Assignment Plan

Name: Section: Date: Area:

Shift: Patient Census: Checked by:
Staff Census: Head Nurse:
Staff Nurse:
Clinical Instructor:
Student Nurse:
____________________
Total:

Personnel/Staff Assignment/Responsibilities Break Time

• Receives endorsement
• Rounds to all px
• Carry out doctor’s orders with sound judgement
• Looks out for all px in the unit
• Fill out diet list
• Check supplies ( chart papers, tickets)
(Charge Nurse) • Refill chart (nurse’s notes, doctor’s orders sheet,
medication sheet, flow sheet)
• Supervise/mentor head nursing students in
carrying out orders
• Looks out for px in Room 201-203
• Supervises student charge nurse

• Assists charge nurse in her responsibilities

• Takes care of patients in the following room:
Room 201:
(Student Charge Nurse)

Room 202:

Room 203

• Receives endorsement ;
• Rounds to all px
• Prepare medications and give due medications
(Medication Nurse) • Refill chart (nurse’s notes, doctor’s orders sheet,
medication sheet, flow sheet)
 • Documents given medications correctly
• Supervise/mentor head nursing students in
preparing and giving medications
• Looks out for px in Room 204-206

• Assists medication nurse in giving medications

(Student Medication Nurse) • Looks out for px in the following room:
Room 204:

Room 205:

Room 206:

• Receives endorsement
• Rounds to all px
• Prepare medications and give due medications
• Does all procedures needed to be performed in the
shift
(Bedside Nurse) • Take vital signs
• Supervise/mentor head nursing students in
performing procedures
• Looks out for px in Room 207-210

• Assists medication nurse in giving medications

(Student Bedside Nurse) • Looks out for px in the following room:
Room 207:

Room 208:
 • Assists medication nurse in giving medications
• Looks out for px in the following room:
(Student Bedside Nurse) Room 209:

Room 210:

• Transports specimens/ materials to their

respective department
(Nursing Assistant) • In charge of bedmaking
• Assist staff nurses in total patient care
• Works hand in hand with the student nurses

Clinical Instructor facilitator