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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33
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
Katherine L. Laud, SN
(Team Leader)
11:30 AM-12:00 NN
Allan Ross L. Cabarlo, SN
(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
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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
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August 1, 2011
STUDENT NURSETime In Time Out
Time
Signature
Time
Signature
Katherine L. Laud, SN
Allan Ross L. Cabarlo, SN
Ludivie Grace Q. Dagmil,
SN
Joanna Michelle Lafuente,
SN
August 2, 2011
STUDENT NURSETime In Time Out
Time
Signature
Time
Signature
Katherine L. Laud, SN
Allan Ross L. Cabarlo, SN
Ludivie Grace Q. Dagmil,
SN
Joanna Michelle Lafuente,
SN
August 3, 2011
STUDENT NURSETime In Time Out
Time
Signature
Time
Signature
Katherine L. Laud, SN
Allan Ross L. Cabarlo, SN
Ludivie Grace Q. Dagmil,
SN
Joanna Michelle Lafuente,
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
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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) ------- ------- -------
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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
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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
Allan Ross L. Cabarlo, SN
(Charge Nurse)
Physical AssessmentBook
Medical-Surgical NursingBook
Ludivie Grace Q. Dagmil,
SN
(Medication Nurse)
Drug Handbook,Pharmacology
Joanna Michelle
Lafuente, SN
(Bedside Nurse)
Fundamentals in NursingVol 1
Summary of Extension Duties
August 1-3, 2011