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JMJ Marist Brothers Notre Dame of Dadiangas University College of Nursing In Partial Fulfillment of the Requirements in RLE 104

Lodar Dagoy-Escobillo, RN MAN Clinical Instructor July 30, 2011 TABLE OF CONTENTS
Page Title Page Table of Contents Nurses Prayer Nightingales Pledge Introduction Vision-Mission (MMC, Inc.) Objectives Plan of Activities 7 Individual Roles and Responsibilities General Paraphernalia 29 Organizational Structure 31 Endorsement Strategy 32 Schedule of Breaks Patients List Attendance Record General Paraphernalia Checklist 37 33 34 36 25 i ii 1 2 3 4 5

Team Nursing STAFFING


MINDANAO MEDICAL CENTER, INC. Station 2 7:00 AM 3:00 PM Submitted by: Katherine L. Laud, SN Team Leader Group 3 Team B Submitted to:

Ward Uniform Checklist 39 Anecdotal Report 40 Vital Signs Sheet 41 Book Assignments Summary of Extension Duties 43 42

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.

Nurses Prayer
Oh 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,

Nightingales Pledge

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

to pass my life in purity and 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 elevate The standard of my profession, and will hold in confidence all personal matters committed to my keeping and all family affairs coming in to my knowledge in the practice of my calling. With loyalty will I endeavor to work closely with the health team, and devote myself to the welfare of those committed to my care.

Team nursing is where each members work together to identify, plan, implement and evaluate comprehensive client-centred care. It is very necessary for us to be equipped with the skills, knowledge, and attitude as well as to 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 the goal will always be rearding and mean something especially the gratitude extended by the patient as well as the significant others. This guide will help the team members to be reminded of their specific task
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INTRODUCTION
According to ken SKC Ogbonnia, efective leadership is the ability to successfully integrate and maximize available resources within the internal and external environment for the attainment of organizational or societal goals. A strong and effective clinical leadership is needed by practicing nurses as current health care systems continue to decentralize and shift decision making closer to the bedside. Leadership is the ability of a person or a social influence that help move other people to act. It is very important especially now that we are on our team nursing exposure. The product of real leadership is a direction for the whole team,

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

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.

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:

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.

Perform

the

different

functions

and

responsibilities in team nursing; Develop skills, knowledge and attitude of good human relationship with the health team through proper Learn coordination, and apply to communication, independence each team and and and group

Objectives
4 Date: 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

observation of ethics 5 and institutional policies; interdependence 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;

attitude through team nursing towards provision of

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 team. 6:006:40 AM harmonious relationship within the 5:306:00 AM Arrival At The Area

Morning Prayer

This is to practice selfdiscipline and value punctuality. Thus, student nurses should be earlier than the expected time of duty. It is to instill the importance of time to the students since in nursing, every second counts. This also prevents delays and helps build the characters of self-discipline and commitment to work. To ask for the almighty Gods guidance and protection all throughout the days duty, to avoid errors, and so that we could be instruments of His healing touch. To check the presence of each member of the team and review to them their respective duties and responsibilities. To check the completeness of nursing paraphernalia so as to be used for the continuity of nursing care to the 7 patients. This also indicates the

Plan of Activities
Time Activities Rationale

Team Leader: Checking Of Attendance Team Leader: Checking Of Uniforms And Paraphernalia

6:407:10 AM

preparedness of the student nurses as part of their training and responsibilities. The uniform symbolizes how pure our profession is and that it is checked also for proper decorum. This is very necessary so as the student nurses will be guided and manage the time to be used in Team Leader: every task, and It is Establishing The important that all Goals/Objectives members of the team will Of The Team be informed about the goals of the team for the day in order for us to know what to achieve on this specific duty. Pre-conferences are given so as to organize the team, give those Team Leader: important reminders and Pre-Conference other important details with regards to the days duty. Team Leader For care continuity (TL), Charge purposes, one must listen Nurse (CN), to the endorsement Medication Nurse because it gives (MN) And information about the Bedside Nurses latest condition of the (BN) Will Receive clients as well as the diet,

Endorsement From The Staffs On Duty. 7:10 AM TL and BN conduct morning rounds

IV infusions, latest orders and interventions given. Joining the nurses rounds will help us to initially assess our patients in a holistic manner. This is to check the present condition of the client and verify their IV fluids. To have a partial introduction to our clients regarding our purpose and responsibilities as a health care provider. It will allow us to recheck the endorsement being given. To establish rapport and trust with the patients so as to minimize their anxiety and gain their cooperation with the initiation of nursing interventions. To know if patients IVF needs to be follow up and to prevent any fluid overload or deficiencies. Checking the IV site and its patency are very important to avoid IV complications (e.g. phlebitis, infiltration) as

Introduction To The Assigned Patient And Established Rapport Checking And Regulating The Patients Intravenous Fluid. Check also for the IV sites patency.

well as to avoid interruption on the administration of IV medications as ordered. To determine the present condition of the client. This also enable to establish baseline data and note any Bedside Nurse: abnormalities, deviations Vital Signs from normal so as to give Taking appropriate care and be reported accurately to the leader and 9 team forwarded to the clinical instructor. To make the patient feel Bedside Nurses fresh and comfortable. To Will Conduct boost the clients selfTheir Morning esteem and give them a Care And sense of well being as Bedside Care To well as prevent the The Patients spread of microorganisms/infection. Bed Making The bed is one of the most important parts of the patients environment in the health care setting. A clean, wrinkle-free bed that remains intact when a patient moves does a great deal for the patients physical and

7:15am

psychological comfort and it decreases the spread of microorganisms. TL: Guides and The Team Leader should 7:15 AM supervises the be knowledgeable with team members the tasks and in carrying out interventions done by their respective each member to minimize tasks, as follows: errors and avoid negligence and to CN: Endorses manage the time new orders to effectively. the medication Proper endorsement and bedside ensures the continuity of nurses, patients care, and appropriately. prevents commitment of 10mistakes that may MN: Cleans the compromise patients Medication Area health or even life. and Receives endorsement - Medicine has a purpose from charge of alleviating/treating the nurse and condition of the client as prepare the well as extending his/her medications. The life. MN together with - MN must be updated the team leader with new medication will Recite to the orders, before preparing Clinical Instructor them so that to prevent the drug study of wrong administration of the medications medications to client before (especially if there are administering shifting of medications from time to time) Drug study must be

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conducted prior to medication administration so that medication nurse will know the drug and why it is given to the patient and to determine what should be done before, during and after administration to ensure patients safety, and what to expect on the patient after medication BN: Receives administration. endorsement - It is also the team from the charge leaders responsibility to nurse, checks double check the patients medication to be given 11 immediate and the administration of environment and the medication. ensures their BN must receive safety, and takes endorsement from the patients vital charge nurse to be signs before updated with the new administration of orders. the medications. - Taking VS establishes baseline data and assesses the clients present condition. This should also be done before drug administration to avoid complications (e.g. respiratory depression, severe hypotension) related to the side effects

of the drug (especially when the drug can cause hypotensive, bradycardic, tachycardic and other effects) Checking patients immediate environment helps assess threat to patients safety, checking the devices attached if they are functional, doing the morning care and reporting any abnormal findings. 7:50 am - Deviation of VS from their normal range reflects threat to or actual distortion of bodys equilibrium. This signs must not be ignored. Proper documentation and endorsement are 12 necessary in order to alert other members of the health team of the CN: Reports the condition of the patient abnormal vital and therefore take proper signs to the action. medication nurse - CN must inform the medication nurse of the abnormalities in the vital signs of the patient in order to alert her before medication administration 14 BN: Records and reports any abnormal VS to the charge nurse

and to provide her an ample time to prepare and study the PRN drugs to be administered. - Some drugs exert side effects on bodys vital signs. Any deviation on the vital signs must therefore be noted by the medication nurse in order to be cautioned on the proper action to take and hold the drug first to avoid complications (e.g. respiratory depression, severe hypotension) related to the side effects of the drug (especially when the drug can cause hypotensive, bradycardic, tachycardic and other effects) - MN must as well check for any PRN drugs and be ready to prepare and administer it, as needed. MN: Administers - So as to double check 8:00 AM medication the administration of together with the medication and observe team leader and the 12Rs of drug Clinical administration Instructor. BN: Does -Morning care promotes morning care; comfort of patient, and Conducts therefore aid in facilitating 13 13

MN: Takes note of the abnormal VS as caution prior to medication administration, and prepares PRN drugs to manage the altered VS, as ordered

assessment, diagnoses presence of problem, plans for interventions and carries them out; Assists in medication administration for the assigned patient, as necessary CN: Prepares charts for doctors rounds

patients responsiveness and cooperation. This may also boost patients selfesteem and worth. Applying nursing process in the care of the patient ensures appropriate identification and intervention of patients problems. -Charge nurse, if allowed by the staff nurses, may arrange the chart according to the physicians assigned on them. This prevents missing other charts used during the rounds. - This ensures proper communication to other members of the health care team. Also, medication sheet serves as checklist for the medication nurse to determine any drugs missed to be administered. - Going with the doctors rounds may provide team leader with further knowledge of patients condition, which the bedside nurse needs to

8:309:00 AM

MN: Documents the medication given on the patients chart

CN/ TL: Go with the doctors rounds

learn so as to provide the maximum care required for the patient. - For the charge nurse, it provides her the 14 opportunity to clarify to the doctor any unclear orders s/he made, BN: Makes initial therefore avoiding nurses notes; documentation error in Participates transcribing the doctors during the orders to the kardex. doctors rounds - Nurses note is a legal on her clients. document that reflects the actions undertaken by the nurse in the care of the client. All interventions that the student nurses did must therefore be reflected on it. Partial nurses notes may be made as early as this time in order not to miss any interventions done - Meanwhile, participating in the rounds gives Providing Health bedside nurses further Teachings To The knowledge on patients Patients That Will condition, which she may Aid Them For use in any point of the Their Recovery nursing process that she is conducting for the care of her clients.

For the clients awareness when it comes to his/her health management on how to maintain wellness. 9:00 AM CN: Carries out the doctors order and update the kardex -Transcribing the doctors order to the kardex prepares it for later endorsement, and promotes continuity of patient care. 15 -Nurses notes must be BN: Submits the submitted early in order initial draft of the to avoid delays, especially initial nurses in cases where nurses note to the team notes still have to be leader revised or corrected. - Team leader must TL: Checks the ensure proper documentation documentation of the done by the members since all data medication and will be written on clients charge nurse, chart. Chart is a formal, respectively; legal document that Makes necessary provides evidence of a correction on the clients care so; the nurse bedside nurses must maintain the clients nurses note chart integrity. - Nurses notes should be checked in order to determine if the diagnosis of the primary problem is present to the client that needs attention and

intervention. Good assessment should be gathered before diagnosing a specific problem altering the clients condition. 9:30 CN: Endorses -Since new orders may be AM-9:45 new orders to given during the doctors AM the medication rounds, charge nurse, and bedside who has the direct access nurses to the charts, must update the medication and bedside nurses of the relevant orders. TL: Submits the -For the clinical instructor draft of the to check and make some Nurses notes to 16 corrections regarding the the clinical documentation done and instructor its appropriateness towards the patient receiving the care. MN: Receives -MN must be informed of endorsement the new medication from the charge orders in order not to miss nurse; Takes the preparation and note of the new administration of the orders and study drugs. She may as well them utilize this time, studying the literature of the newly prescribed drugs, in order to know the responsibilities associated with the preparation and administration of the BN: Receives drugs.

endorsement from the charge nurse; Revises the nurses notes, as necessary

17 10:00 AM Lunch break for MN (10:00 10: 30 AM) CN: Carrying Out Of Doctors Orders

-BNs must have a full knowledge of the current condition and treatments for the patient. Endorsement of the new orders is necessary in order that these orders will be carried out thereby ensuring the welfare of the patient. Meanwhile, nurses note needs to be revised in order to correct errors made on the initial draft, and to include lacking information or data.

-To restore energy and replenish the body with nutrients and fluids. -Proper carrying doctors orders charge nurse is the continuity clients care out by vital of of the for the

Continuity of care

-For the patient to receive safe and quality nursing care provided and shown by the student nurses.

10:30 AM

Preparing the medication ahead of time prevents cramming, thereby avoiding MN: Prepares the commitment of errors in due medications medication. It also for 12 nn prevents delay in medication TL: Guide the administration. medication nurse - Two heads are better in preparing the than one. The medications intervention of team leader ensures that no error will be committed in CN: Carrying Out the preparation of the Of Doctors medications. Orders - Proper carrying out of doctors orders by the charge nurse is vital for the continuity of the 18 clients care.

Lunch Break For BN (10:30- 11:00 AM)

and after administration to ensure patients safety, and what to expect on the patient after the administration of the medication. 11:30 AM Lunch Break of TL (11:30 AM 12:00 NN) BN: Vital Signs Taking and Intake and Output monitoring. -To note if there is any abnormalities/deviation from the previous vital sign. Any unusual/abnormal findings should be immediately reported to the TL and CI so that intervention will be given.

11:45 AM 11:00A M11:30A M Lunch Break Of CN (11:00 AM 11:30 AM) MN: Recites the drug study to the CI and team leader - Drug study must be conducted prior to medication administration so that medication nurse determines what should be done before, during

BN: Records and reports any abnormal VS to the CN.

-Deviation of VS from their normal range reflects threat to or actual distortion of bodys equilibrium. These signs 19must not be ignored. Proper documentation and endorsement are necessary in order to alert other members of the health team of the CN: Reports the condition of the patient abnormal vital and therefore take proper

signs to the MN.

action. -Charge nurse must inform the medication nurse of the abnormalities in the vital signs of the patient in order to alert her before medication administration and to provide her an ample time to prepare and study the PRN drugs to be administered. Some drugs exert side effects on bodys vital signs. Any deviation on the vital signs must therefore be noted by the medication nurse in order to be cautioned on the proper action to take and hold the drug first to MN: Takes note avoid complications (e.g. of the abnormal respiratory depression, VS as caution severe hypotension) prior to related to the side effects medication 20 of the drug (especially administration, when the drug can cause and prepares hypotensive, bradycardic, PRN drugs to tachycardic and other manage the effects) altered VS, as - MN must as well check ordered for any PRN drugs and be ready to prepare and administer it, as needed. - To ensure that no

TL: Guide the medication nurse in medication administration MN: Administration Of Medication Due To 12nn BN: Charting CN: Transcribes other doctors orders which have not been carried out yet

mistake will be committed by the medication nurse. - This is important to do because there are some drugs that need to administer at exact time to render its effects effectively.

12:30 PM

- This helps save the time of the medication and lessens the things s/he has to do at the end of the shift, thus avoiding delays. Charting includes plotting of VS, filling up the I/O and IV-follow-up sheets, as needed. - To update the kardex, and ensure the continuity of patients care through the other shifts. MN: Documents - This ensures proper the medication documentation and given on the communication to other patients chart members of the health care team. Also, medication sheet serves as checklist for the medication nurse to determine any drugs missed to be BN: Makes the administered. initial draft of the - As a legal document, 21

final nurses notes

12:45 PM

TL: Checks the documentation works of the MN BN: Submits the revised nurses notes to the TL

nurses notes must contain all the interventions made by the student nurse, and the reaction of the patients on it. Thus partial nurses notes made earlier must be updated and corrected. - To make necessary correction, ensuring that errors will not be committed. To have the team leader check if appropriate corrections were done.
-

Graphing Of The Vital Signs, Filling Up The I & O Sheet , IVF Checking, And Doing Bedside Care For The Patients CN: Transcribes other doctors orders which have not been carried out yet 1:45 PM TL: Checking of the charts and final checking and countersigning of the charts by the CI Doing aftercare of the area

endorsement at 3:00pm, thereby helps in avoiding delays. Final charting must be done for legal purposes and continuity of care. The team leader must check all the documentations done to avoid negligence - To update the kardex, and ensure the continuity of patients care through the other shifts.

1:00 PM

TL/BN: Submits the nurses notes to the CI for checking, and be ready to answer any clarifications of the CI

This will aid in the preparation for charting of the nurses notes at 3:00 pm. Doing double checking by the CI helps determine if corrections were done and if necessary information are already included. Checking of the final nurses notes by the clinical instructor ensures that it is correctly done. Early charting readies the charts for the 2:00 PM

1:15 PM

BN: Final charting,

Endorsement

-The TL should check the chart first to ensure all things were correct and documented. The final checking and countersigning are done by the CI to ensure that all things written were valid and reliable. To restore the cleanliness and orderliness of the environment, thereby promoting safety and good working relationship with the staffs of the facility. So that the next shift will

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2:15 PM

2:45 PM

2:50 PM

be aware of the status of the patients, latest orders given and procedures done and to be done. This is also done for the continuity of care. Post-Conference To evaluate the activities done throughout the duty. To strengthen and commend the strong points, and improve the 23 weak points of the team. Closing Prayer To thank God for the guidance He rendered to the team all throughout the shift, and to ask for His guidance once more, for the teams safety in going home. This mark the end of the Leaving The duty. Hospital Area

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.

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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

Individual Roles and Responsibilities


Team Leader

Checks the attendance, paraphernalia and uniforms of the team members.

Evaluate the team through a post conference. Does the final rounds with the charge nurse.

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.

Charge Nurse
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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.

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

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 followups 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.

Assist the charge nurse in carrying out doctors orders.

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.

Coordinates condition.

with

the

bedside

nurses

for

PRN

medications for any unusual changes in the patients Explains to the patient the indication of the drug. Checks the condition of the patient before administering the drug.

medication 26 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.

BEDSIDE Nurse 27
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 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. the patients about the disease

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. .

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.

General Paraphernalia
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Alcohol Used for disinfection of paraphernalia and hands. Ball Pens (Red, Blue and Black) This item is essential When you in are documentation.

Mask and Gloves Served as protection of nursing students against communicable disease, etc.

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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.

documenting, it is necessary to use permanent marker such as ballpen, considering the legality of

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

Lodar Dagoy-Escobillo, RN, MAN assessment during auscultation. Clinical Instructor


measurement of patient.

instrument

that

aids

in

physical

Tape Measure used to measure the anthropometric

Thermometer (digital) to get the actual body


temperature of the patients.

Thread and Needle to fix tangles in the uniform.

Katherine L. Laud, SN Team Leader 30

Organizational Allan Ross L. Cabarlo, SN Charge Nurse Structure


Ludivie Grace Q. Dagmil, SN Medication Nurse

Endorsement
31

32

Strategy
Joanna Michelle Lafuente, SN Bedside Nurse

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)

Bedside Nurse (Joanna Michelle Lafuente, SN) will endorse her tasks to the Medication Nurse (Ludivie Garce Q. Dagmil, SN)

STUDENT NURSES
Katherine L. Laud, SN (Team Leader) Allan Ross L. Cabarlo, SN (Charge Nurse) Ludiie Grace Q. Dagmil, SN (Medication Nurse) Joanna Michelle Lafuente, SN (Bedside Nurse)

LUNCH TIME

11:30 AM-12:00 NN 11:00 AM-11:30 AM 10:00 AM-10:30 AM

Schedule of Breaks

10:30 AM-11:00 AM

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

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PATIENTS LIST
Date Roo m No. Name of Patient Age/ Sex Chief Complai nt Admitti ng Diagnos is Attendin g Physician Dat e Roo m No.

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Attendance Record
Name of Patient Age/ Sex Chief Complai nt Admitti ng Diagnos is Attendin g Physician

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August 1, 2011
STUDENT NURSE Katherine L. Laud, SN Time In Tim Signatur e e Time Out Tim Signature e

General Paraphernalia Checklist


August 1, 2011

Allan Ross L. Cabarlo, SN Ludivie Grace Q. Dagmil, SN Joanna Michelle Lafuente, SN

Parapherna lia
Ballpens: Black, Blue, Red Time In Tim Signatur e e Time Out Tim Signature e Bandage Scissors BP Apparatus with stethoscope Jot Down Pocket Notebook Medicine Glass Nail Cutter Pencil with Eraser Penlight Pentel pen Time In Tim Signatur e e Time Out Tim Signature e Small Medicine Tray Six-inch Ruler Tape Measure

K.L Laud, SN

A.R Cabarl o, SN

L.G Dagm il, SN

J.M Lafuen te, SN

August 2, 2011
STUDENT NURSE Katherine L. Laud, SN Allan Ross L. Cabarlo, SN Ludivie Grace Q. Dagmil, SN Joanna Michelle Lafuente, SN

August 3, 2011
STUDENT NURSE Katherine L. Laud, SN Allan Ross L. Cabarlo, SN Ludivie Grace Q. Dagmil, SN Joanna Michelle Lafuente, SN

Thermometers: Oral, Rectal Thread and Needle Cotton balls

36

Mask

Alcohol Clean Gloves Sterile Gloves

Alcohol Clean Gloves Sterile Gloves

37
August 2, 2011

38
K.L Laud, SN A.R Cabarl o, SN L.G Dagm il, SN J.M Lafuen te, SN

Parapherna lia
Ballpens: Black, Blue, Red Bandage Scissors BP Apparatus with stethoscope Jot Down Pocket Notebook Medicine Glass Nail Cutter Pencil with Eraser Penlight Pentel pen Small Medicine Tray Six-inch Ruler Tape Measure Thermometers: Oral, Rectal Thread and Needle Cotton balls Mask

Ward Uniform Checklist


August 1, 2011

UNIFORM Caduceus Pin (male) Nameplate Cap/Haircut Fingernails Shoes Smock gown Under-garments Ward Uniform Wristwatch w/ second hand

K.L Laud, SN

A.R Cabarl o, SN

L.G Dagmil, SN

J.M Lafuen te, SN

-------

-------

-------

August 2, 2011

UNIFORM Caduceus Pin (male)

K.L Laud, SN

A.R Cabarl o, SN

L.G Dagmil, SN

J.M Lafuen te, SN

-------

-------

-------

Nameplate Cap/Haircut Fingernails Shoes Smock gown Under-garments Ward Uniform Wristwatch w/ second hand

Ludivie Grace Q. Dagmil, SN

(Medication Nurse)

Joanna Michelle

39

Lafuente, SN

Anecdotal Report
August 1-3, 2011

(Bedside Nurse) 40 Vital Signs Sheet

Student
Katherine L. Laud, SN

Rating

Remarks

August 1, 2011

(Team Leader)

R M No .

Patients Name

SN Assigne d

8:00 am B P

12:00 pm B P

T P R

T P R

Allan Ross L. Cabarlo, SN (Charge Nurse)

August 2, 2011

R M No .

Patients Name

SN Assigne d

Ludivie Grace Q. Dagmil, 8:00 am B P 12:00 pm B P SN (Medication Nurse) Joanna Michelle Lafuente, SN (Bedside Nurse)

Drug Handbook, Pharmacology Fundamentals in Nursing Vol 1

T P R

T P R

41

BookAssignments
Student Nurse
Katehrine L. Laud, SN (Team Leader) Allan Ross L. Cabarlo, SN (Charge Nurse)

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BOOK ASSIGNMENTS

Summary of Extension Duties

August 1-3, 2011 Fundamentals in Nursing Vol 2 Nurses Pocket Guide Physical Assessment Book Medical-Surgical Nursing Book

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