My SHN Compilation - Final

BUTUAN DOCTORS’ COLLEGEJ.C. AQUINO AVENUE, BUTUAN CITY

A Compilation of Student Head Nursing

Activities

In Partial Fulfillment of the Requirements for

the Degree of Bachelor of Science in Nursing

Submitted to the Faculty of Butuan Doctors’ CollegeNursing Department

Submitted by:

Rickson P. RambuyonStudent Head Nurse

BSN IV-A

Submitted to:

MRS. Nerissa C. Solis, RN, MNClinical Instructor

BDH Floor 1

Approved by:

MR. ARIEL R. SINCO, RN, MNLevel IV Coordinator

TABLE OF CONTENTS

INTRODUCTIONACKNOWLEDGEMENTDEDICATIONNURSES’ PRAYERNIGHTINGALES PLEDGEBDCHYMNMISSION AND VISION OF BDCORGANIZATIONAL STRUCTURE OF BDC NURSING DEPARTMENTFLOW OF COMMUNICATION BETWEEN SCHOOL AND HOSPITALMISSION AND VISION OF BDHORGANIZATIONAL STRUCTURE OF BDHORGANIZATIONAL STRUCTURE OF BDH-NCSO CCI & STUDENT NURSES

BUTUAN DOCTORS’ HOSPITAL PROFILE Brief History of BDH BDH Personnel Medical Consultant Facilities available, Bed capacity, etc. Medical Staff Directory Special Features and Equipments Services Offered

MODALITIES OF CARE AND STAFFING PATTERN

ORIENTATION GUIDE TO THE WARD ASSIGNMENT Organizational Structure of Ward Personnel Organizational Structure of the Nursing Service Vicinity-Locator Map Ward description Medical Consultants visible in the ward and their color code Medication Ticket Flow Chart of Admission, Discharge Chronological Order of the Chart

SHN REQUIREMENTS General & Specific Objectives of SHN Policies, Rules and Regulation of Students SHN Daily Plan Activities Daily Student Progress Report

UNDERSTUDENTS REQUIREMENTS Bedside Clinic Activity Ward Class Activity Assignments

STUDENT NURSE EVALUATIONGrades of Understudents

INTRODUCTION

Student Head Nursing is one of the activities in nursing department that develops

one’s capability and ability in managing other people. It is when the senior nursing student

functions as the head among students. They are exposed to be an accountable and

responsible individual for several students in the clinical area while establishing a

harmonious relationship between each other. They act to supervise their understudent

using their knowledge, skills, and attitude.

Student head nursing also enables the process of management put into action

through planning of activities for the inclusive dates of assignment, organizing, staffing,

directing the understudents with regards to the standard policies and procedure, and

controlling the things involved which may cause clinical errors in the area.

Through this, it molds student to be a good and effective leader or manager in the

near future. May it be in the hospital, community, school, or in any institution.

Moreover, it encourages every student on how to provide effective care to the

patient using the management skills learned to achieve a sound judgment.

ACKNOWLEDGEMENT

I would like give thanks and praises to our Almighty God, Who is the source of all our

strength, knowledge, patience and wisdom and without Him everything is impossible.

I would like to extend my heartfelt gratitude to the following people who is in one way or

another helped me in the completion of this compilation.

To my family who is always there to support me in my journey of pursuing this course.

To our Clinical Instructor, Mrs. Nerissa C. Solis, RN, for her kindness and patience in

imparting their knowledge to all of us.

To my understudents who are very cooperative and are willing to learn and up to date in

submitting their requirements during the rotation.

And to my classmates and friends, for helping me to make this compilation a complete

one.

DEDICATION

I WOULD LIKE TO

DEDICATE

THIS WORK

TO MY FAMILY,

MY DAD AND MY MOM

FRIENDS,

AND MOST OF ALL

TO OUR ALMIGHTY GOD,

WHO IS THE SOURCE OF EVERYTHING

A Nurse’s Prayer

As I care for my patient today,

Be there with me, oh Lord, I pray,

Make my words kind –

It means so much.

And in my hands

Place Your healing touch.

Let Your love shine through

In all that I do.

So those who are in need

May hear You, feel you,

And see You in me.

Amen.

Nightingale’s Pledge

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

to pass my life in purity and to 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 all 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 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.

So help me God.

BUTUAN DOCTORS’ COLLEGE HYMN

Here in the heart of Butuan

BDC proudly stands

Land from afar we travel

Seeking for light and wisdom

Where forth we go we will remember

Deep in our hearts and slumber

We will cherish you forever

To forget you BDC we will never do

How could we forget you

You have given us the guide

You’ll stay with us forever

Here in our thoughts you’ll linger

How could we ever repay you

Now are the fruits at hand

We will cherish you forever

BUTUAN DOCTORS’ COLLEGE

May you always be.

BUTUAN DOCTORS’ COLLEGEEstacio Village, Butuan City

MISSION AND VISION OF BUTUAN DOCTORS’

COLLEGE

VISION:

Butuan Doctors’ College aspires to develop purpose

driven professionals.

MISSION:

To achieve her vision, Butuan Doctors’ College is

committed to develop:

An instutition anchored on ethical values that strengthen

capabilities to achieve excellence.

CORE VALUES

B- Beneficence A compassionate and sincere acts to do good for others.

D- Dynamism Sustaining desire to excel and be competitive.

C- Commitment A pledge of loyalty to the institution and dedication to the

profession.

FLOW OF COMMUNICATION BETWEEN SCHOOL & HOSPITAL

HOSPITAL

Dean of Nursing

Assistant Dean of Nursing

Level IV Coordinator

RLE Coordinator

Clinical Instructor

Student Head Nurse

Student Nurse

PATIENT

Assistant Hospital Administrator

Chief Nurse

Nurse Supervisor

Head Nurse

Senior Nurse

Staff Nurse

Volunteer Nurse

Nursing Aid

Midwives

VISION AND MISSION OF BUTAUN DOCTORS HOSPITAL

VISION:

Butuan Doctors’ Hospital aspires to become a haven of health and wellness of

every member of the community it serves and a center of medical excellence for health

professional who believe that health is a basic human right.

MISSION:

It is the hospital’s Christian mission to develop and provide; A facility within

atmosphere of health, cleanliness and wellness that welcomes all who needs her services.

Health Professional of the highest competence committed to providing the best care. State

of the art facilities and equipment to attract physician in the different specialties and to

allow them to achieve there fullest potentials and capabilities. The opportunity to study,

improve and learn to continuously improve and keeping with the tremendous advance in

health care of all over the world.

ORGANIZATIONAL STRUCTURE OFBUTUAN DOCTORS’ HOSPITAL

DR. CLAUDIO B. ESTACIOHOSPITAL DIRECTOR

DR. JUAN DELFIN GARCIAHOSPITAL ADMINISTRATOR

DR. GENEROSO DE JESUSMEDICAL DIRECTOR

NURSING SERVICE DEPARTMENT

ADMINISTRATIVE DEPARTMENTMEDICAL DEPARTMENT

MARIANITA GORME, RNCHIEF NURSE

TERESITA MAGUIKAY, RNSUPERVISOR (WARD/PEDIA)

MA.VICTORIA B. CAMBRAY, RNSUPERVISOR SPECIAL AREA

J.BUREROS, RNFL 1A HEAD NURSE

I.ROMANO, RNFL 2A HEAD NURSE

J. JAPITANA, RNFL 3 HEAD NURSE

E. CUNADA, RNOB-NICU RN

AMBULANCE NURSE

A.FESALBONI, RNER HEAD NURSE

RJ MORDENO, RNICU HEAD NURSE

M. MADERAN, RNFL 2B HEAD NURSE

T. BERNIDO, RNOR HEAD NURSE

U. PINO, RNENDOSCOPY NURSE

C. MONTILLA, RNHEMODIALYSIS NURSE

HEART STATION

SUSAN QUIMODADMINISTRATIVE OFFICER

LYRA M. GO, CPA, RNCHIEF ACCOUNTANT

J. OBACASHIER

M. PATRIARADIOLOGY IN CHARGE

B. AMANTILLOHMO COORDINATOR

J. MANGUBATHST IN CHARGE

MRS. V.DEMAINCSR HEAD

H.FALCONLABORATORY CHIEF

A.MACAHILIGENG’G/MAINTENANCE

A.SALIGANULTRA IN CHARGE

M. TRAZARESMED.RECORD

HEAD

J. ALBANOADMITTING

SECTION

R. BADUYACT SCAN IN CHARGE

ANCILLARY SERVICES

N. PASOKDIETARY WARD

N. BURIASLAUNDRY/LINEN

M. NABONGSECURITY

M. ARBIS, RMHOUSEKEEPING

AMBULANCE

DR.C.BAUTISTACHIEF OF CLINICS

DR.C.OCLARITANESTHESIOLOGY/

OR NURSE

DR.P.NEBRADANICU HEAD

DR.V.ATUPANSURG.PATHOLOGY

HEAD

DR.P. LIMCAUCOCLINICAL

PATHOLOGY HEADDR.J. DERAMPATENRADIOLOGY/ULTRA HEAD

DR.R VILLANUEVAREHAB.HEAD

DR.L VENTURARADIOLOGY HEAD

DR. R. SYHEMODIALYSIS HEAD

DR. E. GAMBEENDOSCOPY HEAD

DR. D. DAYANICU HEAD

DR. C. ITAOOB/DR HEAD

DR.LOZANOENT HEAD

DR. E. TANOPTHALMOLOGY HEAD

DR. M. AMANTEORTHOPEDIC HEAD

DR. E. PARINASER HEAD

DR. R. PONCEDIABETOLOGY

DR. J. DACUDAONEUROSURGERY

ORGANIZATIONAL STRUCTURE OF BUTUAN DOCTORS’

HOSPITAL-NSO CCI & STUDENT NURSES

PRESIDENT BDH DIRECTORDr. Claudio Estacio

ADMINISTRATORDr. Juan Delfin Garcia ASSISTANT DEAN

Carmenchu B. Vicente, RN, MN

DEAN OF NURSINGPurita R. Escobar, RN, MAN, DM

LEVEL IV COORDINATORAriel R. Sinco, RN

CLINICAL INSTRUCTOR

STUDENT HEAD NURSE

NURSING STUDENT

CHIEF NURSEMarianita Gorme,RN

ASSISTANT CHIEF NURSE

NURSE SUPERVISOR

STAFF NURSE

PATIENT

HISTORY OF BUTUAN DOCTORS’ HOSPITAL

Fifty years ago the late Manuel O. Estacio, M.D., establishes a humble five-bed, family clinic in front of Butuan’s public square. Professional competence, right partnership, and his shared youthful passion to succeed were the main ingredients of the clinic’s reliable service. Complementing his effort as lone resident physician and administrator of the clinic would come from a nursing attendant, a utility worker and most importantly, for his wife, Victoria, the nurse.

The young doctor aptly names its pioneering medical facility “Emmanuel Hospital” after the name of the Son Of God- the child being sent by the Heavenly Father to fulfill a mission of saving humanity. So, it came to pass the Angels reveal of the Child Emmanuel’s coming to bring forth “Peace on Earth and Goodwill to All”. The same Christian mission would be carried out by the hospital as it responds to the challenges of public health care and to the increasing demand for more medical-related services.

VICTORIOUS EMMANUEL AND BUTUAN’S WHIRLWIND 50’S:

Emmanuel Hospital cares to grow with the new city. And the visionary doctor takes a spot in the city’s history by starting four years earlier. In 1952, Butuan becomes a charter city and the capital of the undivided Agusan Province. The logging industry was already in place. Butuan covets the proud name “Timber City of the South”.

Butuan progress was rather frenzy and many of its local partaker has to succumb to an overwhelming lot of unfamiliar, perhaps, alienating ideas and experiences brought by such increasing contact with the equality-confused Japanese, Russian, American and European nationals who came in large vessels at the Port of Masao. There’s a rush of people having diverse interest and a whirlwind of new social maladies as the logging industry gobbles up the forest areas. Gastro-intestinal disease and those from the forest, most notably, malaria and certain allergies became widespread. Public health in Butuan needed attention. Meantime, Emmanuel Hospital earns public respect and succeeds to better equip its two-story building.

HISTORY OF BUTUAN DOCTORS’ COLLEGE

The history of Butuan Doctors’ College started in 1968 when Dr. Manuel Estacio conscious of the increasing health needs of the community felt the call of expanding his old hospital, then the Emmanuel Hospitals. Together with nine other doctors, he formed Butuan Doctors’ Hospital, Inc. and constructed a 100 bed capacity situated in an 8,000 square meter lot and was inaugurated in October 1969. Moved by the desire to contribute to the improvement of nursing education in the Philippines, Butuan Doctors’ Hospital Board of Directors opened the Butuan Doctors’ Hospital School of Nursing in Northern Mindanao.

June 26, 1971 - inauguration of the School offering a program in General Nursing with Paz de Leon as first Principal.January 1974 - Mrs. Purita R. Escobar took over as principal.

1976 - Transition from GN program to Bachelor Science in Nursing (BSN) - Two year Medical secretarial Course offered.

1977 - One-year Health Aide and Medical Secretarial. 1978 - Recognition of Health Aide; and Medical Secretarial. 1979

1980 - Opening of Bachelor of Arts and B.S. in Nutrition and Dietetics.1981 - Opening of Bachelor of Science in Biology.1982 - Opening of Two-Year Midwifery Course.1983 - Recognition of Graduate in Midwifery.1984 - Recognition of Bachelor of Arts.1985 - Recognition of Bachelor of Science in Biology.

June 1987 - Installation of Dr. Victoria B. Estacio as President.1993 - Opening of Bachelor of Science in Medical Technology and Associate in

Radiologic Technology1995 - Recognition of Associate in Radiologic Technology.

- Opening of Bachelor of Science in Physical Therapy. 1997 - Recognition of Bachelor of Science in Medical Technology. - Opening of Bachelor of Science in Radiologic Technology. - Offering of Master in Nursing in Consortium with Cebu State College

FACILITIES AVAILABLE AND SERVICES OFFERED

In-patient 100 beds (Annex B) 2 4 Bay Emergency Room Ambulance Operating Room Tertiary Laboratory Radiology 500 MA Fixed X-Ray Unit (Hitachi) 250 MA Portable X-Ray GE Logic 500 Ultrasound Medison Ultrasound CT SCAN (GE) Laser Printer (KODAK) Automatic Developer (KODAK

2000/5000) Pharmacy-24 hours ICU-4 Bay NICU-Incubators CPAP Bili Lights 1 Radiant Warmer OR/DR Complex 2 Major O.R 1 Minor 2 DR Labor Room Recovery Room Blood Bank

INFRASTRUCTURE:A. POWER

450 KVA/150 KVA Transformer bank

Stand-by Generator: Caterpillar 350 KVA

B. COMMUNICATION 60 Line/trunk phone system Smart phone ( Cellular) Smart repeater system In-house E-mail system (widow

spaced)C. if LAN 9 13 stations

Computerized: Billing/ Cashier Procurement Inventory Account Management Financial Report PHIC/HMO Billing/Reports Charging/room allocation Admission/Records Clinical Report generation

D. WATER SOURCES Deep Well-not potable AWASS-not potable Water Purifier 9reverse osmosis

E. FIRE SAFETY DEVICES Sprinkler system Fire Alarm system Fire Hose unit (8 units) Dry Chemical Extinguisher (26)

ANNEX-AMEDICAL STAFF DIRECTORY:

MEDICINE CARDIOLOGY GASTROENTEROLOGY NEPHROLOGY DIABETOLOGY ONCOLOGY REHABILITATION MEDICINE

SURGERY GENERAL SURGERY ORTHOPEDICS

UROLOGY NEURO-SURGERY

PEDIATRICS OB-GYNE

PERINATOLOGY OB-GYNE ULTRASOUND

OPTHALMOLOGY

E.E.N.T.

ANESTHESIA

PATHOLOGY

CENTER FOR MEDICAL ARTS:

Out-patient Department Services:

Doctors’ Offices All major specialties and most

subspecialties (ANNEX-A) Specialty Clinics

Diabetes/Obesity Clinic Menopause Clinic Chemotherapy Unit Heart Station

2 –D Echo Stress Test Holter Monitoring ECG Video Endoscopy Center Gastroscopy Bronchoscopy ENT Video Endoscopy Hearing Care Center

Audiometry Tymphanometry Hearing Aids

Argon Eye Laser Special Chemistry Special Ultrasound

OB (3D/4D) Gynecology –Transvaginal

Ultrasound Direct Biopsies-Liver, Breast,

Thyroid ECC Industrial Clinic Proposed OWWA Clinic Rehabilitation Center E.R. Complex CT Scan Proposed MAMMOGRAPHY E.e Out-Patient Surgery Dialysis Center Pharmacy Dental Clinic

MODALITY OF CARE AND STAFFING PATTERN

Primary nursing care practiced as the hospital’s modality of care. The staff nurse is

responsible in every nursing and medical aspect of the patient, from admission up to the

time of discharge. In this manner, not only the knowledge and skills are being developed

and nurtured, but the right attitude as well as rendering optimum nursing care to the

patients will be enhanced. This ensures that tender loving care will be given to the patient.

Furthermore, efficiency and effectivity in the services offered will be fostered.

Another modality used is “Functional Nurse” wherein a nurse is given a specific and

greater control over worked activities, thus reducing the possibility of committing

unnecessary errors and blunders during their shift.

The method of staffing pattern used in this agency is modified cyclical wherein staff

nurses has an equal distribution of good and bad hours, and which may be assigned to any

staff member. Assignment of workdays and shifts for personnel is done according to a

predictable schedule of two rotations each month. A sufficient number of personnel are

maintained to ensure maximum efficiency, for work to improve and for the achievement of

its goals and objectives.

ORGANIZATIONAL STRUCTURE OF WARD PERSONNEL

JOJI J. JAPITANA, RNHead Nurse of Floor 3

THEA VICENTE, RNCharge Nurse

MARCELINA SIMBULAN, RNVital Sign Nurse

JO BALLARA, RNMedication Nurse

POLICIES, RULES & REGULATIONS

I. That the students should observe the following:

A. Type a uniform in the Ward and ER Female:

Checked uniform with white apron. Ladies wear caps and nameplates at all times while on duty. They should wear white stockings and clean white duty shoes. They should keep their hair neat clean and in place.

Male: Plain white buttoned polo and white pants, optional white undershirt. Gentlemen wear badges and nameplates at all times on duty. They should wear white socks and clean white shoes.

B. CHN UNIFORM Female:

White blouse and dark blue pants except maong Black shoes and black socks Nameplate

Male: White polo and dark blue pants except maong Black shoes and black socks Nameplate

C. OR/DR UNIFORM Male and Female

Dark blue scrub suit Bonnet and Mask White socks OR/DR slippers

D. SPECIAL AREAS (ICU, NICU, OPD, DIALYSIS, REHAB) TRAVELING-SUIT Male and female

Scrub suit (checkered) & white pants Clean white duty shoes & white socks Nameplate

E. Females are required to wear light makeup. No heavy perfumes for both Male and Female.

II. PARAPHERNALIA Ballpoint pen (red, blue, black) Pencil with eraser 6 inches ruler Bandage scissor with rubber

tourniquet Jot down notebook Oral and rectal thermometer

Medicine glass/plastic cap Medicine Tray Nail cutter Sphygmomanometer &

stethoscope Penlight Drug handbook or MIMS/PIMS

Umbrella-CHN only Complete CHN bag-CHN only

III. ATTENDANCE

Attendance will be checked at exactly 7:45-8:15 in the morning or during circle & 3:45-4:15 for the afternoon circle during the tour of duty assigned.

Student nurse is considered absent if he/she arrives 15 minutes after nurse’s endorsement. If he/she arrives within the endorsement, he/she considered late.

Student nurse should be in the clinical area 30 minutes before the time of duty. In case of absences, the student must secure an admission slip signed by the dean/

clinical instructor before he/she allowed going on duty the following day. Failure to secure an admission slip would mean another day of absence.

A student nurse who lives his/her post without proper endorsement, is considered absent and will be subjected to disciplinary action.

In case of personal necessitates, the student must ask permission from the Clinical instructor before leaving the post.

IV. REQUIREMENTS

Every student is required to submit 1 PATIENT PROFILE and 1-3 NURSING CARE PLAN of his/her patient everyday.

A written DRUG STUDY is to be submitted for those medication that were given during the shift aside form the oral drug study conducted before the actual administration of the medications.

Each student nurse is required to conduct a BEDSIDE CLINIC WARD CLASS AND HEALTH TEACHING with proper documentation and a CASE STUDY of the patient handled.

Quizzes area given to measure student nurse’s attitude in the ward. Evaluation exam is given at the last day of exposure as a means of evaluating a

student nurse’s knowledge to the area assigned. PATIENT ANALYTICAL REPORT: at the last week of exposure, student nurses

assigned will conduct a PAR presentation which is to be properly documented and submitted on the last day of exposure.

V. OTHERS Student nurses are requested and expected to render good quality care to their

assigned patients. Student nurses should address each other by Family names. Student nurses are not allowed to entertain visitors during duty days/hours except

for some urgent matters, which will be referred first to the Clinical instructor. Cellular phones should be turned off or placed in a silent mode during duty hours

and are not allowed to be used. Eating is strictly prohibited outside break hours. Student nurses are not allowed to go to mall or anywhere outside school premises

wearing Type A Uniform. Holding hands and sitting on the patient’s bed/hallway are strictly prohibited while

on duty. Student nurses should observe Professional conduct in the assigned area. Wearing Nursing cap/apron outside the hospital premises/canteen are prohibited.

VI. EXTENSION OF DUTY

A. Uniform Violation/penalty: Colored hairnet/pins (female)

4 hrs. Dirty shoes/stockings

4 hrs. Heavy make-up or without make up

4 hrs. Male w/ mustache/beard

4 hrs. Male wearing colored undershirt

4 hrs. Student without handkerchief

4 hrs. Male with long hair

4 hrs. Wearing of jewelries

4 hrs. Without nameplate, badges

4 hrs. Wearing maong pants (CHN)

4 hrs. Uncut fingernails/ with polish

4 hrs. Untidy Nursing cap

4 hrs. B. Paraphernalia Lacking 1 paraphernalia

2 hrs. C. Attendance Absent during Orientation

3 days With medical Certificate

1 day Late for first call

4 hrs. Late for second call

1 day In ward, late within 15 to 30 minutes

4 hrs. Late after the endorsement

absent Absent for 4 days or 50% of the

attendance To the whole rotation

fail

B. Clinical behavior Leaving the area with Clinical

instructor permission but failure to come back after 15

minutes 1 day

Caught rooming around the hospital 1 day

Using cell phone during duty hours 1 day

Entertaining visitors during duty hours 3 hrs.

Talking/laughing/shouting during duty hours 4 hrs.

Eating during duty hours 4 hrs.

Students who leave the post without proper endorsement 1 day

Wearing of cap to the canteen/outside premises 1 day

Wearing white rubber shoes 1 day

E. Attitude Impolite

1-3 days Dishonesty

1-3 days Insubordinate

1-3 days Student caught smoking during duty

hours or school hour And within the hospital/school

1-3 days Female student found pregnant

without the benefit of marriage or Male responsible for the

pregnancy will be subjected to disciplinary action

Any student found to be addicted to drugs shall be subjected to suspension or expulsion

DEPARTMENTAL PURPOSES AND OBJECTIVESDepartment of Nursing

The Department of Nursing believes that an educational program based on the

principles of the physiological biological and social sciences and using practical problem

solving will best stimulate creative thinking, self-direction and respect for all people.

To this end, the Department of Nursing strives:

To provide opportunities for the student to develop understanding and ability in

recognizing patient’s needs physical, emotional, social and spiritual in providing

intelligent nursing care.

To provide opportunities for the student to develop proficiency in communication

for effective interpersonal relations as a professional nurse and an active

contributing citizen of the community.

To develop in the; student attitude of inquiry to understand scientific and social

changes of contemporary times and their application to curative, preventive, and

teaching functions of a nurse.

To provide opportunities for the student to develop her individual potentials and

competence to function as active member of the profession and of the community.

To provide opportunity to develop ability to participate in research activities for the

improvement of nursing care.

To develop awareness to the contribution of Community Health Agencies and other

members of the health team for the total welfare of the community.

THE NURSING SERVICE

PHILOSOPHY:

The Butuan Doctors’ Hospital Nursing Service believes that the highest possible equality of patient care can be attained by meeting all aspects of patient’s needs and providing continuous professional growth of its personnel, thru research and in-service training.

OBJECTIVES:

To give the highest possible quality of nursing care in terms of total patient needs. This involves spiritual, psychological, social, physical, rehabilitation and educational needs of the patient.

To assist the physician in the medical care of the patient and to carry out such therapy as it is prescribed.

To promote continuous in-service program training to all personnel. To promote and encourage nursing studies and research in order that quality of

performance maybe improve and maximum utilization of personnel efficiency obtained.

To coordinate with school of nursing and to provide adequate facilities and learning experiences for the students in the hospital.

HEAD NURSE:

The key person who administers and supervises the nursing service of the ward.

RESPONSIBILITIES:

The patients care management The units management

DUTIES:

Administrative: Endorses and receives endorsement to and from incoming proceeding shifts paying

particular attention to:

Patient census All new and serious patient Special treatment to be done during the early part of the shift or to be carried over

the three shifts. Unusual occurrence Plans and directs the nursing service activities in the units. Coordinates the activities and cooperate with department or agency for the welfare

of the patient. Interprets policies, and regulation of the hospital to staff and patient, gamily and

community and execute them. Makes written assignments to each personnel in ward.

Coordinates and supervises the performance of the professional and non-professional personnel.

Identify nursing service problems and needing study and participates in their solution.

Make requisition and see to it that supplies and equipments are used economically and carefully.

Evaluate the services rendered continuously and plans for its improvements. Provided and maintains comfortable, orderly, clean and safe environments. Accomplish accurate and informative, legible ward records.

I. Patients’ chartII. Medicines, injection, diet, and treatment listsIII. Nurses report bookIV. Ward briefsV. Directory patients personnelVI. 24-hours report (11-7 shift)VII. Monthly inventoriesVIII. Efficiency recordIX. Etc.

Keeps a complete file of ward policies administration and equipment. Assigns other duties to her personnel when necessary.

NURSING:

Makes rounds for personnel observation of patients. Accompanies the doctor in his rounds. Sees to the execution of doctor’s order. Gives medicines, injections, and treatment when called for. Renders emergency nursing as needed and give personal attention to certain

situation when necessary. Teaches patients good nursing as needed and gives personal attention to certain

situation when necessary.

STAFF NURSE:

The nurse who gives and direct nursing care to patients.

RESPONSIBILITIES:1. Rendering bedside nursing care effectively.2. Meeting patient nursing needs.

DUTIES:

Renders total nursing care Physical Gives daily personal hygiene Uses safety device Assist in maintaining a clean, safe and healthful environment Administers medicine, injections, and treatments Identifies nursing needs and problems and tries to meet them. Mental

Gains confidence of patients and watcher. Recognizes problems and utilizes other agencies for their solution. Promotes good patient-nurse relationship.

Assist in the therapeutic management of the disease Takes and records TPR. Assist during physical examination and other diagnosis procedures. Prepares and assist patients for treatment. Observe, report, and records any changes in patients condition.

A. ADMINISTRATIVE: Endorses and receives responsibilities from incoming and outgoing shifts. Assist in the general nursing activities in the units. Acts in the capacity of the head nurse as designated. Participates in the inter and intra-department activities. Accomplish accurate information and legible records in the ward, e.g. patients

charts, etc.

B. EDUCATIONAL:

Orient newly admitted patient with regards to: Physical set-up Ward routines Hospital personnel Co-patients Rules and regulations Articles needed for use

Assist in incidental teaching and evaluation of non-professional personnel Contribute to the educational program of student nurse Utilized opportunities for personnel meeting and conferences

CHRONOLOGICAL ORDER OF THE CHART

Discharge form

Clearance

Consent to care

Patient’s Clinical Record

Admission Form

Doctor’s Progress Notes

Doctor’s Order

Nurse’s Notes

Medication Sheet

Vital sign’s Sheet

Vital sign’s Record Form

IVF Sheet

All the Laboratory Results

I & O Sheet

FLOW OF WORK(ADMISSION)

Record Finding Vital Signs taking and weighing of patient Interview of patient and filling up clinical case record/personal data Examination by the resident physician on duty If orders are STAT, ER staff nurse carries the Doctor’s order and usher patient to

room of choice and or unit of admission

FLOOR 1 FLOOR 2-A FLOOR 3 ICU OR DR FLOOR 2-B

Continue in assessing the patient’s condition The nurse will carry out the Doctor’s order if not yet carried out by ER Staff nurse, if

for: X-ray ---------------------------------to x-ray room Laboratory examination ------------to laboratory Pharmacy

Giving of medications per Doctor’s order Vital Signs will be rechecked The attending Physician will examine the patient everyday Assess the patient with the use of your senses

ADMISSION

EMERGENCY ROOM

HOSPITAL INFORMATION

FLOW CHART OF DIRECT ADMISSION

FLOW OF WORK(DISCHARGE)

NOD receive a call fromAdmission Section

Prepare the desired Room of the patient

Received patient/wheelchair

Gather patient’s dataInspect patient’s chart

Take initial vital signs

Carry out Doctor’s Order:Start IVFStart new medicationTransmit lab request

NOD inform the A/PPatient’s roomLatest vital signsPresent complain of patientReferral of lab result

Remind A/P to complete form 3 during his/her rounds within 24 hours

Continuous patient care

Chart every after shift

WARD

“MAY GO HOME” AS ORDERED BY THE PHYSICIAN

DO THE CHARTING AND FILL OUT FORMS

LET THE INSTRUCTOR SIGN YOUR CHARTING AND THE STAFF NURSE

CENTRAL SUPPLY ROOM

PHARMACY

RETURN EXCESS MEDICATIONS OR GIVE THE REMAINING MEDICATIONS TO THE PATIENTAND INSTRUCT PROPERLY WHEN TO TAKE THE MEDICATIONS IF IT WILL BE HOME MEDICATIONS

X-RAY

LABORATORY ROOM PHYSICAL THERAPY

BILLING SECTION

CASHIER

CLEARANCE

WARD NOD SECURITY GUARD

PROVIDE DISCHARG

EHEALTH

TEACHINGS

DISCHARGE

MEDICATION TICKET OF BDH

TICKETS

SCHEDULE COLORS TIMING

OD/ONCE A DAY WHITE 6:00 AM

HS/HOURS OF SLEEP WHITE 9:00 PM

q 6 / every 6 hrs. WHITE 6-12-6-12

BID / twice a day YELLOW 8 AM- 8 PM

q 12 / every 12 hrs. YELLOW 6 AM- 6 PM

TID / thrice a day PINK 6-12-6

QID / 4X a day GREEN 6-10-2-6

q 4 / every 4 hrs. GREEN 6-10-2-6

q 8 / every 8 hrs. BLUE 6-2-10

STAT / now/immediately RED NOW

PRN / as needed ORANGE AS NECESSARY

RTC / round the clock GREEN AS TIMED

AC / before meals PINK 5 AM- 11 AM- 5 PM

PC / after meals PINK 7 AM- 1 PM- 7 PM

MEDICAL CONSULTANT VISIBLEIN THE WARD

Dr. Claudio B. Estacio(RED)

Dr. Chita ItaoDr. Castulo Oclarit

(ORANGE)

Dr. Chyrrl Bautista

Dr. R. Gonzales(BLUE)

Dr. Psyche Netroda(YELLOW)

Dr. R. Munez(PINK)

Dr. E. Uriarte(GREEN)

Dr. Aala Dr. M. Aala Dr. Brodith Dr. E. Coleto Dr. JM. Dacudoa

Dr. D. Dayan Dr. M. Deresas Dr. Duenas Dr.A. Gambe Dr. Erik Gambe

Dr. Virginia Yu Dr. J. Yap Dr. E. Urag Dr. S. Sy Dr. Rafael Sy

Dr. AJ Robles Dr. A. Robles Dr. R. Ponce Dr. L. Ponce Dr. L. Parinas

Dr. D. Nakila Dr. Hangos Dr. Jugao Dr. R. Lagare Dr. MJ Layese

Dr. Lim- Yu ( W H I T E )

STUDENT HEAD NURSEFLOW OF COMMUNICATION

Dean of Nursing Department

Asst. Dean of Nursing Department

Clinical Coordinator

Clinical Instructor

BDH Director

Chief Nurse

Supervisor

Staff Nurse

Student Head Nurse

Student Nurse

Patient

NURSING DEPARTMENTBUTUAN CITY

GRADING SYSTEM IN CLINICAL DUTY

Name of Student: ______________________________________________________________Area of Assignment: ____________________Rotation: ______________Section: __________Inclusive Dates of Assignment: ___________________________________________________

I. PERFORMANCE (50%) FINAL GRADE Implementation of Nsg. care/Nsg. intervention

A. Independent Nursing Care (30%) _________ Initiative 5% Efficiency of care/mastery/usage of Nursing Process 10% Consumption of available resources 2.5% Knowledge of principles and rationale 5% Attitude towards health care team and clients 2.5% Outcomes of care 5%

B. Dependent Nursing Care (20%) _________

Knowledge and skills in pharmacology/ 5%Rights in giving meds.

Efficiency in carrying out doctors’ order 5% Knowledge and skills of disease process 5% Ability to coordinate with the health care team 5%

II. REQUIRED WARD ACTIVITIES (10%) _________ A. Ward Class (5%)

Performance 2.5% Delivery/Content 2.5%

B. Bedside Clinic (5%) Performance 2.5% Delivery/ Content 2.5%

III. WRITTEN REQUIREMENTS (15%) _________ A. Patient’s Profile (5%)

Completeness and promptness 2.5% Content 2.5%

B. NCP (5%) Completeness and promptness 2.5% Content 2.5%

C. Drug Study (5%) Completeness and promptness 2.5% Content 2.5%

IV. ATTITUDE (10%) ________ Punctuality 5% Respect and courtesy to CI and the staff 5%

GENERAL OBJECTIVES

That the student will be able to implement and develop knowledge, skills, and

attitude appropriate for achieving effective nursing care towards the patient in the hospital

setting by using the four steps in the nursing process namely: Assessing, Planning,

Implementing and Evaluating in the delivery of care.

SPECIFIC OBJECTIVES

That the student nurse will be able to develop skills, knowledge, and attitude in

relation to nursing care and render it to the patient.

To be able to know the feeding of how it is to be like in the actual hospital setting

Personnel, Clinical Instructor, Nursing staff without prejudice and to gain respect in

the process.

To be able to accomplish activities being planned and carry out the responsibilities

as a student nurse.

To be able to develop critical thinking and sound judgment in the care and

management of the patient.

Length of Duty

February 18 – 27, 2008Inclusive Date of Duty

Floor 1Area of Assignment

12MN – 8AMShift

Under Students:

Manelyn PaconJosephine Racoma

Delilah Reyes

Mrs. Nerissa C. Solis, RN, MNClinical Instructor

Daily Plan of Activities

Date Time Activities

February 19, 2008

7:45 – 8:00AmChecking of AttendanceChecking of UniformsCollecting of assignments

8:00 – 8:15Am Pre-test

8:15 – 8:30Am Checking of papers8:30 – 10:30Am Checking and discussion of assignments with

rationalization10:30 – 11:30Am Class discussion and interaction

Giving of data for the afternoon activities12:00NN Lunch Break

1:00 – 1:15Pm Checking of attendance

1:15 – 2:00PmLibrary workCollection of ActivitiesActivity discussion and rationalization

2:00 – 2:30PmGiving of Post-test related to activity discussed.Checking of papers

2:30 – 3:00Pm Giving of assignmentsPlanning of activities for tomorrow

3:00Pm Dismissal

February 20, 2008


8:00 – 8:15Am Pre-test

8:15 – 8:30Am Checking of papers8:30 – 10:30Am Checking and discussion of assignments with

rationalization

10:30 – 11:30AmBed side clinic Individual Reporting and Interaction Class discussion and rationalization

12:00NN Lunch Break1:00 – 1:15Pm Checking of attendance1:15 – 2:00Pm Giving of activity and research work2:00 – 2:30Pm Collecting of activity and discussion2:30 – 3:00Pm Post-test related to morning activity

Giving of assignments and planning of activities for tomorrow

3:00Pm Dismissal

February 21, 2008


8:00 – 8:15Am Collection of assignments regarding Dorothea Orem’s Theories

8:15 – 10:30Am Group reporting on the different theoriesDiscussion with the topics reported

10:30 – 11:30Am Giving of pre-test regarding the Report12:00NN Lunch Break

1:00 – 1:15Pm Checking of attendance1:15 – 2:30Pm Library work

Group Interaction2:30 – 3:00Pm Giving of Post-test

3:00Pm Dismissal

February 26, 2008

7:45 – 8:00Am Checking of AttendanceChecking of Uniforms

8:00 – 9:00Am Meeting with the Clinical Instructor for instructions and checking of activities

9:00 – 11:130Am Library work12:00NN Dismissed

February 27, 2008

8:00AmChecking of AttendanceChecking of UniformsCollecting of assignments

8:00Am – 12:00NN Attended the Methodology at the Old AVR1:00 – 1:15Pm Checking of attendance

1:15 – 3:00Pm

Ward ClassDiscussion and Interaction regarding ward classGiving of Post-test regarding on the ward class

3:00Pm Dismissed

Daily Students Progress Report

Date Students Descriptions

February 19, 2008 Manelyn Pacon She arrived early with complete

uniform and assignments. During the discussion she participated and interacted well, she was silent in class. She was able to submit her activities on time, follow instructions and get good scores on quizzes.

Josephine Racoma She arrived early in the area with

complete uniform and assignments. She participated well during the discussion, was able to share her ideas on the class, she is active and always ask questions but she’s good in class getting good scores on their quizzes.

Delilah Reyes She arrived on the area early with

complete uniform and assignments. She’s good in class, silent sometimes but talks when she wants to share something. She behave well and listen attentively. She got high scores on their quizzes. But that day she always ask permission to go to the bathroom.

February 20, 2008 Manelyn Pacon She arrived early on the area with

complete uniform and assignments. She got good scores on their pre-test. She had a complete and correct assignments on the Activities of Daily living. During discussion she participated well and able to share her Ideas on class.

She had her Bedside Clinic that day and was able to discuss it to us. It was good she was able to give data’s and information but there were information’s not mentioned particular at the present condition of her patient but it was corrected after.

She corrected her activity on the different classification of drugs and submitted in on the afternoon. She behaves well in class, comes on time and listen attentively.

Josephine Racoma She arrived early at the area with

complete uniform and assignments. She did well on her pre-test that morning. She submitted her assignment on ADL in was complete and correct.

She had her bedside clinic that morning, she was able to discuss and share it to us, it was nice the data and information are good but was lacking of some information’s particularly bout their patients and so it was corrected after.

At the afternoon she submitted her revised activity on the different drugs it was now complete. She was good in class and as usual very active and ask questions and sometimes contradicts but accepted cause she has her point.

Delilah Reyes She comes almost late on the area

with complete uniform and assignments. She did best on the pre-test for she got a high score that morning. She submitted her assignment on the ADL in was correct and complete.

She had her Bedside clinic that morning and like with the other groups it was good but as usual some information’s was not mentioned such as the present condition of their patient and initial Vital Signs and so it was corrected after the report.

She submitted her activity on the different drugs on the afternoon it was correct but she was not able to attend the post-quiz because she went to the Comfort Room and did not return after.

She was good that day only that she was not able to attend post-test and she almost comes late. She was good in the class and listen attentively.


complete uniform and assignments. She submitted her assignments on Orem’s theory it was complete and correct.

That morning she reported it to us, during the report she presented a visual aid it was nice but only reads the report. She was corrected after. She did good in their quizzes pre and post. She behave well in class and listen attentively.

Josephine Racoma She arrived on the area on time with

complete uniform and assignments. She submitted her assignment on Orem’s Theory in was correct and complete.

She also reported on the class and had her visual aids. She discussed it well but mostly just read the report just like the others. She did good on their quizzes that day. She behaves well on the class and listen attentively.

Delilah Reyes She arrived early on the area with

complete uniform and attendance. She submitted her assignment on

Orem’s theory it was correct and complete. That morning she reported also on Orem’s Nursing Theory together with her group of Pacon and Racoma. She discussed her part well and was able to explain and give some examples to us.

She behaved well and listen attentively in the class. She did good on her pre and post quizzes that by by getting good and high scores.


complete uniform. She submitted her assignments and

activities to our Clinical Instructor for checking.

On the morning she did research and preparation for their ward class activity the next day and do some library works with supervision.

She was present the whole morning and finishes her library work and research.

Josephine Racoma She arrived early on the area with

complete uniform. Submitted her assignments and

activities to our clinical instructor for checking, it was complete.

That morning she also did some research and preparation for their ward class activity on the next day, she did some library works and finishes it.


complete uniform. She submitted her assignments to

our clinical instructor for checking. She have some research that

morning in the library for their ward class the next day. She finishes it there with supervison.


complete uniform. She attended the methodology at

the old AVR on the entire morning and was able to participate on the activities done.

Josephine Racoma She arrived early on the area with






ORGANIZATIONAL STRUCTURE OFBUTUAN DOCTORS’ COLLEGE

NURSING DEPARTMENT

Clinical Instructors:

Josehpine Aromin, RNMarivick M. Piencenaves, RNOscar Dorano, RNElaine Lauria, RNJeffrey Apat, RN Clinical Instructors:

Jennifer Arana, RNMeraluna C. Cacho, RNNerissa C. Solis, RNMichael C. Luarez, RNMargarita A. Sanglay, RNRey Pacanza, RNJerome Bajao, RNRosie Silaga, RNAlester Padillo, RNClares Leona C. Plaza, RNIone A. Lacorte, RNJesus Picardal, RNRyan Lister Flores, RNEden Paulette A. Consad, RNCristie C. Vapor, RN

Paulynne May E. Racho, RNLeslie Vee Wagas, RN

Clinical Instructors:

Marivick M. Suguitan, RNMa. Lourdes Tayag, RNLeila Gutierrez, RNPrecilla Monton, RNMary Jane Gallao, RNAnne Luarez, RNJuliet Callet, RNEvangeline Cabilao, RN

PURITA R. ESCOBAR, RN, MAN, DMDean

CARMENCHU B. VICENTE, RN, MNAssistant Dean

RIZZA E. BESA, RNLevel II Coordinator

ESTRELLA P.ROM, RNLevel III Coordinator

ARIEL R. SINCO, RNLevel IV Coordinator

Mercedez Abigail Dumanayos, RNLeoneth Marie Lim, RNShiela V. Fumar, RNEdward C. Benolerao, RNMelvin Mendoza, RNJennifer Mae P. Estella, RN Jemelyn Coletp, RN

Organizational Structure

Orientation Guide

SHN Requirements

Student Nurse Requirements

Organizational Structure of Ward Personnel(Floor 1)

Marianita Gorme, RNChief Nurse

Teresita C. Maguikay, RNSupervisor (ward/Pedia)

Jocelyn Buceros, RNHead Nurse

Samoria, J Agang, Arlyndee Maquiling,

Jade

Jamero, Grace Tan, Pamela Mabelo,

Isabelita

Fajardo, April Heramiz, Rachelle

VolunteerBala-an, Angelbabe,

Belawin, R. Plaza, Clares

Organizational Chart of the Nursing Service

Medical Nurse

Chief Nurse

Midwives

Head Nurse

Supervising Nurse

Staff Nurse

Institutional

Ward Description

Floor 1 is located on the 1st floor of Butuan Doctors’ Hospital. Its is beside the canteen and

CSR. It consists of three areas: The female Ward, the Male Ward and the Pedia Ward. As

you enter this area, you can see directly the Nurse Station wherein you can find all the

details of their clients being confined there. Pedia Ward is located beside the Nurse Station

and is in front of it is the Male Ward for male patients and Female Ward for female

patients. Between the male and female ward is the rest room that is also separated

according to sexes. It has 28 beds including in the Pedia Ward wherein you can find

children and infants being confined there. The station is supervised bya ward supervisor

who is checking on them overtime, nest is the head nurse who checks the works of the

staff nurses and then the volunteers who helped the staff nurses in the clinical area.

My SHN Compilation - Final

Documents

Transcript of My SHN Compilation - Final