nursing Practice B. Management Functions 1. Planning 2. Organizing a. organizational structure b. staffing (selection, orientation, job description) c. patient classification system d. scheduling e. modalities of care - case method - primary nursing - team nursing -modular nursing -functional nursing

RLE
Obtain assignment form Clinical Instructor before duty Head Nurse/Charge Nurse of the day/week will do the following: Get patient load ahead of the team Classify patient case according to patient classification system Identify staffs strengths Make a patient assignment Conduct a pre conference and inform staffs of the objectives of the day and share expectations Give patient assignments accordingly Receives endorsement Conduct nursing rounds Accompany physician during rounds Transcribe Doctors order Delegate responsibilities to staff as necessary/appropriately Monitor each staff to ensure that expected patient care activities are done:

1.2 Coordinates care by organizing and prioritizing use of human, material, financial and other resources to achieve expected health outcomes.

-modified method 3. Directing/Leading a. Leadership Theories b. Leadership Styles c. Leadership Skills Case analysis Decision making c. Bases for Power d. Principles of Delegation e. Communication f. Motivation Theories g. Time Management h. Conflict Management 4. Controlling a. budgeting types of budgeting costing of nursing services b. performance evaluation/appraisal feedback c. staff development d. quality improvement /quality management nursing audits & rounds variance reports solutions to identified problems
1.4. Creates a safe environment of care through the use of quality assurance , continuous quality improvement and risk management strategies 1. Participates in continuous quality improvements (CQI) and quality assurance (QA) activities. 2. Acknowledges limitations and declines if unable to perform them in a safe and skilled manner. 3. Analyzes data about incidents and trends with the CQI or QA team 4. Implements remedial changes to improve care delivery with the CQI or QA team 5. Specifies strategies / methods and tools to ensure efficient resource utilizations and human resource management. 6. Recommends strategies /opportunities to ensure safe environment of care based on data related to quality assurance quality Management of resource and environment Communication Quality Improvement Collaboration and Team work

Morning care Meds v/S Special procedures Health Education Update CI of unit activities Provide information of staff needing help Reorient staff of the objective of the day Inform CI in cases of problems or issues Provide Feedback of performance Conduct post conference in the presence of CI to wrap up and evaluate the days activities

Obtain significant statistics in the clinical area: Admission Discharge DAMA Mortality rate Causes of Admission Nosocomial infection Needle Prick injury Weekly Reportable Diseases Patients feedback report Develop a mini CQI project to be submitted at the end of the rotation based on the obtained critical statistics Conduct an oral presentation to the nursing service office/provide them with a copy of CQI project

improvement and risk management. 7. Uses the ability to think proactively, laterally and critically within a problem solving context.

RESPONSIBILTY 2 -DEMONSTRATES ACCOUNTABILITY FOR SAFE NURSING PRACTICE


COMPETENCY 2.1 Adheres to established norms of conduct based on the Philippines nursing laws and other legal regulatory and institutional requirements PERFORMANCE INDICATIORS 1. Articulates clearly the scope and standards of nursing practice. 2. Shown evidence of legal requirements in the practice of nursing ( i.e. current professional license) 3. Acts in accordance with the terms of contract of employment and other rules and regulations. 4. Articulates the vision, mission and values of the institution where one belongs. 1. Specifies nature and extent of participation in developing policies and standards for safe nursing practice. 2. Involves self actively in policy development 1. Specifies bases for organizing workload to ensure efficiency in meetings responsibilities and achieving outcomes. 2. Accomplishes assigned workload within a given time frame. 1. Specifies appropriate corrective actions 2. Executes judiciously corrective actions 3. Determines effectiveness of implemented corrective actions KEY AREAS OF RESPONSIBILITY Management of resource and environment Communication Quality Improvement Ethico-Moral Responsibility Legal responsibility

CONTENT D. Professional and Personal Development 1. Ethico moral aspects of nursing a. Code of Ethics for Nurses in the Philippines b. International Council of Nursing (ICN) Code of Ethics for Nurses 2. Legal Aspects of Nursing a. RA 9173 or The Nursing Act of 2002 b. Legal Responsibilities of Nurses c. Other Laws Affecting Nursing Profession and the Nurse (e.g. Magna Carta for Public Health Workers, Labor Code, Rooming In and Breastfeeding Act, Milk Code, Senior Citizens Act, Sexual Harassment, Clean Air Act, Local Government Code, Dangerous Drugs Act, etc. ) d. Malpractice and Negligence Act e. Contracts/Wills/ Testament f. Legal protections in the Nursing Service 3. Personal /Professional a. Positive Image of a Professional Nurse

RLE
Name Laws affecting Nursing practice Explain pertinent aspect of the nursing law in all activities undertaken during clinical rotation Participate in the revisiting RLE policies Suggest revision/amendments of policies

2.2 Participates in the development of policies and standards regarding safe nursing practice. 2.3 Organizes own workload demonstrating time management skill for meeting responsibilities and achieving outcomes. 2.4. Institutes appropriate corrective actions to prevent or minimize harm arising from adverse effects.

RESPONSIBILTY 3 -DEMONSTRATES MANAGEMENT AND LEADERSHIP SKILLS TO DELIVER HEALTH PROGRAMS AND SERVICES EFFECTIVLEY TO SPECIFIC CLIENT GROUPS IN THE COMMUNITY SETTINGS
COMPETENCY 3.1 Applies management and leadership principles in providing direction to manage a community /village- based: 3.1.1 health facility 3.1.1 component of a health program of 3.1.3 Nursing service 3.2 Uses appropriate strategies / approaches to plan community health and nursing service. PERFORMANCE INDICATIORS 1. Specifies management and leadership principles to manage community/ village based health facility. A component of a health program and/or nursing services. 2. Executes appropriate activities based on management and leadership principles 3. Determines effectiveness of implemented management activities. 1. Specifies appropriate methods and tools in planning community health and nursing service. 2. Carries out appropriates methods and tools in planning community health and nursing services. 3. Evaluates effectiveness of methods and tools utilized in planning community health and nursing services KEY AREAS OF RESPONSIBILITY Management of resource and environment Communication Quality Improvement Collaboration and Team work Content Health Care Delivery System Health Programs of DOH Specific Health Activities aligned with DOH programs PERFORMANCE INDICATIORS Utilizing the community organizing participatory action research as method in community development, students will: Integrate DOH Programs in the health care activities of BHWs Train BHWs to develop a concept paper in planning activities Disseminate plans with members of the core group and community members Document activities

RESPONSIBILTY 4- MANAGES A COMMUNITY /VILLAGE BASED HEALTH FACILITY/ COMPONENT OF A HEALTH PROGRAM OR NURSING SERVICE
COMPETENCY 4.1Coordinates the tasks/functions of other nursing personnel ( Midwife, BHW and utility worker) PERFORMANCE INDICATIORS 1. Choose appropriates strategies/ methods tools to ensure coordination of tasks/ functions of other nursing personnel ( midwife, BHW, utility worker) 2. Implements chosen strategies/ methods/ tools. 3. Evaluates effectiveness of implemented strategies / methods/ tools KEY AREAS OF RESPONSIBILITY Management of resource and environment Communication Quality Improvement Collaboration and Team work Content RLE Mobilize Core group members Continually monitor implementation of activities with core group members/BHWs Allow core group to evaluate activities

Leadership & Community Development >Review and application of concept, approaches, methodologies, strategies, and tools in community development discussed in NCM 100 >Community diagnosis- definition, types, components, phases Definition of health problems, nursing problems >Priority setting based on selected criteria

4.2 Collaborates with other members of the health team in the implementation of programs and services.

4.3. Ensures adequate resources ( e.g. human materials,) to effectively implement programs/ services based in requirements ration and standards

1. Specifeis appropriate strategies to collaborate with other members of the health team in the implementation of programs and services. 2. Carries out appropriates strategies to collaborate with other members of the health team. 1. Selects appropriate methods/tools to ensure adequacy of resources. 2. Uses appropriate methods/tools to ensure adequacy of resources for effective implementation of the programs/ service. 3. Determines effectiveness of methods in maintaining adequacy of resources

>Strategies in people participation >Programs for basic health services >Existing government and non government programs >Community organization-definition, principles and mechanics >Leadership training principles and process >Specific programs and projects of DOH >Concepts and principles of networking and linkage building >Evaluation of programs and services >Recording and reporting system (vital statistics, notifiable disease, services provided to family and community)

RESPONSIBILTY 6- UTILIZES APPROPRIATE MECHANISMS FOR NETWORKING, LINKAGE BUILDING AND REFFERALS.
COMPETENCY 6.1 Applies principles of partnership and collaboration to improve delivery of health services. PERFORMANCE INDICATIORS 1. Specifies principles of partnership and collaboration which would improve health service delivery. 2.Carries out appropriate strategies/activities that are applications of principles of partnership or collaboration intended to improve health service delivery. 1. Selects appropriate strategies for networking linkage, building and referral necessary to improve delivery of health services. 2. Uses appropriate strategies for networking, linkage building and referral. 1. Choose appropriate partnership strategies with GOs, NGOs and other socio-civic agencies. 2. Carries out appropriate KEY AREAS OF RESPONSIBILITY Management of resource and environment Communication Quality Improvement Collaboration and Team work CONTENT Project management Principles of partnership Partnership strategies Referral System NGO and Non-NGO support groups/financial agency Assist Core group/Community Organization in developing constitution and bi-laws Assist in sec registration Assist in exploring support NGOs and GOs Train Core group for effective presentation Allow core group to identify alternative actions and strategies for sustainability of programs or projects

6.2 Determines resources available for networking linkage building, and referral necessary for improving delivery of health services. 6.3 Collaborates with GOs, NGOs and other socio-civic agencies.

partnership strategies with GOs, NGOs and socio-civic agencies. 5

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