My Shn Compilation - Final

BUTUAN DOCTORS’ COLLEGE J.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’ College Nursing Department

Submitted by:

Rickson P. Rambuyon Student Head Nurse BSN IV-A

Submitted to:

MRS. Nerissa C. Solis, RN, MN Clinical Instructor BDH Floor 1

Approved by:

MR. ARIEL R. SINCO, RN, MN Level IV Coordinator

TABLE OF CONTENTS INTRODUCTION ACKNOWLEDGEMENT DEDICATION NURSES’ PRAYER NIGHTINGALES PLEDGE BDCHYMN MISSION AND VISION OF BDC ORGANIZATIONAL STRUCTURE OF BDC NURSING DEPARTMENT FLOW OF COMMUNICATION BETWEEN SCHOOL AND HOSPITAL MISSION AND VISION OF BDH ORGANIZATIONAL STRUCTURE OF BDH ORGANIZATIONAL STRUCTURE OF BDH-NCSO CCI & STUDENT NURSES BUTUAN DOCTORS’ HOSPITAL PROFILE Br ie f His to ry o f BDH BDH Pe rsonne l Med ica l Consu l tan t Fac i l i t i e s ava i l ab le , Bed capac i ty , e tc . Med ica l Sta f f Di rec to ry Spec ia l Fea tu res and Equ ipments Serv i ces Of fe red MODALITIES OF CARE AND STAFFING PATTERN ORIENTATION GUIDE TO THE WARD ASSIGNMENT Organ i za t i ona l St ruc tu re o f Ward Pe rsonne l Organ i za t i ona l St ruc tu re o f the Nurs ing Serv i ce V ic in i t y - Loca to r Map Ward desc r i p t i on Med ica l Consu l tan ts v i s ib l e i n the ward and the i r co lo r code Med ica t i on T i cke t F low Char t o f Admiss i on , Discharge Chrono log i ca l Order o f the Char t SHN REQUIREMENTS Genera l & Spec i f i c Ob jec t i ves o f SHN Po l i c i e s , Ru les and Regu la t i on o f Students SHN Da i l y P lan Ac t i v i t i e s Da i l y Student Prog ress Repor t

UNDERSTUDENTS REQUIREMENTS Beds ide C l in i c Ac t i v i t y Ward C lass Ac t i v i t y Ass ignments STUDENT NURSE EVALUATION Grades 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.

Night ingale ’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’ COLLEGE Es tac io V i l l age , Butuan C i ty

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- Benef icence A compassionate and sincere acts to do good for others.

D- Dynamism Sustaining desire to excel and be competitive.

C- Commitment A pledge of loya l ty to the inst i tut ion and dedicat ion to the profess ion.

FLOW OF COMMUNICATION BETWEEN SCHOOL & HOSPITAL

HOSPITAL

Dean of Nursing

Assistant Hospital Administrator

Assistant Dean of Nursing

Chief Nurse

Level IV Coordinator

Nurse Supervisor

RLE Coordinator

Head Nurse Senior Nurse

Clinical Instructor Staff Nurse Student Head Nurse Volunteer Nurse

Student Nurse

Nursing Aid

Midwives

PATIENT

VISION AND MISSION OF BUTAUN DOCTORS HOSPITAL

VISION: Butuan Doc to rs ’

Hosp i ta l

asp i res

to

become a haven o f

hea l th

and

we l lness o f every member o f the commun i ty i t se rves and a cente r o f medica l exce l l ence f o r hea l th pro fess i ona l who be l i eve tha t hea l th i s a bas i c human

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 OF BUTUAN DOCTORS’ HOSPITAL DR. CLAUDIO B. ESTACIO HOSPITAL DIRECTOR DR. JUAN DELFIN GARCIA HOSPITAL ADMINISTRATOR

DR. GENEROSO DE JESUS MEDICAL DIRECTOR

NURSING SERVICE DEPARTMENT MARIANITA GORME, RN CHIEF NURSE TERESITA MAGUIKAY, RN SUPERVISOR (WARD/PEDIA) MA.VICTORIA B. CAMBRAY, RN SUPERVISOR SPECIAL AREA J.BUREROS, RN FL 1A HEAD NURSE

A.FESALBONI, RN ER HEAD NURSE

ADMINISTRATIVE DEPARTMENT SUSAN QUIMOD ADMINISTRATIVE OFFICER

LYRA M. GO, CPA, RN CHIEF ACCOUNTANT J. OBA CASHIER

I.ROMANO, RN FL 2A HEAD NURSE

M. MADERAN, RN FL 2B HEAD NURSE

RJ MORDENO, RN ICU HEAD NURSE

M. PATRIA

J. MANGUBAT HST IN CHARGE

T. BERNIDO, RN OR HEAD NURSE

HMO COORDINATOR

MRS. V.DEMAIN CSR HEAD

H.FALCON LABORATORY CHIEF

A.SALIGAN ULTRA IN CHARGE

A.MACAHILIG ENG’G/MAINTENANCE

J. JAPITANA, RN FL 3 HEAD NURSE E. CUNADA, RN OB-NICU RN

U. PINO, RN ENDOSCOPY NURSE

M. TRAZARES

J. ALBANO ADMITTING SECTION

MED.RECORD HEAD

C. MONTILLA, RN HEMODIALYSIS NURSE

R. BADUYA CT SCAN IN CHARGE

ANCILLARY SERVICES AMBULANCE NURSE

HEART STATION

N. BURIAS LAUNDRY/LINEN

DR.C.BAUTISTA CHIEF OF CLINICS DR.C.OCLARIT ANESTHESIOLOGY/ OR NURSE DR.P.NEBRADA NICU HEAD

RADIOLOGY IN CHARGE

B. AMANTILLO

MEDICAL DEPARTMENT

DR.V.ATUPAN SURG.PATHOLOGY HEAD DR.P. LIMCAUCO CLINICAL PATHOLOGY HEAD DR.J. DERAMPATEN RADIOLOGY/ULTRA HEAD

DR.R VILLANUEVA REHAB.HEAD DR.L VENTURA RADIOLOGY HEAD DR. R. SY HEMODIALYSIS HEAD

DR. E. GAMBE ENDOSCOPY HEAD DR. D. DAYAN ICU HEAD DR. C. ITAO OB/DR HEAD

N. PASOK DIETARY WARD

DR.LOZANO ENT HEAD DR. E. TAN

M. ARBIS, RM HOUSEKEEPING

M. NABONG SECURITY

OPTHALMOLOGY HEAD

DR. M. AMANTE ORTHOPEDIC HEAD DR. E. PARINAS ER HEAD

AMBULANCE

DR. R. PONCE DIABETOLOGY DR. J. DACUDAO NEUROSURGERY

ORGANIZATIONAL STRUCTURE OF BUTUAN DOCTORS’

HOSPITAL-NSO CCI & STUDENT NURSES

BDH DIRECTOR Dr. Claudio Estacio

PRESIDENT

ADMINISTRATOR Dr. Juan Delfin Garcia

ASSISTANT DEAN Carmenchu B. Vicente, RN, MN

DEAN OF NURSING Purita R. Escobar, RN, MAN, DM

CHIEF NURSE Marianita Gorme,RN

LEVEL IV COORDINATOR Ariel R. Sinco, RN

ASSISTANT CHIEF NURSE

NURSE SUPERVISOR

CLINICAL INSTRUCTOR

STAFF NURSE STUDENT HEAD NURSE

NURSING STUDENT

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:

Emmanue l Hosp i ta l ca res to grow wi th the new c i t y. And the v i s i onary doc to r takes a spo t i n the c i t y ’ s h i s to ry by s ta r t i ng f ou r years ear l i e r . I n 1952 , becomes a char te r c i ty and the cap i ta l o f the und iv ided Agusan Prov ince . The l ogg ing i ndus t ry was a l ready i n p lace . Butuan cove ts the proud name “T imber C i ty o f the South” . Butuan progress was ra the r f renzy and many o f i t s l oca l par take r has to succumb to an overwhe lming l o t o f un fami l i a r , perhaps , a l i ena t i ng i deas and exper iences brought by such i nc reas ing contac t wi th the equa l i t y - con fused J apanese , Russ ian , Amer i can and European nat i ona l s who came i n l a rge vesse l s at the Por t o f Masao . The re ’ s a rush o f peop le hav ing d ive rse i n te res t and whi r lw ind o f new soc ia l malad ies as the l ogg ing i ndus t ry gobb les up the f o re areas . Gast ro - i n tes t i na l d i sease and those f rom the f o res t , most notab ly mala r i a and ce r ta in a l l e rg ies became widesp read . Pub l i c hea l th i n Butuan needed at ten t i on . Meant ime , Emmanue l Hosp i ta l earns pub l i c respec t and succeeds to bet te r equ ip i t s two - s to ry bu i l d ing .

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 Technology 1995 - 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

FACIL IT IES AVAILABLE AND SERVICES OFFERED In - pat ient • • • • • • • • • • • • • • • • • • • • • • • • • •

INFRASTRUCTURE:

100 beds (Annex B) 2 4 Bay Emergency Room Ambu lance Opera t i ng Room Te r t i a ry Labora to ry Rad io logy 500 MA F i xed X-Ray Un i t (H i tach i ) 250 MA Por tab le X-Ray GE Log i c 500 Ul t rasound Med i son Ul t rasound CT SCAN (GE) Lase r Pr in te r (KODAK) Automat i c Deve lope r (KODAK 2000 /5000) Pharmacy - 24 hours I CU - 4 Bay NICU-I ncuba to rs CPAP B i l i L igh ts 1 Rad ian t Warmer OR/DR Complex 2 Majo r O.R 1 Minor 2 DR Labor Room Recovery Room B lood Bank

ANNEX-A MEDICAL STAFF DIRECTORY MEDICINE • CARDIOLOGY • GASTROENTEROLOGY • NEPHROLOGY • DIABETOLOGY • ONCOLOGY • REHAB IL I TAT ION MEDIC INE SURGERY

A. POWER • 450 KVA/150 KVA Trans fo rmer bank • Stand - by Genera to r : Cate rp i l l a r 350 KVA B. COMMUNICATION • 60 L ine / t runk phone sys tem • Smar t phone ( Ce l lu l a r ) • Smar t repea te r sys tem • I n - house E -mai l sys tem (w idow spaced) C. if LAN 9 13 stations • Compute r i zed : • B i l l i ng / Cash ie r • Procu rement • I nven to ry • Account Management • F inanc ia l Repor t • PH IC /HMO B i l l i ng /Repor t s • Charg ing / room a l l oca t i on • Admiss i on /Reco rds • C l in i ca l Repor t genera t i on D. WATER SOURCES • Deep Wel l - not potab le • AWASS-not potab le • Wate r Pur i f i e r 9reverse osmos i s E. FIRE SAFETY DEVICES • Spr ink le r sys tem • F i re A la rm sys tem • F i re Hose un i t (8 un i t s ) • Dry Chemica l Ext ingu i she r (26 )

: • GENERAL SURGERY • ORTHOPEDICS • UROLOGY • NEURO-SURGERY PEDIATRICS OB-GYNE • PER INATOLOGY • OB-GYNE ULTRASOUND

OPTHALMOLOGY E.E.N.T. ANESTHESIA PATHOLOGY

CENTER FOR MEDICAL ARTS: Out-patient Department Services: Doctors ’ Off ices • A l l majo r spec ia l t i e s and most subspec ia l t i e s (ANNEX-A) Specia l ty Cl in ics • Diabe tes /Obes i ty C l in i c • Menopause C l in i c • Chemothe rapy Un i t • Hear t Sta t i on • 2 –D Echo St ress Tes t • Ho l te r Mon i to r i ng • ECG • V ideo Endoscopy Cente r • Gast roscopy • Bronchoscopy • ENT V ideo Endoscopy • Hear ing Care Cente r Audiometry Tymphanometry Hear ing Aids • Argon Eye Lase r • Spec ia l Chemis t ry • Spec ia l Ul t rasound OB (3D/4D) Gynecology –Transvagina l Ultrasound Direct Biops ies -L ive r, Breast , Thyro id ECC Industr ia l Cl in ic Proposed OWWA Cl in ic Rehabi l i tat ion Center E.R. Complex CT Scan Proposed MAMMOGRAPHY E.e Out-Pat ient Surgery Dia lys is Center Pharmacy Denta l Cl in ic

MODALITY OF CARE AND STAFFING PATTERN

Pr imary nurs ing ca re prac t i ced as the hosp i ta l ’ s moda l i t y o f ca re . The s ta f f nurs respons ib le i n every nurs ing and med ica l aspec t o f the pat i en t , f rom admiss i on up to

t ime o f d i scha rge . I n th i s manner , not on ly the know ledge and sk i l l s are be ing deve lo and nur tu red , but the r i gh t at t i tude as we l l

as render ing opt imum nurs ing ca re to

pat i en ts wi l l be enhanced . Th i s ensures tha t tender l ov ing ca re wi l l be g iven to the pa Fu r the rmore , e f f i c i ency and e f fec t i v i t y i n the se rv i ces o f fe red wi l l be f os te red . 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, RN Head Nurse of Floor 3

THEA VICENTE, RN Charge Nurse

JO BALLARA, RN Medication Nurse

MARCELINA SIMBULAN, RN Vital Sign Nurse

POLICIES, RULES & REGULATIONS I. That the students should observe the following: A. Type a uniform in the Ward and ER Female: Checked un i fo rm wi th whi te apron . Lad ies wear caps and namep la tes at a l l t imes whi l e on dut y. They shou ld wear whi te s tock ings and c lean whi te duty shoes . They shou ld keep the i r ha i r neat c lean and i n p lace . Male: P la in whi te but toned po lo and whi te pants , opt i ona l whi te undersh i r t . Gent lemen wear badges and namep la tes at a l l t imes on dut y. They shou ld wear whi te socks and c lean whi te shoes . B. CHN UNIFORM Female: Whi te b louse and dark b lue pants except maong B lack shoes and b lack socks Namep la te Male: Whi te po lo and dark b lue pants except maong B lack shoes and b lack socks Namep la te C. OR/DR UNIFORM Male and Female Dark b lue sc rub su i t Bonnet and Mask Whi te socks OR/DR s l i ppe rs D. SPECIAL AREAS (ICU, NICU, OPD, DIALYSIS, REHAB) TRAVELING-SUIT Male and female Sc rub su i t ( checke red ) & whi te pants C lean whi te duty shoes & whi te socks Namep la te E. Females are required to wear light makeup. No heavy perfumes for both Male and Female .

II. PARAPHERNALIA Ba l l po in t pen ( red , b lue , b lack ) Penc i l wi th erase r 6 i nches ru le r Bandage sc i s so r wi th rubber tou rn ique t

J o t down notebook Ora l and rec ta l the rmomete r Med ic ine g lass /p las t i c cap Med ic ine Tray Na i l cu t te r

Sphygmomanomete r & s te thoscope Pen l i gh t

Drug handbook or MIMS/P IMS Umbre l l a - CHN on ly Comple te CHN bag- CHN on ly

III. ATTENDANCE • • • • • •

At tendance wi l l be checked at exac t l y 7 :45 - 8 :15 i n the morn ing or dur ing c i r c l e & 3 :4 4 :15 f o r the a f te rnoon c i r c l e dur ing the tou r o f duty ass igned . Student nurse i s cons ide red absent i f he / she ar r i ves 15 minutes a f te r nurse ’ s endorsement . I f he / she ar r i ves wi th in the endorsement , he / she cons ide red l a te . Student nurse shou ld be i n the c l i n i ca l area 30 minutes be fo re the t ime o f dut y. I n case o f absences , the s tudent must secure an admiss i on s l i p s igned by the dean / c l i n i ca l i n s t ruc to r be fo re he / she a l l owed go ing on duty the f o l l ow ing day. Fa i l u re to secure an admiss i on s l i p wou ld mean anothe r day o f absence . A s tudent nurse who l i ves h i s /he r pos t wi thout proper endorsement , i s cons ide red absent and wi l l be sub jec ted to d i sc ip l i na ry ac t i on . I n case o f persona l necess i ta tes , the s tudent must ask permiss ion f rom the C l in i ca l i n s t ruc to r be fo re l eav ing the pos t .

IV. REQUIREMENTS  



  

Every s tudent i s requ i red to submi t 1 PAT IENT PROF ILE and 1 -3 NURS ING CARE PLAN o f h i s /he r pat i en t everyday. A wr i t ten DRUG STUDY i s to be submi t ted f o r those med ica t i on tha t were g iven dur ing the sh i f t as ide f o rm the ora l drug s tudy conduc ted be fo re the ac tua l admin i s t ra t i on o f the med ica t i ons . Each s tudent nurse i s requ i red to conduc t a BEDS IDE CL IN IC WARD CLASS AND HEALTH TEACHING wi th proper documenta t i on and a CASE STUDY o f the pat i en t hand led . Qu izzes area g iven to measure s tudent nurse ’ s at t i tude i n the ward . Eva lua t i on exam i s g iven at the l a s t day o f exposure as a means o f eva lua t i ng a s tudent nurse ’ s know ledge to the area ass igned . PAT IENT ANALYT ICAL REPORT: at the l a s t week o f exposure , s tudent nurses ass igned wi l l conduc t a PAR presen ta t i on which i s to be proper l y documented and submi t ted on the l a s t day o f exposure .

V. OTHERS  Student nurses are reques ted and expec ted to render good qua l i t y ca re to the i r ass igned pat i en ts .  Student nurses shou ld address each othe r by Fami l y names .  Student nurses are not a l l owed to ente r ta in v i s i t o r s dur ing duty days /hours excep f o r some urgent mat te rs , which wi l l be re fe r red f i r s t to the C l in i ca l i n s t ruc to r .  Ce l lu l a r phones shou ld be tu rned o f f or p laced i n a s i l en t mode dur ing duty hours and are not a l l owed to be used .  Eat ing i s s t r i c t l y proh ib i ted outs ide break hours .  Student nurses are not a l l owed to go to mal l or anywhere outs ide schoo l premises wear ing Type A Un i fo rm.  Ho ld ing hands and s i t t i ng on the pat i en t ’ s bed /ha l lway are s t r i c t l y proh ib i ted wh on dut y.  Student nurses shou ld observe Pro fess i ona l conduc t i n the ass igned area .  Wear ing Nurs ing cap /ap ron outs ide the hosp i ta l premises / can teen are proh ib i ted .

VI. EXTENSION OF DUTY A. Uni form Violation/penalty:  Co lo red ha i rne t /p ins ( f ema le ) 4 hrs .  Di r ty shoes / s tock ings 4 hrs .  Heavy make -up or wi thout make up 4 hrs .  Male w/ mustache /bea rd 4 hrs .  Male wear ing co lo red undersh i r t 4 hrs .  Student wi thout handke rch ie f 4 hrs .  Male wi th l ong ha i r 4 hrs .  Wear ing o f j ewe l r i es 4 hrs .  Without namep la te , badges 4 hrs .  Wear ing maong pants (CHN) 4 hrs .  Uncut f i nge rna i l s / wi th po l i sh 4 hrs .  Unt idy Nurs ing cap 4 hrs .  B. Paraphernal ia  Lack ing 1 parapherna l i a 2 hrs .  C. Attendance  Absent dur ing Or ien ta t i on 3 days  With med ica l Cer t i f i ca te 1 day  La te f o r f i r s t ca l l 4 hrs .  La te f o r second ca l l 1 day  I n ward , l a te wi th in 15 to 30 minutes 4 hrs .  La te a f te r the endorsement absent  Absent f o r 4 days or 50% o f the at tendance  To the who le ro ta t i on fa i l

B. Clinical behavior  Leav ing the area wi th C l in i ca l i n s t ruc to r permiss ion  but f a i l u re to come back a f te r 15 minutes 1 day  Caught rooming around the hosp i ta l 1 day  Us ing ce l l phone dur ing duty hours 1 day  Ente r ta in ing v i s i t o r s dur ing duty hours 3 hrs .  Ta l k ing / l augh ing / shout ing dur ing duty hours hrs .  Eat ing dur ing duty hours 4 hrs .  Students who l eave the pos t wi thout proper endorsement 1 day  Wear ing o f cap to the canteen /ou ts ide premises day  Wear ing whi te rubber shoes 1 day  E . At t i tude  Impo l i te 1 -3 days  Dishones ty 1 -3 days  I nsubo rd ina te 1 -3 days  Student caught smok ing dur ing duty hours or schoo l hour  And wi th in the hosp i ta l / s choo l 1 -3 days  Fema le s tudent f ound pregnant wi thout the bene f i t o f marr i age or  Male respons ib le f o r the pregnancy wi l l be sub jec ted to d i sc ip l i na ry ac t i on  Any s tudent f ound to be add i c ted to drugs sha l l be sub jec ted to suspens ion or expu l s i on

DEPARTMENTAL PURPOSES AND OBJECTIVES Department of Nursing The Depar tment o f Nurs ing be l i eves tha t an educa t i ona l

program based on the

pr inc ip les o f the phys io l og i ca l b io log i ca l and soc ia l sc iences and us ing prac t i ca l pr

so l v ing wi l l bes t s t imu la te c rea t i ve th ink ing , se l f - d i rec t i on and respec t f o r a l l peop le

To this end, the Department of Nursing strives: •

To prov ide oppor tun i t i e s f o r the s tudent to deve lop unders tand ing and ab i l i t y recogn i z i ng pat ien t ’ s needs phys i ca l ,

emot iona l ,

soc ia l

and sp i r i tua l

i n prov i

i n te l l i gen t nurs ing ca re . •

To prov ide oppor tun i t i e s f o r the s tudent to deve lop pro f i c i ency i n commun ica t i on

e f fec t i ve i n te rpe rsona l re l a t i ons as a pro fess i ona l nurse and an ac t i ve cont r i bu c i t i zen o f the commun i t y. •

To deve lop i n the ; s tudent at t i tude o f i nqu i ry to unders tand sc ien t i f i c and s

changes o f contempora ry t imes and the i r app l i ca t i on to cura t i ve , prevent i ve , an teach ing f unc t i ons o f a nurse . •

To prov ide oppor tun i t i e s f o r the s tudent to deve lop her i nd i v idua l potent i a l s competence to f unc t i on as ac t i ve member o f the pro fess i on and o f the commun i t y.

•

To prov ide oppor tun i ty to deve lop ab i l i t y to par t i c i pa te i n resea rch ac t i v i t i e s f improvement o f nurs ing ca re .

•

To deve lop awareness to the cont r i bu t i on o f Commun i ty Hea l th Agenc ies and othe r members o f the hea l th team f o r the to ta l we l fa re o f the commun i t y.

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 g ive the h ighes t poss ib le qua l i t y o f nurs ing ca re i n te rms o f to ta l pat i en t n Th i s i nvo l ves sp i r i tua l , psycho log i ca l , soc ia l , phys i ca l , rehab i l i t a t i on and educ needs o f the pat i en t . To ass i s t the phys i c i an i n the med ica l ca re o f the pat i en t and to ca r ry out the rapy as i t i s presc r ibed . To promote cont inuous i n - se rv i ce program t ra in ing to a l l personne l . To promote and encourage nurs ing s tud ies and resea rch i n orde r tha t qua l i t y o per fo rmance maybe improve and max imum ut i l i za t i on o f personne l e f f i c i ency obta ined . To coo rd ina te wi th schoo l o f nurs ing and to prov ide adequate f ac i l i t i e s and l ea rn exper iences f o r the s tudents i n the hosp i ta l .

HEAD NURSE: •

The key person who admin i s te rs and superv i ses the nurs ing se rv i ce o f the ward .

RESPONSIBILITIES: • •

The pat i en ts ca re management The un i t s management

DUTIES:  Administrat ive :  Endorses and rece ives endorsement to and f rom i ncoming proceed ing sh i f t s pay ing par t i cu la r at ten t i on to :        

Pa t i en t census A l l new and se r i ous pat i en t Spec ia l t rea tment to be done dur ing the ear l y par t o f the sh i f t or to be ca r r i ed the th ree sh i f t s . Unusua l occur rence P lans and d i rec t s the nurs ing se rv i ce ac t i v i t i e s i n the un i t s . Coord ina tes the ac t i v i t i e s and coopera te wi th depar tment or agency f o r the we l fa re o f the pat i en t . I n te rp re ts po l i c i e s , and regu la t i on o f the hosp i ta l to s ta f f and pat i en t , gami l y commun i ty and execu te them. Makes wr i t ten ass ignments to each personne l i n ward .

     

Coord ina tes and superv i ses the per fo rmance o f the pro fess i ona l and nonpro fess i ona l personne l . I den t i fy nurs ing se rv i ce prob lems and need ing s tudy and par t i c i pa tes i n the i r so lu t i on . Make requ i s i t i on and see to i t tha t supp l i e s and equ ipments are used economica l l y and ca re fu l l y. Eva lua te the se rv i ces rende red cont inuous l y and p lans f o r i t s improvements . Prov ided and main ta ins comfor tab le , orde r l y , c lean and sa fe env i ronments . Accompl i sh accura te and i n fo rmat i ve , l eg ib le ward reco rds .

I. II. III. IV. V. VI. VII. VIII. IX.

Patients’ chart Medicines, injection, diet, and treatment lists Nurses report book Ward briefs Directory patients personnel 24-hours report (11-7 shift) Monthly inventories Efficiency record Etc. • •

Keeps a comp le te f i l e o f ward po l i c i e s admin i s t ra t i on and equ ipment . Ass igns othe r dut ies to her personne l when necessar y.

NURSING: • • • • • •

Makes rounds f o r personne l observa t i on o f pat i en ts . Accompan ies the doc to r i n h i s rounds . Sees to the execu t i on o f doc to r ’ s orde r . Gives med ic ines , i n j ec t i ons , and t rea tment when ca l l ed f o r . Renders emergency nurs ing as needed and g ive persona l at ten t i on to ce r ta in s i tua t i on when necessar y. Teaches pat i en ts good nurs ing as needed and g ives persona l at ten t i on to ce r ta in s i tua t i on when necessar y.

STAFF NURSE: •

The nurse who g ives and d i rec t nurs ing ca re to pat i en ts .

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

DUTIES: Renders tota l nurs ing care  Phys i ca l  Gives da i l y persona l hyg iene  Uses sa fe ty dev i ce  Ass i s t i n main ta in ing a c lean , sa fe and hea l th fu l env i ronment  Admin i s te rs med ic ine , i n j ec t i ons , and t rea tments  I den t i f i e s nurs ing needs and prob lems and t r i e s to meet them.

 Menta l  Ga ins con f idence o f pat i en ts and watche r .  Recogn i zes prob lems and ut i l i zes othe r agenc ies f o r the i r so lu t i on .  Promotes good pat i en t - nurse re l a t i onsh ip .  Ass ist in the therapeut ic management of the disease  Takes and reco rds TPR.  Ass i s t dur ing phys i ca l examinat i on and othe r d iagnos i s procedures .  Prepa res and ass i s t pat i en ts f o r t rea tment .  Observe , repor t , and reco rds any changes i n pat i en ts cond i t i on . A. ADMINISTRATIVE:  Endorses and rece ives respons ib i l i t i e s f rom i ncoming and outgo ing sh i f t s .  Ass i s t i n the genera l nurs ing ac t i v i t i e s i n the un i t s .  Ac ts i n the capac i ty o f the head nurse as des igna ted .  Par t i c i pa tes i n the i n te r and i n t ra - depar tment ac t i v i t i e s .  Accompl i sh accura te i n fo rmat i on and l eg ib le reco rds i n the ward , e .g . pat i en ts char t s , e tc . B. EDUCATIONAL: Orient newly admitted pat ient with regards to : • Phys i ca l se t - up • Ward rou t ines • Hosp i ta l personne l • Co-pat i en ts • Ru les and regu la t i ons • Ar t i c l es needed f o r use Ass ist in inc identa l teaching and evaluat ion of non-profess ional personnel Contr ibute to the educat ional program of student nurse Ut i l i zed opportuni t ies for personnel meet ing 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) ADMISSION HOSPITAL INFORMATION

EMERGENCY ROOM

Reco rd F ind ing V i ta l S igns tak ing and we igh ing o f pat i en t I n te rv iew o f pat i en t and f i l l i ng up c l i n i ca l case reco rd /pe rsona l data Examinat i on by the res iden t phys i c i an on duty I f orde rs are STAT , ER s ta f f nurse ca r r i e s the Doc to r ’ s orde r and usher pat i en t to room o f cho i ce and or un i t o f admiss i on

FLOOR 1

   

FLOOR 2-A FLOOR 2-B

FLOOR 3

ICU

OR

DR

Cont inue i n assess ing the pat i en t ’ s cond i t i on The nurse wi l l ca r ry out the Doc to r ’ s orde r i f not ye t ca r r i ed out by ER Sta f f nu fo r : • X-ray - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - to x - ray room • Labora to ry examinat i on - - - - - - - - - - - - to l abo ra to ry • Pharmacy Giv ing o f med ica t i ons per Doc to r ’ s orde r V i ta l S igns wi l l be rechecked The at tend ing Phys i c i an wi l l examine the pat i en t everyday Assess the pat i en t wi th the use o f your senses

FLOW CHART OF DIRECT ADMISSION NOD receive a call from Admission Section

Prepare the desired Room of the patient

Received patient/wheelchair

Gather patient’s data Inspect patient’s chart

Take initial vital signs

Carry out Doctor’s Order: Start IVF Start new medication Transmit lab request

NOD inform the A/P Patient’s room Latest vital signs Present complain of patient Referral of lab result Remind A/P to complete form 3 during his/her rounds within 24 hours Continuous patient care

Chart every after shift FLOW OF WORK (DISCHARGE) 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 PATIENT AND INSTRUCT PROPERLY WHEN TO TAKE THE MEDICATIONS IF IT WILL BE HOME MEDICATIONS

PHYSICAL THERAPY

LABORATORY ROOM X-RAY

BILLING SECTION

CASHIER PROVIDE DISCHARG E HEALTH

CLEARANCE

WARD NOD

SECURITY GUARD

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 RTC / round the clock

ORANGE GREEN

AS NECESSARY AS TIMED

AC / before meals

PINK

5 AM- 11 AM- 5 PM

PC / after meals

PINK

7 AM- 1 PM- 7 PM

MEDICAL CONSULTANT VISIBLE IN THE WARD

Dr. Claudio B.Es tac io (RED )

Dr. Chita Itao Dr. Castulo Oclarit (ORANGE ) Dr. R. Munez (P INK)

Dr. Chyrrl Bautista Dr. R. Gonzales (BLUE )

Dr. Psyche Netroda (YELLOW )

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

(WHITE)

STUDENT HEAD NURSE FLOW OF COMMUNICATION

Dean of Nursing Department

BDH Director

Asst. Dean of Nursing Department

Chief Nurse

Clinical Coordinator

Supervisor

Clinical Instructor

Staff Nurse

Student Head Nurse

Student Nurse

Patient

NURSING DEPARTMENT BUTUAN CITY GRADING SYSTEM IN CLINICAL DUTY Name of Student: ______________________________________________________________ Area of Assignment: ____________________Rotation: ______________Section: __________ Inclusive Dates of Assignment: ___________________________________________________ I.

PERFORMANCE (50%) Implementation of Nsg. care/Nsg. intervention A. Independent Nursing Care (30%)  Initiative  Efficiency of care/mastery/usage of Nursing Process  Consumption of available resources  Knowledge of principles and rationale  Attitude towards health care team and clients  Outcomes of care B. Dependent Nursing Care

III.

IV.

_________ 5% 10% 2.5% 5% 2.5% 5%

(20%)

 Knowledge and skills in pharmacology/ Rights in giving meds.  Efficiency in carrying out doctors’ order  Knowledge and skills of disease process  Ability to coordinate with the health care team II.

FINAL GRADE

REQUIRED WARD ACTIVITIES A. Ward Class  Performance  Delivery/Content B. Bedside Clinic  Performance  Delivery/ Content

(10%) (5%)

WRITTEN REQUIREMENTS A. Patient’s Profile  Completeness and promptness  Content B. NCP  Completeness and promptness  Content C. Drug Study  Completeness and promptness  Content

(15%) (5%)

_________ 5% 5% 5% 5% _________ 2.5% 2.5%

(5%) 2.5% 2.5% _________ 2.5% 2.5% (5%) 2.5% 2.5% (5%)

ATTITUDE (10%)  Punctuality  Respect and courtesy to CI and the staff

2.5% 2.5% ________ 5% 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

SPECIFIC OBJECTIVES •

That the s tudent nurse wi l l

be ab le to deve lop sk i l l s ,

know ledge , and at t i tude

re l a t i on to nurs ing ca re and render i t to the pat i en t . •

To be ab le to know the f eed ing o f how i t i s to be l i ke i n the ac tua l hosp i ta l s

Pe rsonne l , C l in i ca l I ns t ruc to r , Nurs ing s ta f f wi thout pre jud i ce and to ga in respe the process . •

To be ab le to accomp l i sh ac t i v i t i e s be ing p lanned and ca r ry out the respons ib i l i as a s tudent nurse .

•

To

be ab le

to

deve lop

c r i t i ca l

management o f the pat i en t .

th ink ing

and sound j udgment

in

the

ca re

an

Length of Duty

February 18 – 27, 2008 Inclusive Date of Duty

Floor 1 Area of Assignment

12MN – 8AM Shift

Under Students: Manelyn Pacon Josephine Racoma Delilah Reyes

Mrs. Nerissa C. Solis, RN, MN Clinical Instructor

Daily Plan of Activities

Date

Time 7:45 – 8:00Am 8:00 – 8:15Am 8:15 – 8:30Am 8:30 – 10:30Am 10:30 – 11:30Am

February 19, 2008

12:00NN 1:00 – 1:15Pm 1:15 – 2:00Pm 2:00 – 2:30Pm 2:30 – 3:00Pm 3:00Pm 7:45 – 8:00Am 8:00 – 8:15Am 8:15 – 8:30Am 8:30 – 10:30Am

February 20, 2008

10:30 – 11:30Am 12:00NN 1:00 – 1:15Pm 1:15 – 2:00Pm 2:00 – 2:30Pm 2:30 – 3:00Pm 3:00Pm

Activities Checking of Attendance Checking of Uniforms Collecting of assignments Pre-test Checking of papers Checking and discussion of assignments with rationalization Class discussion and interaction Giving of data for the afternoon activities Lunch Break Checking of attendance Library work Collection of Activities Activity discussion and rationalization Giving of Post-test related to activity discussed. Checking of papers Giving of assignments Planning of activities for tomorrow Dismissal Checking of Attendance Checking of Uniforms Collecting of assignments Pre-test Checking of papers Checking and discussion of assignments with rationalization Bed side clinic Individual Reporting and Interaction Class discussion and rationalization Lunch Break Checking of attendance Giving of activity and research work Collecting of activity and discussion Post-test related to morning activity Giving of assignments and planning of activities for tomorrow Dismissal

7:45 – 8:00Am 8:00 – 8:15Am 8:15 – 10:30Am February 21, 2008

10:30 – 11:30Am 12:00NN 1:00 – 1:15Pm 1:15 – 2:30Pm 2:30 – 3:00Pm 3:00Pm 7:45 – 8:00Am

February 26, 2008

8:00 – 9:00Am 9:00 – 11:130Am 12:00NN 8:00Am

February 27, 2008

8:00Am – 12:00NN 1:00 – 1:15Pm 1:15 – 3:00Pm 3:00Pm

Checking of Attendance Checking of Uniforms Collecting of assignments Collection of assignments regarding Dorothea Orem’s Theories Group reporting on the different theories Discussion with the topics reported Giving of pre-test regarding the Report Lunch Break Checking of attendance Library work Group Interaction Giving of Post-test Dismissal Checking of Attendance Checking of Uniforms Meeting with the Clinical Instructor for instructions and checking of activities Library work Dismissed Checking of Attendance Checking of Uniforms Collecting of assignments Attended the Methodology at the Old AVR Checking of attendance Ward Class Discussion and Interaction regarding ward class Giving of Post-test regarding on the ward class Dismissed

Daily Students Progress Report

Date

Students

February 19, 2008

Manelyn Pacon

Josephine Racoma

Delilah Reyes

Descriptions  She ar r i ved ear l y wi th comp le te un i fo rm and ass ignments . Dur ing the d i scuss ion she par t i c i pa ted and i n te rac ted we l l , she was s i l en t i n c lass . She was ab le to submi t her ac t i v i t i e s on t ime , f o l l ow i n s t ruc t i ons and get good sco res on qu i zzes .  She ar r i ved ear l y i n the area wi th comp le te un i fo rm and ass ignments . She par t i c i pa ted we l l dur ing the d i scuss ion , was ab le to sha re her i deas on the c lass , she i s ac t i ve and a lways ask ques t i ons but she ’ s good i n c lass get t i ng good sco res on the i r qu i zzes .  She ar r i ved on the area ear l y wi th comp le te un i fo rm and ass ignments . She ’ s good i n c lass , s i l en t somet imes but ta l k s when she wants to sha re someth ing . She behave we l l and l i s ten at ten t i ve l y. She got h igh sco res on the i r qu i zzes . But tha t day she a lways ask permiss i on to go to the bath room.

February 20, 2008

Manelyn Pacon

Josephine Racoma

Delilah Reyes

 She ar r i ved ear l y on the area wi th comp le te un i fo rm and ass ignments . She got good sco res on the i r pre tes t . She had a comp le te and co r rec t ass ignments on the Ac t i v i t i e s o f Da i l y l i v i ng . Dur ing d i scuss ion she par t i c i pa ted we l l and ab le to sha re her I deas on c lass .  She had her Beds ide C l in i c tha t day and was ab le to d i scuss i t to us . I t was good she was ab le to g ive data ’ s and i n fo rmat ion but the re were i n fo rmat ion ’ s not ment ioned par t i cu la r at the present cond i t i on o f her pat ien t but i t was co r rec ted a f te r .  She co r rec ted her ac t i v i t y on the d i f fe ren t c lass i f i ca t i on o f drugs and submi t ted i n on the a f te rnoon . She behaves we l l i n c lass , comes on t ime and l i s ten at ten t i ve l y.  She ar r i ved ear l y at the area wi th comp le te un i fo rm and ass ignments . She d id we l l on her pre - tes t tha t morn ing . She submi t ted her ass ignment on ADL i n was comp le te and co r rec t .  She had her beds ide c l i n i c tha t morn ing , she was ab le to d i scuss and sha re i t to us , i t was n i ce the data and i n fo rmat ion are good but was l ack ing o f some i n fo rmat ion ’ s par t i cu la r l y bout the i r pat ien ts and so i t was co r rec ted a f te r .  At the a f te rnoon she submi t ted her rev i sed ac t i v i t y on the d i f fe ren t drugs i t was now comp le te . She was good i n c lass and as usua l very ac t i ve and ask ques t i ons and somet imes cont rad i c t s but accepted cause she has her po in t .  She comes a lmos t l a te on the area wi th comp le te un i fo rm and ass ignments . She d id bes t on the pre - tes t f o r she got a h igh sco re tha t morn ing . She submi t ted her ass ignment on the ADL i n was co r rec t and comp le te .  She had her Beds ide c l i n i c tha t morn ing and l i ke wi th the othe r groups i t was good but as usua l some i n fo rmat ion ’ s was not ment ioned such as the present cond i t i on o f the i r pat ien t and i n i t i a l V i ta l S igns and so i t was co r rec ted a f te r the repor t .

February 21, 2008

Manelyn Pacon

Josephine Racoma

Delilah Reyes

 She ar r i ved ear l y on the area wi th comp le te un i fo rm and ass ignments . She submi t ted her ass ignments on Orem’s theory i t was comp le te and co r rec t .  That morn ing she repor ted i t to us , dur ing the repor t she presented a v i sua l a id i t was n i ce but on ly reads the repor t . She was co r rec ted a f te r . She d id good i n the i r qu i zzes pre and pos t . She behave we l l i n c lass and l i s ten at ten t i ve l y.  She ar r i ved on the area on t ime wi th comp le te un i fo rm and ass ignments . She submi t ted her ass ignment on Orem’s Theory i n was co r rec t and comp le te .  She a l so repor ted on the c lass and had her v i sua l a ids . She d i scussed i t we l l but most l y j u s t read the repor t j u s t l i ke the othe rs . She d id good on the i r qu i zzes tha t day. She behaves we l l on the c lass and l i s ten at ten t i ve l y.  She ar r i ved ear l y on the area wi th comp le te un i fo rm and at tendance .  She submi t ted her ass ignment on Orem’s theory i t was co r rec t and comp le te . That morn ing she repor ted a l so on Orem’s Nurs ing Theory toge the r wi th her group o f Pacon and Racoma. She d i scussed her par t we l l and was ab le to exp la in and g ive some examp les to us .  She behaved we l l and l i s ten at ten t i ve l y i n the c lass . She d id good on her pre and pos t qu i zzes tha t by by get t i ng good and h igh sco res .

February 26, 2008

Manelyn Pacon

Josephine Racoma

Delilah Reyes

February 27, 2008

Manelyn Pacon

Josephine Racoma

Delilah Reyes

 She ar r i ved ear l y on the area wi th comp le te un i fo rm.  She submi t ted her ass ignments and ac t i v i t i e s to our C l in i ca l I n s t ruc to r f o r check ing .  On the morn ing she d id resea rch and prepara t i on f o r the i r ward c lass ac t i v i t y the next day and do some l i b ra ry works wi th superv i s i on .  She was present the who le morn ing and f i n i shes her l i b ra ry work and resea rch .  She ar r i ved ear l y on the area wi th comp le te un i fo rm.  Submi t ted her ass ignments and ac t i v i t i e s to our c l i n i ca l i n s t ruc to r f o r check ing , i t was comp le te .  That morn ing she a l so d id some resea rch and prepara t i on f o r the i r ward c lass ac t i v i t y on the next day , she d id some l i b ra ry works and f i n i shes i t .  She ar r i ved ear l y on the area wi th comp le te un i fo rm.  She submi t ted her ass ignments to our c l i n i ca l i n s t ruc to r f o r check ing .  She have some resea rch tha t morn ing i n the l i b ra ry f o r the i r ward c lass the next day. She f i n i shes i t the re wi th superv i son .  She ar r i ved ear l y on the area wi th comp le te un i fo rm.  She at tended the methodo logy at the o ld AVR on the ent i re morn ing and was ab le to par t i c i pa te on the ac t i v i t i e s done .  She ar r i ved ear l y on the area wi th comp le te un i fo rm.  She at tended the methodo logy at the o ld AVR on the ent i re morn ing and was ab le to par t i c i pa te on the ac t i v i t i e s done .  She ar r i ved ear l y on the area wi th comp le te un i fo rm.  She at tended the methodo logy at the o ld AVR on the ent i re morn ing and was ab le to par t i c i pa te on the ac t i v i t i e s done .

ORGANIZATIONAL STRUCTURE OF BUTUAN DOCTORS’ COLLEGE NURSING DEPARTMENT

PURITA R. ESCOBAR, RN, MAN, DM Dean

CARMENCHU B. VICENTE, RN, MN Assistant Dean

RIZZA E. BESA, RN Level II Coordinator

ESTRELLA P.ROM, RN Level III Coordinator

ARIEL R. SINCO, RN Level IV Coordinator

Clinical Instructors: Josehpine Aromin, RN

Marivick M. Piencenaves, RN

Oscar Dorano, RN Elaine Lauria, RN Jeffrey Apat, RN

Clinical Instructors: Jennifer Arana, RN Meraluna C. Cacho, RN Nerissa C. Solis, RN Michael C. Luarez, RN Margarita A. Sanglay, RN Rey Pacanza, RN Jerome Bajao, RN Rosie Silaga, RN Alester Padillo, RN Clares Leona C. Plaza, RN Ione A. Lacorte, RN Jesus Picardal, RN Ryan Lister Flores, RN

Eden Paulette A. Consad, RN

Cristie C. Vapor, RN Paulynne May E. Racho, RN Leslie Vee Wagas, RN

Clinical Instructors: Marivick M. Suguitan, RN

Ma. Lourdes Tayag, RN Leila Gutierrez, RN Precilla Monton, RN Mary Jane Gallao, RN Anne Luarez, RN Juliet Callet, RN Evangeline Cabilao, RN Mercedez Abigail Dumanayos, RN Leoneth Marie Lim, RN Shiela V. Fumar, RN

Edward C. Benolerao, RN Melvin Mendoza, RN Jennifer 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, RN Chief Nurse

Teresita C. Maguikay, RN

Supervisor (ward/Pedia)

Jocelyn Buceros, RN Head Nurse

Samoria, J Agang, Arlyndee Maquiling, Jade

Jamero, Grace Tan, Pamela Mabelo, Isabelita

Volunteer Bala-an, Angelbabe, Belawin, R. Plaza, Clares

Fajardo, April Heramiz, Rachelle

Organizational Chart of the Nursing Service

Medical Nurse

Chief Nurse

Supervising Nurse

Head Nurse

Staff Nurse

Midwives

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.