LEADERSHIP AND MANAGEMENT ORIENTATION

LORIVI MAY CRUZ, RN, MSN JOVEN BANDELARIA, RM, RN, MAN ROMUALDO CLEMENTE RN, MSN

ASSIGNMENTS
All assignments must be computerized, printed in a short bond paper (Name, Section, Group, Nursing Unit)

Assignment Schedule (FIRST ROT)

SUBMISSION DAY ASSIGNMENT 1 DAY 1 TARGET KEY AREA OF RESPONSIBILITY RECORDS MANAGEMENT

ASSIGNMENT 2
ASSIGNMENT 3 ASSIGNMENT 4

DAY 1
DAY 2 DAY 2

LEGAL RESPONSIBILITY
MANAGEMENT OF RESOURCES, ENVIRONMENT AND EQUIPMENT QUALITY IMPROVEMENT:

ASSIGNMENT 5
ASSIGNMENT 6 ASSIGNMENT 7 ASSIGNMENT 8

DAY 3
DAY 3 DAY 4 DAY 5

COMMUNICATION
CUSTOMER SERVICE HEALTH EDUCATION SAFE AND QUALITY NURSING CARE

ASSIGNMENT 9
ASSIGNMENT 10 ASSIGNMENT 11 ASSIGNMENT 12

DAY 6
DAY 6 DAY 7 DAY 7

PERSONAL AND PROFESSIONAL DEVELOPMENT

ETHICO-MORAL RESPONSIBILITY COLLABORATION AND TEAMWORK RESEARCH

Assignment Schedule (2ND-5TH ROT)

SUBMISSION DAY ASSIGNMENT 1 DAY 1 TARGET KEY AREA OF RESPONSIBILITY RECORDS MANAGEMENT

ASSIGNMENT 2
ASSIGNMENT 3 ASSIGNMENT 4

DAY 2
DAY 3 DAY 4

LEGAL RESPONSIBILITY
MANAGEMENT OF RESOURCES, ENVIRONMENT AND EQUIPMENT QUALITY IMPROVEMENT:

ASSIGNMENT 5
ASSIGNMENT 6 ASSIGNMENT 7 ASSIGNMENT 8

DAY 5
DAY 6 DAY 7 DAY 8

COMMUNICATION
CUSTOMER SERVICE HEALTH EDUCATION SAFE AND QUALITY NURSING CARE

ASSIGNMENT 9
ASSIGNMENT 10 ASSIGNMENT 11 ASSIGNMENT 12

DAY 9
DAY 10 DAY 11 DAY 12

PERSONAL AND PROFESSIONAL DEVELOPMENT

ETHICO-MORAL RESPONSIBILITY COLLABORATION AND TEAMWORK RESEARCH

1. RECORDS MANAGEMENT:
Health Information and Management System
Study: http://www.makatimed.net.ph/main.php?flow=N&section=N ews&id=751#content http://www.indracompany.com/en/noticia/indra-implementsits-healthcare-system-at-makati-medical-center-thephilippines-most-importa
1. What are the barriers (at least 2) that can affect the

application of this technology (electronic health record) to your current nursing unit? 2. What will be your strategy for the application of this technology?

2. LEGAL RESPONSIBILITY: RN heals

Study: http://home.doh.gov.ph/do/do2011-0239.pdf http://www.icn.ch/images/stories/documents/networks/Stud ent/Student_Network_Bulletin_November_2011.pdf http://opinion.inquirer.net/34924/rn-heals-is-essentially-aform-of-exploitation
1. What are the advantages and disadvantages of this

program? 2. How does this program affect Nursing Profession?

3. MANAGEMENT OF RESOURCES, ENVIRONMENT AND EQUIPMENT

Occupational Health and Safety Issues
Study: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2797477/
1. What are the occupational health and safety issues in

your current nursing unit? (at least 2) 2. What will be your strategy to prevent occupational injuries?

4. QUALITY IMPROVEMENT:
Nursing Audit
Study: http://currentnursing.com/nursing_management/nursing_au dit.html Identify at least one deviations in any of the structure, process or outcome in your current nursing unit which needs quality improvement. Give the corrective and preventive measures for the above deviation.

5. COMMUNICATION:
Nurse-Patient Communication
Study: http://www.patientprovidercommunication.org/pdf/9.pdf Which among the nurse-patient communication training models is applicable in your current unit? What are the advantages and disadvantages of your chosen training model?

6. CUSTOMER SERVICE
Study: http://www.quality-patient-experience.com/supportfiles/nurse-patient-relationship-beyond-customerservice.pdf http://www.pwc.com/us/en/press-releases/2012/moment-oftruth-for-healthcare.jhtml http://www.cbsnews.com/8301-505143_162-57354204/the6-best-words-in-customerservice/?tag=contentMain;contentBody What improvements in Customer Service can ne applied in your current nursing unit?

7. HEALTH EDUCATION
Identify one of the top learning need in the majority of the staff in your current nursing unit (show your basis for this need) and develop education plan and material.

8. SAFE AND QUALITY NURSING CARE:

Positive Practice Environment
Study: http://www.ppecampaign.org/content/what-ppe-campaign Explore the entire website Go to Key Characteristics and assess using Checklist for Positive Practice Environment
1. Assess the quality of your current units practice

environment 2. Identify any deficiencies and develop strategies to address priority gaps.

9. PERSONAL AND PROFESSIONAL DEVELOPMENT:

Millenium Development Goals
Study: http://www.endpoverty2015.org/ Explore the site http://www.endpoverty2015.org/resources/ Go to by resource type folder, then go to Quizzes folder. Take all the quizzes. As a Nurse Leader, how can you contribute to the United Nations Millenium Development Goals? (Discuss all 8 MDGs)

10. ETHICO-MORAL RESPONSIBILITY:

Rights and Responsibilities of People with Tuberculosis
Study: http://www.who.int/tb/publications/2006/istc_charter.pdf As a nurse leader, what is your strategy in the full implementation of this drive?

11. COLLABORATION AND TEAMWORK:

Teamwork in Health Care
Study: http://www.nursezone.com/Nursing-News-Events/morenews/Collaborative-Teamwork-Solving-Many-of-Health-Care'sAilments_40126.aspx http://www.lmmiller.com/blog/2012/09/04/leanmanagement/teamwork-in-healthcare-keys-to-continuousimprovement/
As a Nurse Manager, what are the strategies you will apply to your current unit to maintain good interpersonal relationship/teamwork with patients, their families, significant others, colleagues, primary nurses, nurse managers and other members of the health team

12. RESEARCH
Give two research proposals (research title, rationale, major and minor problems) that can be done in your current area.

AFFILIATING AGENCY/ TRAINING GROUND FOR LEADERSHIP AND MANAGEMENT: MAKATI MEDICAL CENTER

Nursing Services Division

Quick-thinking, compassionate and hard-working - three qualities of a MakatiMed nurse
Makati Medical Center nurses play a very important role in your treatment and in your entire healing process. Our nurses are chosen from the best candidates from schools with outstanding and proven track records, and are trained further to provide you with the best healthcare possible. We are inspired by the innovative vision of outstanding patient care first personified by the celebrated 19th-century British nurse Florence Nightingale.
Our nurses undergo a competency-based training based on a distinct MakatiMed nursing model that combines quick thinking, a compassionate heart, and the readiness for hard manual work. Proof of our success in our training is that MakatiMeds Nursing Services have consistently rated high in our patient satisfaction index through the years.

Core Competencies
Our nurses are trained in 12 areas of competence:
1. 2. 3. 4. 5. 6. 7. 8.

9.
10. 11. 12.

Safe and quality nursing Management of environment and resources Health and education Legal responsibility Ethico-moral responsibility Personal and professional development Quality improvement Research Records management Communication Collaboration and teamwork Customer service

These 12 competencies are used as follows:

To evaluate performance of nurses As the basis for advanced practice and specialization To protect the public from incompetent practitioners

As a yardstick for unethical and unprofessional practice

Achieving Exceptional Nursing Care

MakatiMed maintains excellent nursing care by:
Recognizing that the scope of our nurses work extends

throughout all areas of operation, encompassing clinical skills, caring, customer relations and even financial and logistics planning
Nurturing our nurses and cultivating their skills through

continuing education and research

Empowering our nurses to make decisions

Granting them a clear and attractive career path

Constantly evaluating our nursing services, and modifying work

protocols, nursing policies, and procedures to align them with ever-rising global standards

Units of the Nursing Services Division

MakatiMeds Nursing Services Division has five units:
1. 2. 3. 4. 5. 6.

General Nursing Units High Risk Nursing Units and Progressive Care Operative Services Emergency Department / Outpatient Services Professional Development and Training Center for Excellence and Ancillary Services

We also have special training for pain management, cancer, heart and blood vessels, peritoneal conditions,Hemodialysis, and Triage nursing to prepare them for the particular demands of the Emergency Room. MakatiMed is also affiliated with the Makati Medical Center College of Nursing.

Our Belief
MakatiMed nurses believe that everyone should be treated with dignity, courtesy and compassion, and that the quality of care they provide should be unaffected by race, culture and religious belief. Your nurses believe that your rights must be respected and your physical, psychological and spiritual health valued at all times. To instill this belief in all your nurses, we hold annual workshops and even offer outside training to our qualified staff.

CHANNELS OF COMMUNICATION: MMC ORGANIZATIONAL CHART

Nursing Services Officers

Vice President/Director: Malou P. Furio, RN, PhD Assistant Vice President: Antonio G. Gabriel, RN Clinical Nursing Services: Renante O. Medina, RN Critical Care Nursing Services: Grace A. Francisco, RN Emergency Nursing Services: Nelly D. Sagun, RN High Risk Nursing Services: Catherine B. Noora, RN Nurse Safety & Quality: Rommel E. Alegre, RN Operative Nursing Services: Antonio Gabriel, RN (OIC) Prof. & Ancillary Nursing Services: Ma. Lourdes P. Tupaz, RN Professional Development and Training: Ivy Gay S. Alcantara, RN Workforce Management: Maria Rhomeva D. Silvederio, RN

JOB DESCRIPTION OF A CHARGE NURSE (CN)

CHARGE NURSE
JOB SUMMARY

Provides leadership in assessing, planning, implementing, and evaluating patient care in specific unit/s assigned to him/ her during his/her shift. He/she is responsible in ensuring that agreed standards and all regulatory requirements are complied with. He/she manages all the assigned staff, equipments and material resources in the unit. Ensures that continuity of care with other shifts and teamwork are maintained and promoted all the time.

DUTIES AND RESPONSIBILITIES

Maintains attentiveness to customers need; initiates steps that will comply with their requirements to meet and exceed their expectation. 2. Assesses the number and level of personnel needed to provide quality patient care in the unit during the shift. 3. Prepares staff assignment for the shift.\ 4. Adjust staffing and assignments appropriately.
1.

 Assess the health status of patients per nursing standards

of the unit. Ensures that: a. A comprehensive history and physical examination is completed in each patient. b. assessment data are organized, accurate, complete, accessible and confidential. c. reports and records are assessed and interpreted. d. pertinent information are communicated among the members of the health team such as: i. Accurate identification of patient ii. Complete consent form iii. Vital signs and time taken iv. Laboratory / diagnostic results v. Nurses progress notes

6. Plans nursing care as follows: a. Directs / supervise Staff Nurses in the formulation of nursing care plan. b. Ensures that salient patients problem are identified. c. Desired outcomes specific to the problems are formulated. d. Nursing care plan is documented. 7. Demonstrates knowledge and skill in the following: a. All unit specific nursing procedures b. Care and use of all unit specific equipment/ supplies.

8. Plans ways to solve problems and make improvements in the delivery of patient care. 9. Participates in the orientation and evaluation of new employees and other in-service training programs. 10. Supervises personnel in the implementation of Nursing standards and procedures of the unit. 11. Ensures that doctors order are carried out and implemented as prescribed. 12. Keeps the Unit Manager informed of needs, problems, incidents and other reportable situations during the shift.

13. Assist in the investigation of problems, irregularities and non- conformances. 14. Demonstrates effective infection control practices conscientiously (ex. Waste disposal, correct hand washing, use of personal protective equipment). 15. Performs nursing audit and patients rounds. a. Makes nursing rounds to assess qulaity of patient care and to identify problems and needs. b. Performs random chart audit to assure complete and accurate documentation of care plan during the shift. 16. Endorses all completed and contemplated procedures and all pertinet data of the all patient to the incoming shift and whenever he/she goes out of the unit.

17. Responds to and provide appropriate nursing action for emergent situations. 18. Demonstrates understanding of role in hospital emergencies, fire and disaster. 19. Conducts self professionally at all times. 20. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, practices and processes. 21. Actively participates and assist in quality improvement activities. 22. Performs other task as assigned.

QUALIFICATIONS:
Registered Nurse in the Philippines 2. 1 to 2 years staff nurse experience 3. Completed Preceptorship Seminar and Charge Nurse Seminar
1.

JOB DESCRIPTION OF A UNIT MANAGER (UM)

UNIT MANAGER
JOB SUMMARY Provides leadership in assessing, planning, implementing, and evaluating patient care in specific unit/s assigned to him/ her during his/her shift. He/she is responsible in ensuring that agreed standards and all regulatory requirements are complied with. He/she manages all the assigned staff, equipments and material resources in the unit. Ensures that continuity of care with other shifts and teamwork are maintained and promoted all the time.

DUTIES AND RESPONSIBILITIES

1. 2. 3.

Maintains attentiveness to customers need; initiates steps that will comply with their requirements to meet and exceed their expectation. Assesses the number and level of personnel needed to provide quality patient care in the unit during the shift. Ensures that: a. The health status of all patients is assessed as outline in the Standards of Nursing Practice in their respective unit/s. b. The assessment data are organized so that they are accurate, complete, accessible and confidential. c. Records and reports are assessed and interpreted. d. Pertinent information are communicated among health team members, such as: accurate identification of patient, complete consent form, vital signs and time taken, pre-anesthesia evaluation, confirmation of surgical site, pre operative medication and time given, laboratory/ diagnostic results, last oral intake, elimination, admissions, transfer and discharge, laboratory results, significant change in patients health status.

4. Prepares bi-weekly schedule of staff. 5. Directs staff in the implementation of the standards of nursing practice, policies, procedures, guidelines, work instruction and protocols. 6. Demonstrates knowledge and skill in the following: a. all unit-specific nursing procedures b. care and use of all unit-specific equipments/ supplies 7. Plans ways to solve problems and make improvements in the delivery of patient care. 8. Participates in the orientation, continuing education programs and other in-service training programs of the staff. 9. Develops in-service training for the unit. 10. Participates in related quality management system and quality assurance activities of the hospital. .

11. Leads in the development of continuous quality improvement activities. 12) . Demonstrates effective infection control practices conscientiously ( ex. Waste disposal, correct hand washing, use of personal protective equipments. 13. Conducts a thorough investigation of problems, irregularities and non-conformances. 14. Analyze incident reports, corrective action report, customer complaints and other related reports and take appropriate actions. 15. Monitor compliance to a. hand hygiene practices b. Physical examination schedules of all staff.

16. Performs nursing audit and patient rounds. a. Makes nursing rounds to assess quality of patient care and to identify problems and needs. b. Performs chart audit of all patients on a daily basis to ensure complete and accurate documentation of care plan. 17. Conducts regular staff meeting. 18. Ensures that the following are collated and updated a. PRC licenses of all times b. Professional Tax receipt c. Annual Membership of specific organization d. Training certificates. 19. Responds to and provide appropriate nursing action to emergent situations. 20. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, practices and processes.

23. Actively participates and assist in quality improvement activities of the department. 24. Conducts regular performances appraisal of all nursing personnel. Recommends personnel for recognition/ promotion. 25. Accomplishes progress reports monthly reports as needed. 26. Acts as a member of the Quality Leaders of the hospital. 27. Assumes other function as delegated by the Department Manager or as maybe required of the job.

QUALIFICATIONS
Registered Nurse with at least 9 units of Master Degree in Nursing 2. Have at least 5 years experiences in clinical nursing, inclusive of 1-2 years Nursing Administration Experience.
1.

JOB DESCRIPTION OF A SHIFT MANAGER (SM)

SHIFT MANAGER
JOB SUMMARY Responsible for overseeing all nursing activities during an assigned shift to ensure compliance to hospital standards and standards of nursing practice directed towards of safe and quality health care.

DUTIES AND RESPONSIBILITIES

Maintains attentiveness to customers needs; initiates steps that will comply with their requirements to meet and exceed their expectation. 2. Assesses the number and level of personnel needed to provide quality patient care in the unit during the shift 3. Oversees patient care activities in all nursing unit. 3.1. makes nursing rounds to assess quality of patient care and to identify problems and needs. 3.2. reports to appropriate authority observations/complaint. 3.3. completely documents all relevant concerns (complaints, observation for further investigation and analysis).
1.

3.4. Provides supervision as necessary in matters related to the following: 3.4.1. Execution of responsibilities of the Charge Nurse 3.4.2 Admission, Transfer and discharge. 3.4.3. Performance of complex nursing procedures. 3.4.4. Drug Administration 3.4.5. Intravenous Therapy Procedures. 3.4.6. Utilization of equipment 3.4.7 Emergency Code Maxicart

4. Serves as a role model of excellent customer service and patient care by: 4.1 Responds constructively to the needs of all those he/she interacts with on a daily basis. 4.2 Assesses and monitors customer sat5isfaction and responding promptly to voiced and identified concern. 4.3. Acts as a clinical resource/expert to all staff. 4.4 Acts to investigate and remedy patient complaints received within the staff, physicians, patient relations and memebrs of the other departments or healthcare team. 4.5 assist in monitoring customer satisfaction. 4.6 Acts as a consultant to unit personnel, external customer, and/or individuals from other disciplines. 4.7 Serves as a resource to staff to improve/develop/expand knowledge base for patient care decisions.

5. Ensures adequate staffing of all nursing units during the shift. 5.1. Reviews work schedule, staff assignments and other relevant endorsement utilizing the appropriate documents and/or reports. 5.2. Recommends and facilitates changes in personnel assignments as approved by the respective Department Managers. 5.3 Directs Charge Nurse on duty in the implementation of recommended actions.

6. Performs random chart audit to assure complete and accurate documentation of care plan. 6.1. Reviews all chart of patients schedule to undergo any surgical or invasive procedures. 7. Supports ongoing clinical practice. 7.1. Participates in research activities to explore, validate and direct delivery of care for specific patient populations. 7.2. Facilitates implementation of new clinical practice techniques among the nursing staff .

8. Collaborates with other departments as deemed necessary utilizing appropriate communication techniques and proper channel of communication. 8.1. Implements policies and procedures on admission and discharge of patient. 8.2 Discusses relevant matters regarding with the Admitting personnel. 9. In case of fire/ earthquake / disaster; 9.1 Maintains close liaison with other unit brigade managers. 9.2 Liaise with fire department service upon arrival. 9.3. If necessary; decide on transport and relocation of patients in close coordination with the floor brigade managers. 9.4Coordinates activities in the evacuation and communicate situation to the ED Officer.

10. Actively participates in divisional activities such as inservice training programs, supervisory meetings, timely submission of statistics. 11. Demonstrates effective infection control practices conscientiously ( ex. Waste disposal, correct hand washing, use of personal protective equipments). 12. Responds to and provide appropriate nursing action for emergent situations. 13. Demonstrates understanding of role in hospital emergencies, fire and disaster. 14. Conducts self professionally at all times

15. Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, practices and processes. 16. Actively participates and assist in quality improvement activities. 17. Manages workload and assignments effectively. 18. Acts as a member/ Chairperson of any Hospital Committees. 19. Performs other functions as delegated by the Director of Nursing or as maybe required of the job.

QUALIFICATIONS
Registered Nurse with at least 9 units in Masters Degree in Clinical or Nursing Administration. 2. Have at least ten (10) years experience in administrative and clinical nursing.
1.

CLINICAL INSTRUCTORS/ MENTORS:

LORIVI MAY CRUZ, R.N., M.S.N - 09175019565 JOVEN BANDELARIA, R.N., R.M., M.A.N. - 09159458345 ROMUALDO CLEMENTE, R.N., M.A.N. - 09322353144
Contact your CI/Mentor if there is a problem with the schedule of your preceptor