team nursing staffing

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JMJ Marist BrothersNotre Dame of Dadiangas

UniversityCollege of Nursing

In Partial Fulfillmentof the Requirements inRLE 104

Team

NursingSTAFFING

MINDANAO MEDICAL CENTER, INC. Station 27:00 AM 3:00 PM

Submitted by:Katherine L. Laud, SN

Team Leader Group 3 Team B

Submitted to:

Lodar Dagoy-Escobillo, RN MANClinical Instructor

July 30, 2011TABLE OF CONTENTS

Page

Title Page i

Table of Contents ii

Nurses Prayer 1

Nightingales Pledge 2

Introduction 3

Vision-Mission (MMC, Inc.) 4

Objectives 5

Plan of Activities7

Individual Roles and Responsibilities 25

General Paraphernalia29

Organizational Structure31

Endorsement Strategy32

Schedule of Breaks 33

Patients List 34

Attendance Record 36

General Paraphernalia Checklist37


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Ward Uniform Checklist39

Anecdotal Report40

Vital Signs Sheet

41

Book Assignments 42

Summary of Extension Duties43

Nurses

PrayerOh my God,

Give to my heart compassion and understanding

To my hands skill and

tenderness,

A gentle touch with patience

and love.

To my ears the ability to listen,

To my lips words of comfort.

When I falter and tire give me

courage and strength,

When I weaken because Im human, inspire me on to greater

length.

In humility Lord, I labor long hours,

And though I may sometimes fret; my mission is mercy.

Abide with me that I may never forget.

Lord, give me the intelligence, intuition, and knowledge to

assess.

The reason, rationality, and understanding so I may plan.

Energy, agility, and tenderness during implementation.

The wisdom, perception and fairness to evaluate.

Most of all Lord, give me patience, compassion and kindness

for all people,

To those I am called to serve.Amen.

Nightingales Pledge

I solemnly pledge myself before Godand in the presence of this assembly,

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to pass my life in purityand practice my profession, faithfully.

I will abstain from whatever is deleterious and mischievous,and will not take or knowingly administer any harmful drug.

I will do in my power to maintain and elevateThe standard of my profession,

and will hold in confidence all personal matters committed to mykeeping

and all family affairs coming in to my knowledgein the practice of my calling.With loyalty will I endeavor

to work closely with the health team,and devote myself to the welfareof those committed to my care.

INTRODUCTION

According to ken SKC Ogbonnia, efectiveleadership is the ability to successfully integrateand maximize available resources within theinternal and external environment for theattainment of organizational or societal goals.

A strong and effective clinical leadership isneeded by practicing nurses as current health

care systems continue to decentralize and shiftdecision making closer to the bedside.

Leadership is the ability of a person or asocial influence that help move other people toact. It is very important especially now that weare on our team nursing exposure. The product ofreal leadership is a direction for the whole team,

Team nursing is where each members worktogether to identify, plan, implement and evaluatecomprehensive client-centred care.

It is very necessary for us to be equippedwith the skills, knowledge, and attitude as well asto acquire and remember the core competencies

in giving quality care to the patients.As a team, teamwork must always be

present. Helping each other towards attaining thegoal will always be rearding and mean somethingespecially the gratitude extended by the patientas well as the significant others.

This guide will help the team members to bereminded of their specific task

Vision-mission(Mindanao Medical

Center, INC.)

EXIST to bring men into saving realtionship with God

through faith in Jesus Christ by means of

direct personal witness occasion presents,

and by a positive Christian interpretation of the

experiences of disease, disability, and death.

FUNCTIONS as an instrument of Gods grace

in enriching and prolonging human life

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within the slope of Divine Providence.

ENLIST and TEACHES those who called

to the healing arts, encourages their maximum development

in talent and skills, and provides the setting

within which these may be performed

as ministries of the Highest Order.

MAKES AVAILABLE the full resources of the hospital

to those poeple least able to pay in such ways

as to preserve human dignity and worth.

ObjectivesDate: August 1-2, 2011

Area: Mindanao Medical Center Station 2

Shift: 7:00 AM 3:00 PM

At the end of 2-day duty, the student nurses will

be able to:

General:

Develop their nursing skills, knowledge, and

attitude through team nursing towards provision of

an individualized, holistic and efficient care to

patients of Mindanao Medical Center Station 2 with

the collaborative teamwork and responsibilities of

each member in Group III- Team B.

Specific:

Perform the different functions and

responsibilities in team nursing;

Develop skills, knowledge and attitude of good

human relationship with the health team through

proper coordination, communication, and

observation of ethics and institutional policies;

Learn and apply independence and

interdependence to each team and group

specifically

Establish trust and rapport to the clients, the

significant others, the staff and other hospital

personnel;

Identify and be able to fulfill the different

responsibilities of each team member and help

them in providing care to the client;

Provide holistic care to the client;

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Provide health teachings to all clients related to

their individualized cases;

Perform nursing procedures appropriately and

efficiently;

Document all necessary data and actions done to

the patients

Build up effective time management;

Develop harmonious relationship within the

team.

Plan of Activities

Time Activities Rationale

5:30-

6:00 AM

Arrival At The

Area

This is to practice self-discipline and valuepunctuality. Thus, studentnurses should be earlierthan the expected time ofduty. It is to instill the

importance of time to thestudents since in nursing,every second counts. Thisalso prevents delays andhelps build the charactersof self-discipline andcommitment to work.

6:00-6:40 AM Morning Prayer

To ask for the almightyGods guidance andprotection all throughoutthe days duty, to avoid

errors, and so that wecould be instruments ofHis healing touch.

Team Leader:Checking OfAttendance

To check the presence ofeach member of the teamand review to them theirrespective duties andresponsibilities.

Team Leader:Checking Of

Uniforms AndParaphernalia

To check thecompleteness of nursingparaphernalia so as to beused for the continuity ofnursing care to thepatients. This alsoindicates the

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preparedness of thestudent nurses as part oftheir training andresponsibilities. Theuniform symbolizes howpure our profession is and

that it is checked also forproper decorum.

Team Leader:Establishing TheGoals/Objectives

Of The Team

This is very necessary soas the student nurses willbe guided and managethe time to be used inevery task, and It isimportant that allmembers of the team willbe informed about thegoals of the team for the

day in order for us toknow what to achieve onthis specific duty.

Team Leader:Pre-Conference

Pre-conferences are givenso as to organize theteam, give thoseimportant reminders andother important detailswith regards to the daysduty.

6:40-7:10AM

Team Leader(TL), ChargeNurse (CN),

Medication Nurse(MN) And

Bedside Nurses(BN) Will Receive

For care continuitypurposes, one must listento the endorsementbecause it givesinformation about thelatest condition of theclients as well as the diet,

EndorsementFrom The Staffs

On Duty.

IV infusions, latest ordersand interventions given.

7:10 AM

TL and BN

conduct morning

rounds

Joining the nurses roundswill help us to initiallyassess our patients in a

holistic manner. This is tocheck the presentcondition of the client andverify their IV fluids. Tohave a partial introductionto our clients regardingour purpose andresponsibilities as ahealth care provider. Itwill allow us to recheckthe endorsement being

given.

Introduction ToThe Assigned

Patient AndEstablished

Rapport

To establish rapport andtrust with the patients soas to minimize theiranxiety and gain theircooperation with theinitiation of nursinginterventions.

Checking AndRegulating The

PatientsIntravenousFluid. Check alsofor the IV sites

patency.

To know if patients IVFneeds to be follow up and

to prevent any fluidoverload or deficiencies.Checking the IV site andits patency are veryimportant to avoid IVcomplications (e.g.phlebitis, infiltration) as

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well as to avoidinterruption on theadministration of IVmedications as ordered.

Bedside Nurse:Vital SignsTaking

To determine the presentcondition of the client.This also enable toestablish baseline dataand note anyabnormalities, deviationsfrom normal so as to giveappropriate care and bereported accurately to theteam leader andforwarded to the clinical

instructor.

7:15am

Bedside NursesWill Conduct

Their MorningCare And

Bedside Care ToThe Patients

To make the patient feelfresh and comfortable. Toboost the clients self-esteem and give them asense of well being aswell as prevent thespread of microorganisms/infection.

Bed Making The bed is one of themost important parts of

the patients environmentin the health care setting.A clean, wrinkle-free bedthat remains intact whena patient moves does a

great deal for thepatients physical and

psychological comfort andit decreases the spread of

microorganisms.

7:15 AMTL: Guides andsupervises theteam members

in carrying outtheir respectivetasks, as follows:

CN: Endorsesnew orders tothe medication

and bedsidenurses,

appropriately.

MN: Cleans theMedication Area

and Receivesendorsementfrom chargenurse and

prepare themedications. TheMN together withthe team leader

will Recite to theClinical Instructorthe drug study ofthe medications

beforeadministering

The Team Leader shouldbe knowledgeable withthe tasks and

interventions done byeach member to minimizeerrors and avoidnegligence and tomanage the timeeffectively.Proper endorsementensures the continuity ofpatients care, andprevents commitment ofmistakes that may

compromise patientshealth or even life.

- Medicine has a purposeof alleviating/treating thecondition of the client aswell as extending his/herlife.- MN must be updatedwith new medication

orders, before preparingthem so that to preventwrong administration ofmedications to client(especially if there areshifting of medicationsfrom time to time)Drug study must be

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BN: Receivesendorsement

from the chargenurse, checks

patients

immediateenvironment and

ensures theirsafety, and takes

patients vitalsigns before

administration ofthe medications.

conducted prior tomedication administrationso that medication nursewill know the drug andwhy it is given to thepatient and to determine

what should be donebefore, during and afteradministration to ensurepatients safety, and whatto expect on the patientafter medicationadministration.- It is also the teamleaders responsibility todouble check themedication to be given

and the administration ofthe medication.- BN must receiveendorsement from thecharge nurse to beupdated with the neworders.- Taking VS establishesbaseline data andassesses the clients

present condition. Thisshould also be donebefore drugadministration to avoidcomplications (e.g.respiratory depression,severe hypotension)related to the side effects

of the drug (especiallywhen the drug can causehypotensive, bradycardic,tachycardic and othereffects)- Checking patients

immediate environmenthelps assess threat topatients safety, checkingthe devices attached ifthey are functional, doingthe morning care andreporting any abnormalfindings.

7:50 amBN: Records and

reports any

abnormal VS tothe charge nurse

CN: Reports the

abnormal vitalsigns to themedication nurse

- Deviation of VS fromtheir normal range

reflects threat to or actualdistortion of bodysequilibrium. This signsmust not be ignored.Proper documentationand endorsement arenecessary in order to alertother members of thehealth team of thecondition of the patient

and therefore take properaction.- CN must inform themedication nurse of theabnormalities in the vitalsigns of the patient inorder to alert her beforemedication administration

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MN: Takes noteof the abnormalVS as caution

prior tomedication

administration,

and preparesPRN drugs tomanage the

altered VS, asordered

and to provide her anample time to prepareand study the PRN drugsto be administered.- Some drugs exert sideeffects on bodys vital

signs. Any deviation onthe vital signs musttherefore be noted by themedication nurse in orderto be cautioned on theproper action to take andhold the drug first toavoid complications (e.g.respiratory depression,severe hypotension)related to the side effects

of the drug (especiallywhen the drug can causehypotensive, bradycardic,tachycardic and othereffects)- MN must as well checkfor any PRN drugs and beready to prepare andadminister it, as needed.

8:00 AM

MN: Administers

medicationtogether with theteam leader and

ClinicalInstructor.BN: Does

morning care;Conducts

- So as to double check

the administration ofmedication and observethe 12Rs of drugadministration

-Morning care promotescomfort of patient, andtherefore aid in facilitating

assessment,diagnoses

presence ofproblem, plans

for interventionsand carries them

out; Assists inmedicationadministration

for the assignedpatient, asnecessary

CN: Preparescharts for

doctors rounds

patients responsivenessand cooperation. This mayalso boost patients self-esteem and worth.Applying nursing processin the care of the patient

ensures appropriateidentification andintervention of patientsproblems.-Charge nurse, if allowedby the staff nurses, mayarrange the chartaccording to thephysicians assigned onthem. This preventsmissing other charts used

during the rounds.8:30-

9:00 AMMN: Documentsthe medicationgiven on the

patients chart

CN/ TL: Go withthe doctors

rounds

- This ensures propercommunication to othermembers of the healthcare team. Also,medication sheet servesas checklist for themedication nurse todetermine any drugs

missed to beadministered.- Going with the doctorsrounds may provide teamleader with furtherknowledge of patientscondition, which thebedside nurse needs to

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BN: Makes initialnurses notes;Participatesduring the

doctors roundson her clients.

Providing HealthTeachings To ThePatients That Will

Aid Them ForTheir Recovery

learn so as to provide themaximum care requiredfor the patient.- For the charge nurse, itprovides her theopportunity to clarify to

the doctor any unclearorders s/he made,therefore avoidingdocumentation error intranscribing the doctorsorders to the kardex.- Nurses note is a legaldocument that reflectsthe actions undertaken bythe nurse in the care ofthe client. All

interventions that thestudent nurses did musttherefore be reflected onit. Partial nurses notesmay be made as early asthis time in order not tomiss any interventionsdone- Meanwhile, participatingin the rounds gives

bedside nurses furtherknowledge on patientscondition, which she mayuse in any point of thenursing process that sheis conducting for the careof her clients.

- For the clientsawareness when it comesto his/her healthmanagement on how tomaintain wellness.

9:00 AM CN: Carries outthe doctorsorder and update

the kardex

BN: Submits theinitial draft of the

initial nursesnote to the team

leader

TL: Checks thedocumentation

done by themedication andcharge nurse,respectively;

Makes necessarycorrection on the

bedside nursesnurses note

-Transcribing the doctorsorder to the kardexprepares it for laterendorsement, andpromotes continuity ofpatient care.-Nurses notes must besubmitted early in orderto avoid delays, especiallyin cases where nursesnotes still have to be

revised or corrected.- Team leader mustensure properdocumentation of themembers since all datawill be written on clientschart. Chart is a formal,legal document thatprovides evidence of aclients care so; the nurse

must maintain the clientschart integrity.- Nurses notes should bechecked in order todetermine if the diagnosisof the primary problem ispresent to the client thatneeds attention and

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intervention. Goodassessment should begathered beforediagnosing a specificproblem altering theclients condition.

9:30AM-9:45AM

CN: Endorsesnew orders tothe medication

and bedsidenurses

TL: Submits thedraft of the

Nurses notes to

the clinicalinstructor

MN: Receivesendorsement

from the chargenurse; Takes

note of the neworders and study

them

BN: Receives

-Since new orders may begiven during the doctorsrounds, charge nurse,who has the direct accessto the charts, mustupdate the medicationand bedside nurses of therelevant orders.-For the clinical instructorto check and make somecorrections regarding the

documentation done andits appropriatenesstowards the patientreceiving the care.-MN must be informed ofthe new medicationorders in order not to missthe preparation andadministration of thedrugs. She may as well

utilize this time, studyingthe literature of the newlyprescribed drugs, in orderto know theresponsibilities associatedwith the preparation andadministration of thedrugs.

endorsementfrom the chargenurse; Revises

the nursesnotes, asnecessary

-BNs must have a fullknowledge of the currentcondition and treatmentsfor the patient.Endorsement of the new

orders is necessary inorder that these orderswill be carried out therebyensuring the welfare ofthe patient. Meanwhile,nurses note needs to berevised in order to correcterrors made on the initialdraft, and to includelacking information ordata.

10:00AM

Lunch break forMN

(10:00 10: 30AM)

CN: Carrying Out

Of DoctorsOrders

Continuity ofcare

-To restore energy andreplenish the body withnutrients and fluids.

-Proper carrying out ofdoctors orders by thecharge nurse is vital for

the continuity of theclients care

-For the patient to receivesafe and quality nursingcare provided and shownby the student nurses.

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10:30AM

Lunch Break ForBN (10:30- 11:00

AM)

MN: Prepares thedue medications

for 12 nn

TL: Guide themedication nursein preparing the

medications

CN: Carrying OutOf Doctors

Orders

- Preparing themedication ahead of timeprevents cramming,thereby avoidingcommitment of errors inmedication. It also

prevents delay inmedicationadministration.- Two heads are betterthan one. Theintervention of teamleader ensures that noerror will be committed inthe preparation of themedications.

- Proper carrying out ofdoctors orders by thecharge nurse is vital forthe continuity of theclients care.

11:00AM-

11:30AM

Lunch Break OfCN

(11:00 AM 11:30 AM)

MN: Recites thedrug study to the

CI and teamleader

- Drug study must beconducted prior tomedication administrationso that medication nursedetermines what shouldbe done before, during

and after administrationto ensure patients safety,and what to expect on thepatient after theadministration of themedication.

11:30AM

Lunch Break ofTL (11:30 AM

12:00 NN)

BN: Vital SignsTaking andIntake and

Outputmonitoring.

-To note if there is anyabnormalities/deviationfrom the previous vitalsign. Anyunusual/abnormal findingsshould be immediately

reported to the TL and CIso that intervention willbe given.

11:45AM

BN: Records andreports any

abnormal VS tothe CN.

CN: Reports theabnormal vital

-Deviation of VS fromtheir normal rangereflects threat to or actualdistortion of bodysequilibrium. These signsmust not be ignored.

Proper documentationand endorsement arenecessary in order to alertother members of thehealth team of thecondition of the patientand therefore take proper

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signs to the MN.

MN: Takes noteof the abnormalVS as caution

prior tomedication

administration,

and preparesPRN drugs tomanage the

altered VS, asordered

action.-Charge nurse mustinform the medicationnurse of the abnormalitiesin the vital signs of thepatient in order to alert

her before medicationadministration and toprovide her an ample timeto prepare and study thePRN drugs to beadministered.Some drugs exert sideeffects on bodys vitalsigns. Any deviation onthe vital signs musttherefore be noted by the

medication nurse in orderto be cautioned on theproper action to take andhold the drug first toavoid complications (e.g.respiratory depression,severe hypotension)related to the side effectsof the drug (especiallywhen the drug can cause

hypotensive, bradycardic,tachycardic and othereffects)- MN must as well checkfor any PRN drugs and beready to prepare andadminister it, as needed.- To ensure that no

TL: Guide themedication nurse

in medicationadministration

MN:

Administration OfMedication DueTo 12nn

BN: ChartingCN: Transcribesother doctorsorders which

have not beencarried out yet

mistake will be committedby the medication nurse.

- This is important to dobecause there are somedrugs that need to

administer at exact timeto render its effectseffectively.

- This helps save the timeof the medication andlessens the things s/hehas to do at the end ofthe shift, thus avoidingdelays. Charting includesplotting of VS, filling up

the I/O and IV-follow-upsheets, as needed.- To update the kardex,and ensure the continuityof patients care throughthe other shifts.

12:30PM

MN: Documentsthe medicationgiven on the

patients chart

BN: Makes theinitial draft of the

- This ensures properdocumentation andcommunication to othermembers of the health

care team. Also,medication sheet servesas checklist for themedication nurse todetermine any drugsmissed to beadministered.- As a legal document,


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final nursesnotes

nurses notes mustcontain all theinterventions made by thestudent nurse, and thereaction of the patients onit. Thus partial nurses

notes made earlier mustbe updated andcorrected.

12:45PM

TL: Checks thedocumentationworks of the MN

BN: Submits therevised nursesnotes to the TL

- To make necessarycorrection, ensuring thaterrors will not becommitted.

-To have the team leadercheck if appropriatecorrections were done.

1:00 PM TL/BN: Submitsthe nurses notes

to the CI forchecking, and beready to answerany clarifications

of the CI

This will aid in thepreparation for charting ofthe nurses notes at 3:00pm. Doing doublechecking by the CI helpsdetermine if correctionswere done and if necessary information arealready included.

Checking of the finalnurses notes by theclinical instructor ensuresthat it is correctly done.

1:15 PM BN: Finalcharting,

Early charting readies thecharts for the

Graphing Of TheVital Signs,

Filling Up The I &O Sheet , IVF

Checking, AndDoing Bedside

Care For ThePatients

CN: Transcribesother doctorsorders which

have not beencarried out yet

endorsement at 3:00pm,thereby helps in avoidingdelays. Final chartingmust be done for legalpurposes and continuityof care. The team leader

must check all thedocumentations done toavoid negligence- To update the kardex,and ensure the continuityof patients care throughthe other shifts.

1:45 PM TL: Checking of

the charts andfinal checking

andcountersigning ofthe charts by the

CI

Doing aftercareof the area

-The TL should check the

chart first to ensure allthings were correct anddocumented. The finalchecking andcountersigning are doneby the CI to ensure thatall things written werevalid and reliable.- To restore thecleanliness and

orderliness of theenvironment, therebypromoting safety andgood working relationshipwith the staffs of thefacility.

2:00 PM Endorsement So that the next shift will

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be aware of the status ofthe patients, latest ordersgiven and proceduresdone and to be done. Thisis also done for thecontinuity of care.

2:15 PM Post-Conference To evaluate the activitiesdone throughout the duty.To strengthen andcommend the strongpoints, and improve theweak points of the team.

2:45 PM Closing Prayer To thank God for theguidance He rendered tothe team all throughoutthe shift, and to ask forHis guidance once more,

for the teams safety ingoing home.

2:50 PMLeaving TheHospital Area

This mark the end of theduty.

Insights:In order to achieve and appreciate the essence of this

plan of activities, our team must have teamwork and

dedication to what we are doing. We must be motivated and

guided by our main goal which is to provide safe and quality

nursing care.

We deal with lives, thus, we just dont compromise the

patients condition for we dont want it to happen to us and

to our lovedones. Being reminded that life is a gift from God

will let us become more careful in providing care to the

patients.

Each member of the team must work interdependently.

Each must be equipped with knowledge, skills, and attitude.

No ones excempted.

As the team leader, i must see to it that everybodys

learning especially by accepting corrections and open for

criticism. With this, all of us will grow and be inspired of

becoming good nurses as today.

Open-mindedness also helps us to be competent in the field

of our endeavor. Dedication to serve all is one way to deal

with our patients without counting the cost. It is just serving

without expecting more in return.

This plan of activities will be the guide for us to manage

our time properly and for us to work as a team with the

same goal to attain. Tender loving care is what we should

offer to the patients for their wellness to be promoted.

Individual Roles andResponsibilitiesTeam Leader


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Checks the attendance, paraphernalia and uniforms of

the team members.

Makes the plan of activities, special task and schedules

lunch and break time of members.

Checks the sample charting of the bedside nurses.

Follows-up the activities of the team members.

Goes with the doctors rounds together with charge

nurse.

Gives pre and post conference.

Informs the clinical instructor about any clinical

procedures to be done to the patients.

Ensures harmonious relationship of the team and to the

nursing staff.

Evaluates the performance of the team members.

Give supplemental care in the absence of one of the

members.

Carries responsibility for any untoward incidents made

by the team members.

Checks the drug and know everything about the patient.

Helps any team leader who is not through with their

task.

Acts as a substitute for any absences or tardiness that

will be made by any members of the team.

Coordinates with staff activities

Assist the charge nurse in carrying out doctors orders.

Evaluate the team through a post conference.

Does the final rounds with the charge nurse.

Charge Nurse Knows the member and the manner of the patient

about the team.

Acts as a team leader in cases where the team leader

is absent.

Receives and does the endorsement from outgoing and

ongoing shift.

Makes the patients list and vital signs sheet.

Makes the ward class and journal reading related to

the selected topic.

Goes with the Doctors and nurses rounds.

Receives new admission, endorses any special or new

orders or procedures to the bedside nurses and follow-

ups requisition.

Informs the medication nurse in any changes in drug

order.

Maintains harmonious relationship of the team

members and the nursing staffs.

Informs the bedside nurse for the patients vital signs

and I and O monitoring.

Gives the list of IVF follow ups of every patient to the

bedside nurses.


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Informs the team leader for any procedures that will be

done to the patient.

Maintains the cleanliness and the orderliness of the

nurses station.

Receives the endorsement of the patients status

from the bedside nurses every now and then.

medication Nurse

Makes the drug study.

Knows the drug of the patient ahead of time.

Prepares the medications while observing the 12 Rs.

Prepares the medication ahead of time but with

special precaution that are to be reconstituted.

Reports any error in drug administration to the team

ahead of time.

Makes the prescriptions for unavailable medication.

Records all given medication.

Administers medication in front of the team leader

and the clinical instructor.

Coordinates with the head nurse before and after

giving meds.

Coordinates with the charge nurse in any changes or

new drug orders.

Coordinates with the bedside nurses for PRN

medications for any unusual changes in the patients

condition.

Explains to the patient the indication of the drug.

Checks the condition of the patient before

administering the drug.

BEDSIDE Nurse

Knows the list, kinds of cases, room number of

the patient ahead of time.

Receives the endorsement and goes with the

nurses rounds.

Monitors vital signs and I and O of the patients.

Educates the patients about the disease

process.

Endorse the latest vital signs of the patient.

Report any unusual changes in the patients

vital signs.

Maintains the cleanliness of the patients unit.

Knows the IVF level of the patient and regulate

it properly.


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Does the afternoon care to the patient.

Follow up all the IVF consumed by the patient.

Provides the immediate care needed by the

patients.

Makes the nurses notes.

Reports any unusuality to the patients

condition to the charge nurse or head nurse

and notify the clinical instructor.

.

GeneralParaphernalia

Alcohol Used for disinfection

of paraphernalia and hands.

Ball Pens (Red, Blue and Black)

This item is essential in

documentation. When you are

documenting, it is necessary to

use permanent marker such as

ballpen, considering the legality of

patients chart. The color of marker being use depends

on the institution.

Bandage Scissors For cutting bandages, tapes, etc.

Cotton Balls with and without Alcohol For cleaning

wounds and wiping.

Face Towel Used for sponge bath.

Jot down Pocket Notebook Used by nursing students

in doing initial documentation.

Mask and Gloves Served as protection of nursing

students against communicable disease, etc.

Medicine Glass It is intended for measuring liquid form of

drugs.

Nail Cutter Used for trimming uncut nails of patients in

order to prevent infection and promote self-wellness of

patients.

Pencil with Eraser Used for documentation purposes.

Penlight - Used in checking orifices of patients.

Pentel Pen Used for Intravenous line marking.

Six-Inch Ruler Used in graphing vital signs of patient.


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Small Medicine Tray It helps the medication nurse in

providing an organized administration of medications

to patients.

Sphygmomanometer use to monitor one of the five

vital signs of a person, the blood pressure.

Stethoscope instrument that aids in physical

assessment during auscultation.

Tape Measure used to measure the anthropometric

measurement of patient.

Thermometer (digital) to get the actual body

temperature of the patients.

Thread and Needle to fix tangles in the uniform.

OrganizationalStructure

Endorsement

Strategy

Lodar Dagoy-Escobillo, RN, MAN

Clinical Instructor

Katherine L. Laud, SN

Team Leader

Allan Ross L. Cabarlo, SN

Charge Nurse

Ludivie Grace Q. Dagmil, SN

Medication Nurse

Joanna Michelle Lafuente, SN

Bedside Nurse


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During Lunch Time:

Team Leader (Katherine L. Laud, SN) will

endorse her tasks to the Charge Nurse

(Allan Ross L. Cabarlo, SN)

Charge Nurse (Allan Ross L. Cabarlo,

SN) will endorse his tasks to the Team

Leader (Katheeine L. Laud, SN)

Medication Nurse (Ludivie Grace Q. Dagmil,SN) will endorse her tasks to the Team

Leader (Katherine L. Laud, SN)

Bedside Nurse (Joanna Michelle Lafuente,

SN) will endorse her tasks to the Medication

Nurse (Ludivie Garce Q. Dagmil, SN)

Schedule ofBreaks

STUDENT NURSES LUNCH TIME


(Team Leader)

11:30 AM-12:00 NN


(Charge Nurse)

11:00 AM-11:30 AM

Ludiie Grace Q. Dagmil,

SN

(Medication Nurse)

10:00 AM-10:30 AM

Joanna Michelle Lafuente,

SN

(Bedside Nurse)

10:30 AM-11:00 AM


21/25

34

35PATIENTS LISTAttendance Record

Date

Roo

mNo.

Name ofPatient Age/Sex

Chief

Complaint

Admitti

ngDiagnosis

Attendin

gPhysician

DateRoom

No.

Name of

Patient

Age/

Sex

ChiefComplai

nt

Admitting

Diagnosis

Attending

Physician


22/25

36

August 1, 2011

STUDENT NURSETime In Time Out

Time

Signature

Time

Signature



Ludivie Grace Q. Dagmil,

SN


SN

August 2, 2011


Time

Signature

Time

Signature




SN


SN

August 3, 2011


Time

Signature

Time

Signature




SN


SN

General ParaphernaliaChecklist

August 1, 2011

Paraphernalia

K.LLaud,

SN

A.RCabarlo, SN

L.GDagmil, SN

J.MLafuente, SN

Ballpens: Black,Blue, Red

BandageScissors

BP Apparatuswith

stethoscope

Jot Down PocketNotebook

Medicine Glass

Nail Cutter

Pencil withEraser

Penlight

Pentel pen

Small MedicineTray

Six-inch Ruler

Tape Measure

Thermometers:Oral, Rectal

Thread andNeedle

Cotton balls

Mask


23/25

37

38

Alcohol

Clean Gloves

Sterile Gloves

August 2, 2011

Paraphernalia

K.LLaud,

SN

A.RCabarlo, SN

L.GDagmil, SN

J.MLafuente, SN

Ballpens: Black,Blue, Red

BandageScissors

BP Apparatuswith

stethoscope

Jot Down PocketNotebook

Medicine Glass

Nail Cutter

Pencil withEraser

Penlight

Pentel pen

Small MedicineTray

Six-inch Ruler

Tape Measure

Thermometers:Oral, Rectal

Thread andNeedle

Cotton balls

Mask

Alcohol

Clean Gloves

Sterile Gloves

Ward Uniform Checklist

August 1, 2011

UNIFORMK.L

Laud,SN

A.RCabarlo, SN

L.GDagmil,

SN

J.MLafuente, SN

Caduceus Pin (male) ------- ------- -------

Nameplate

Cap/Haircut

Fingernails

Shoes

Smock gown

Under-garments

Ward Uniform

Wristwatch w/ secondhand

August 2, 2011

UNIFORMK.L

Laud,SN

A.RCabarlo, SN

L.GDagmil,

SN

J.MLafuente, SN

Caduceus Pin (male) ------- ------- -------


24/25

39

40

Nameplate

Cap/Haircut

Fingernails

Shoes

Smock gown

Under-garments

Ward Uniform

Wristwatch w/ secondhand

Anecdotal Report

August 1-3, 2011

Student Rating Remarks

Katherine L. Laud,

SN

(Team Leader)

Allan Ross L.Cabarlo, SN

(Charge Nurse)

Ludivie Grace Q.

Dagmil, SN

(Medication Nurse)

Joanna Michelle

Lafuente, SN

(Bedside Nurse)

Vital Signs Sheet

August 1, 2011

RMNo.

PatientsName

SN

Assigned

8:00 am 12:00 pm

T P RBP

T P RBP

August 2, 2011


25/25

41

42

43

RMNo.

PatientsName

SN

Assigned

8:00 am 12:00 pm

T P R

B

P T P R

B

P

BookAssignments

Student Nurse BOOK ASSIGNMENTS

Katehrine L. Laud, SN

(Team Leader)

Fundamentals in Nursing

Vol 2Nurses Pocket Guide


(Charge Nurse)

Physical AssessmentBook

Medical-Surgical NursingBook


SN

(Medication Nurse)

Drug Handbook,Pharmacology

Joanna Michelle

Lafuente, SN

(Bedside Nurse)

Fundamentals in NursingVol 1

Summary of Extension Duties

August 1-3, 2011