INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, ENTENG KABISOTE, of the OB-OR COMPLEX commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated measures for the period JULY
TO DECEMBER 2018.

ENTENG KABISOTE
Ratee
Date: ________________________

Received by: Date Approved by: Date

MARIQUITA E. UYVICO, RN
Immediate Supervisor Head of Office

MAJOR OUTPUT SUCCESS INDICATOR ACTUAL ACCOMPLISHMENT RATING REMARKS

FINAL (TARGET + MEASURES)
OUTPUT
QUANTITY EFFICIENCY TIMELINESS QUANTITY EFFICIENCY TIMELINESS Q E T A
CORE FUNCTION
MFO 1: QUALITY TERTIARY HEALTH SERVICES
1. Receives and endorsed patients 2 patients per shift Error free 5 mins per patient 3 patients per Error free 5 mins per patient
per shift shift per shift
2. Receives OR notification for 2 notifications per 1 minor 3 mins per 3 notifications Error free 2 mins per
emergency and elective cases shift error notification per shift per shift notification per shift
3. Prepares patient for surgical 2 patients per shift Error free 15 mins per patient 3 patients per Error free 10 mins per patient
procedure per shift shift per shift
4. Fills up forms (livebirth certificate, 2 forms per shift 1 minor 5 mins per form per 2 forms per Error free 5 mins per forms
fetal death dertificate) error shift shift per shift
5. Prepares sterile surgical packs, 2 times per shift Error free 30 mins per 3 times per Error free 10 mins per
supplies and instruments. procedure per shift shift procedure per shift.
6. Transport and endorses well babies 2 times per shift Error free 15 mins per baby per 3 times per Error free 10 mins per baby
to PACU and pathologic babies to shift shift per shift
NICU
7. Soaks infectious and non infectious 2 times per shift Error free 30 mins for non 3 times per Thoroughly 30 mins for non
instrumetns infectious shift done infectious
24 hour for infectious 24 hour for
infectious
8. Makes and submits 24-hour census Once per day 1 minor 30 mins per day Once per day Error free 20 mins per day
error
 9. Analyzes and determines staffing Twice a month Error free 1 hour per month Twice a month Error free 45 mins per month
needs in the unit.
10. Forwards prescriptions/RIS of drugs Twice a week Error free 45 mins per week Twice a week Error free 30 mins per week
to the pharmacy
11. Coordinates between nurses, 1 patient and 5 Thoroughly 1 hour per patient 1 patient and 6 Thoroughly 1 hour and 30 mins
patients, members of the health members of the done and 6 members of members of the done per patient and 6
team and other unit. health team per the health team per health team per members of the
procedure procedure procedure health team per
procedure per shift
12. Ensures that the area is maintained Twice per shift Thoroughly 1 hour shift Three times per Thoroughly 1 hour and 30 mins
clean and orderly. done shift done per shift
13. Evaluates the performance of Twice per month Error free 15 mins per Twice a month Error free 10 mins per
personnel, job order in the unit. for 2 staff, 8 Job personnel per for 2 staff, 8 job personnel per
order, 3 nursing session order, 3 nurisng session
attendants, 1 attendant, 1
midwife midwife
14. Prepares and submits monthly 1 assigned report Error free 45 mins per month 6 assigned Error free 30 mins per month
report. per month report per 6
months
15. Monitors the inventory and Once per month Error free 1 hour per inventory Twice a month Error free 45 mins per
maintenance of supplies, inventory
equipment and facilities.
16. Delegates to subordinates and gives 2 staff, 8 job order, Delegated 15 mins per task 2 staff, 8 job Delegated 10 mins per task
assignment. 3 nursing cleanly and order, 3 nursing cleanly and
attendants, 1 fairly attendants, 1 fairly
midwife midwife
17.Attends monthly unit meetings, Once per month Attentively 2 hours per meeting 6 unit meetings Well 3 hours per meeting
conferences, seminars, social functions attended 8 hours per seminar and 2 seminars participated 24 hours in 2
organized by the hospital. or functions in 6 months seminars with
extension
FINAL AVERAGE RATING
Comments and Recommendations for Development Purposes
Discussed with Assessed by Final Rating by
Date
I certify that I discussed my assessment of the performance with the
employee.

____________________________ _____________________ _________________________________________ _______________________

Employee Date Supervisor Division Head
Legend: 1- Quantity 2- Efficiency 3- Timeliness 4- Average