HEAD NURSE Definition: A head nurse is the one who assumes responsibility for managing the Human andmaterial

resources of a nursing unit and takes lead in developing to provide qualitypatient care and an environment conductive to staff growth and satisfaction. General Objectives: Student nurse will be able to develop their potentials of being efficient andproductive Leaders by nurturing and enhancing their leadership skills by providingtraining in management in team handling. And be able to familiarize with the differentnurse responsibility. Specific Objective:As a student head nurses they will be able to: Apply principles on head nursing and provide nursing standards and policies, andprocedures 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 innursing care. Manage the flow of activities by implementation of the nursing plan based on thenursing care. Develop a skill in decision-making and other qualities of an efficient head nurse. Coordinate and communicate with the other members of the health team inproviding patient care. Document accurately the observation of the services rendered to the patient. Supervises and evaluate the quality of patient care provided by the staff byobserving 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 patientswithin 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 andstandard 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 nursingmanagement 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 newstandards of patient care. STAFF NURSEDefinition

The staff nurse is to the one responsible for rendering holistic nursing care topatient in assigned areas, the specific function and responsibilities of which depend uponthe organizational structure of the Nursing service. General objective: Student nurses will be able to develop their knowledge, attitudes and skillsthrough 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 healthcare 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 inassigned areas utilizing the nursing process.1.Assesses the individual needs for nursing care based on patients history, resultsof physical, diagnostic, and laboratory examinations.2 . I n f e r s c o r r e c t n u r s i n g d i a g n o s i s . 3.Plans and prioritizes nursing care activities considering overall health needs of thepatient.4.Institute nursing intervention consistent with the overall plan of care with specialconsideration of the patients safety and comfort.5.Provides health teaching to patient, his family and significant others so that theymay 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 University of Perpetual Help System-Binan CampusDr. Jose G. Tamayo Medical University Sto.Nino, Binan LagunaCOLLEGE OF NURSING CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Concept: Acute Biological CrisisArea : EMERGENCY ROOM Name: ________________________ Date:________________ Year___ Section___ Group Number___ Rating:_______________ D i r e c t i o n : P u t a c h e c k o n t h e s k i l l s o b s e r v e d / p e r f o r m e d , o f n o t p l e a s e i n c l u d e remarks on the space provided.Legend: 3 - Is at a very satisfactory level. Has thorough knowledge and u n d e r s t a n d i n g o f t h e said case/topic. Could do and plan intervention on his/her own. 2

- At satisfactory level. Has enough understanding to handle the case but needsCareful guidance. 1 - Needs to be reevaluated. Competency is at an unsatisfactory level and needs to bereoriented on the subject/case at hand. A.ASSESSMENT 10% W t 3 2 1 S c o r e R e m a r k s 1.Assess different manifestations that a r e related to Acute Biological Crisis throughthe different methods used in physicaland appropriate data gathering.22 . P e r f o r m s p h y s i c a l e x a m i n a t i o n s c o r r e c t l y and with confidence.23 . I d e n t i f i e s a n d d i f f e r e n t i a t e s b e t w e e n normal and abnormal findings in AcuteBiological Cases.24 . D e t e r m i n e s t h e s i g n i f i c a n c e o f l a b o r a t o r y and diagnostic findings to the emergent problems25 . P i c k s o u t c r i t i c a l a n d e s s e n t i a l d a t a i n nursing history relevant to the currentsituations.2S u b t o t a l 1 0

B.PLANNING 4% W t 3 2 1 S c o r e R e m a r k s 1.Knowledge in setting goals and prioritization of patients needs with Acute Biologic Crisis in theemergency room.22 . I d e n t i f y c h a n g e s i n p a t i e n t s n e e d s a n d n u r s i n g problems as they occur and make necessaryadjustments in nursing measures.2 Subtotal 4 C.INTERVENTIONS 15% W t 3 2 1 S c o r e R e m a r k s 1 . A s s e s s t h e c a p a b i l i t y n e e d e d b y t h e c l i e n t for selfmanagement in the emergency.12 . E n s u r e s s a f e t y , c o m f o r t a n d p r i v a c y i n rendering care of patients with acute biologic crisis.23 . P r o v i d e s n e c e s s a r y c u r a t i v e m e a s u r e s . 1 4.Provides i m m e d i a t e restorative/rehabilitative measures duringtemporary stay in the ER.15 . U t i l i z e s a v a i l a b l e p h y s i c a l a n d professional resources.16 . M a k e s r e f e r r a l s t o a p p r o p r i a t e h e a l t h professionals, as needed.17 . S h o w s c o m m i t m e n t t o t h e w e l f a r e o f t h e client.18 . I m p l e m e n t s t h e p l a n o f c a r e j o i n t l y w i t h the client.19 . P e r f o r m s n u r s i n g p r o c e d u r e s / a c t i v i t i e s : 9.1with ease and confidence19 . 2

c o r r e c t l y 1 9 . 3 s y s t e m a t i c a l l y 1 9.4 practices bioethical principles in care19 . 5 p r o v i d e s a f t e r c a r e 1 9.6 demonstrate situational flexibility andadaptability1 Subtotal 15D . E V A L U A T I O N 4 % W t 3 2 1 S c o r e R e m a r k s 1 . E v a l u a t e s p l a n o f c a r e o f c l i e n t u s i n g t h e outcome criteria and performsappropriate documentation and recordingof changes in the clients evident statusafter the interventions.12 . D i s p l a y s c r i t i c a l t h i n k i n g i n t h e a n a l y s i s of the current management beingemployed and modifications that has to be done as needed.13 . D i s c u s s e s w i t h t h e a p p r o p r i a t e h e a l t h team results of interventions.14 . A c c e p t s s u g g e s t i o n s , c o n s t r u c t i v e criticisms and employ appropriatemodifications in the plan of care.1 Subtotal 4 Grand Total 100

________________________ _________________________ S t u d e n t s S i g n a t u r e C l i n i c a l I n s t r u c t o r S i g n a t u r e University of Perpetual Help System-Binan CampusDr. Jose G. Tamayo Medical University Sto.Nino, Binan LagunaCOLLEGE OF NURSING CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Area: CLINICAL PERFORMANCE AND EVALUATION CHECKLIST Area: OPERATING ROOM Name: ____________________________ Date:_________________ Year___ Section___ Group Number___ Rating:_______________ D i r e c t i o n : P u t a c h e c k o n t h e s k i l l s o b s e r v e d / p e r f o r m e d , o f n o t p l e a s e i n c l u d e remarks on the space provided.Legend: 3 - Is at a very satisfactory level. Has thorough knowledge and u n d e r s t a n d i n g o f t h e said case/topic. Could do and plan intervention on his/her own. 2 - At satisfactory level. Has enough understanding to handle the case but needsCareful guidance. 1 - Needs to be reevaluated. Competency is at an unsatisfactory level and needs to bereoriented on the subject/case at hand. A.ASSESSMENT 10% W t 3 2 1 S c o r e R e m a r k s 1 . O b t a i n s a n d a n a l y z e s p e r t i n e n t d a t a concerning patients condition.22 . D e t e r m i n e s a n d c a t e g o r i z e s c l i n i c a l assessment of the patient.23 . I n t e r p r e t s p r u d e n t l y t h e p h y s i c i a n s o r d e r . 2 4 . C h e c k s a n d a c c o m p l i s h e s p r e - o p e r a t i v e checklist prior to surgical procedure.25 . A s s e s s p a t i e n t s p h y s i o l o g i c a l , psychological and patients emotionalstatus.2 Subtotal 10

B.PLANNING 4% W t 3 2 1 S c o r e R e m a r k s 1 . F o r m u l a t e s a p p r o p r i a t e n u r s i n g d i a g n o s i s based from thorough patients assessment.12 . R a t i o n a l i z e s p r i n c i p l e s o f

a s e p t i c technique.13 . C h e c k s f u n c t i o n a l i t y o f t h e o p e r a t i n g room / delivery room equipment such assuction machine, cautery and OR lights.14 . P r e p a r e s a n d s e l e c t s s u r g i c a l s u p p l i e s concerning the patients surgical procedure.1 Subtotal 4 C.INTERVENTION 15% W t 3 2 1 S c o r e R e m a r k s Pre Operative Phase 1 . I d e n t i f i e s p a t i e n t a n d v e r i f i e s p r o c e d u r e t o be done.12 . S e c u r e s c o n s e n t . 1 3 . C h e c k s f o r c l e a r a n c e s ( c a r d i o - p u l m o n a r y clearance, pedia clearance), diagnostic procedures.1 Intra Operative Phase 1 . E x p l a i n s p r o p e r p o s i t i o n f o r i n d u c t i o n o f anesthesia and operation to be performed.22 . D e m o n s t r a t e p r o p e r a s e p t i c / a n t i s e p t i c technique, sterile drapings and handling of instruments.23 . M a i n t a i n s s t e r i l i t y o f t h e o p e r a t i n g r o o m and sterile field.2 Post Operative Phase 1 . M o n i t o r s v i t a l s i g n s i m m e d i a t e l y a f t e r t h e operation.22 . E v a l u a t e s p a t i e n t s r e c o v e r y f r o m anesthesia.23 . D i s c u s s e s t h e e m e r g e n c y r e s u s c i t a t i v e devices, equipment and emergency drugsin the recovery room.2 Subtotal 15 D.EVALUATION 4% W t 3 2 1 S c o r e R e m a r k s 1 . E v a l u a t e s p l a n c a r e a f t e r a p p l y i n g necessary nursing interventions.12 . D i s c u s s e s a p p r o p r i a t e h e a l t h t e a c h i n g (sterile wound care)13 . P e r f o r m s p r o p e r d o c u m e n t a t i o n a n d other important details are needed.14 . P a r t i c i p a t e s i n a c t i v i t y d u r i n g p o s t - conference.1 Subtotal 4 Grand Total 100

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