CENTRAL LUZON DOCTORS’ HOSPITAL EDUCATIONAL INSTITUTION
ROMULO HIGH WAY, SAN PABLO, TARLAC CITY
SPECIFIC OBJECTIVES
State the objective of the
experience, schedule of
activities and requirements.
State the mission, vision and
history
Capabilities/ services offered,
organizational structures
Standard operating procedure
of affiliation hospital for
students and clinical instructors
Be familiar with the physical
set-up of the ward , state the
ward SOPs and policies, chart
arrangements, getting familiar
with the documents in the
hospital
Identify the head nurse and be
DEPARTMENT OF NURSING
CLINICAL FOCUS
HEAD NURSING
CONTENT ACTIVITIES EVALUATION
Discuss: Attend orientation and pre- Paper and pencil test
Objective of the experience exposure briefing
Schedule of Activities
Requirements
Orientation on mission, vision Attend hospital base sponsored Quiz
of affiliation hospital, history orientation
capabilities/services offered
organizational structures, SOPs
for students and clinical
instructors
WARD ORIENTATION: Ward tour Random questioning and
Ward staff Introduction to ward staff answering sessions
Physical set-up Read ward manual
Ward SOPs and policies Browse chart and other
Chart arrangement, documents Documents
Introduction to the head nurse Observing the head nurse in Assign students to function as
familiar with his/her duties and
responsibilities
Identify how the hospital
Implements the functions of
management
Planning
Organizing
Directing
Controlling
Perform managerial activities
relative to the duties and
responsibilities of the head
nurse
Student head nurses will
identify appropriate problem
solving process appropriate to
the area of exposure
Student staff nurses will be able Submit a training proposal
to conduct and render health
teachings and or ward classes
Orientation on duties and
responsibilities of the head
nurse
Implementing the functions of
management
Proper implementation of the
principles of management
Formulate PSP accordingly
based on managerial problems
identified
which may include budget
performing his/her duties and
responsibilities
Cite observation and
experiences relevant to the
management process
Allow student head nurses and
student staff nurses to identify
patients, make their plan of
activities, direct and lead their
sub-groups, establish criteria
for evaluating staff’s
performance
Use PSP format
1.Statement of the problems
and cues
2.Analysis(Scientific and
Situational)
3. Alternative courses of Action
4. Implementation
5.Rationale
6.Evaluation
Formulating a Training Plan
1.Choice of topic
2.General Objective
3.Specific Objectives
head nurses as alternately
Student will act as head nurse
while the rest of the group will
be their staff nurses
Student will act as managers,
observe and perform relevant
activities pertaining to the
management process
Use Performance Evaluation
Tool for student head nurses
and student staff nurses
Graded Problem Solving
Process using Performance
Evaluation Tool for student
head nurses and student staff
nurses with guided by clinical
instructor
Ward Class Evaluation using
Performance Evaluation Tool
guided by Clinical Instructors

Be familiar with the
Endorsement Procedure
Supervise Student Staff Nurse
perform accurate nursing
assessment using the following
techniques:
Interview
Observation
Proper procedure of turning
over the patient to the incoming endorsement process, student
shift to maintain continuity of head nurse will do the
care
Assess patients through:
Interview
Observation
Physical assessment
Review of records
4.Numbre of hours allocated
5.Participants
6.Health teaching plan
a.Objective(KSA)
b.Learning Content
c.Methodologies/Strategies
d.Learning Activities
e.Time Allotment
f. Resources/ Instructional
Material
g.Evaluation
7.Working Committees
a.Overall chairman
b.Finance
c.Program and invitation
d.Registration and reception
e.Food/Physical
Arrangement
f.Aftercare
g.Secretariat/documentation
8.Budget Proposal
Attend and observe Proper endorsement whether
receiving or outgoing shift,
graded and guided by the
endorsement to incoming shift clinical instructor
Allow head nurses to assign Performance Evaluation Tool
individual patient guided by Clinical Instructor
Require student staff nurses to
accomplish documents in the
chart with Clinical Instructor’s
Supervision
Physical assessment
Review of records
Require student staff nurse in
preparing and accomplishing
Medication Administration
Record
Facilitate Student Staff Nurse
interaction between patients
Supervise student staff nurses
in preparing and administering
oral, intramuscular,
subcutaneous, intradermal
medications accurately
Supervise student staff nurses
in preparing and administering
parental medicines
Supervise student staff nurses
in carrying out procedures
Reflect the time of drug
administration and sign the
medication administration
record sheet accordingly
Communication skills and
techniques in dealing with
patient by the student staff
nurses
Color coding of medication
cards aseptic technique in
preparing medications
Observance of the 10 rights in
giving medications
Proper identification and
making medication card
according to agency policy on
color codes
Asepsis in the preparation of
medications
Drug study
Computation
Observance of the 10 rights in
giving medications through IV
Carry out procedures like IVF,
BT infusion, priming, changing
History taking
Kardex,NCP, profiling and
medical management
Sample Charting (FDAR)
Sign medication sheet with the
time of administration
Communicate with patient and
client giving health teachings
and discharge plan
Drug preparation
Drug study
Observe 10 Rs in giving
medications
Closely supervise students in
drug administration
Asepsis in preparing medicines
Drug Study
Computing medications
Observe 10 Rs in giving
medications
Observe, perform and assist in
administration and carrying out
Checked accomplished form by
Clinical Instructor
Observe and guide students
during nurse-patient-
communication by the clinical
instructor
Graded drug study prior to
administration supervised by
the clinical instructor
Discuss, question and answer
session, compute dosages prior
to giving medications
Review dosage and solutions
Graded drug study prior to
rendering and giving of meds
supervised by the clinical
instructor
Observe and supervise students
in performing procedures with

Supervise student staff nurses
in performing basic procedures
accurately and efficiently
Evaluate students during
comprehensive case study
presentation before rotation
ends
termination procedures the clinical instructor’s
supervision
Basic procedures like: Observe, perform and assist in Observe, supervise and
VS taking and recording the following procedures: evaluate students in procedures
Hygiene care VS taking and recording performed
Bed bath and bed making Hygiene care Graded demonstration, sharing
Suctioning Bed bath and bed making of experiences during post
NGT insertion, feeding, Suctioning conferences supervised by the
removal NGT insertion, feeding, clinical instructor
Positioning removal
I&O monitoring Positioning
O2 therapy I&O monitoring
Nebulization O2 therapy
IFC insertion, removal Nebulization
Specimen collection IFC insertion, removal
Hot and cold compresses Specimen collection
Wound dressing Hot and cold compresses
Carry out doctor’s orders Wound dressing
Lab request orders Carry out doctor’s orders
Lab request orders
Formulate and develop a Case presentation per group Graded question and answer
comprehensive study using discussion during presentation
format given
NURSING CARE PLAN
Patient with undergone TURBT
ASSESSMENT NURSING PLANNING NURSING RATIONALE EVALUATION
DIAGNOSIS INTERVENTIONS
Subjective: Impaired urinary After 3 hour of Investigate pain, To assist in After 3 hours of
“Nahihirapan akong elimination related nursing noting location, differentiating proper nursing
umihi” to disease process interventions, the duration, intensity, between bladder interventions the
patient will be able presence of bladder and kidney as cause patient was able to
Objective: to achieve normal spasms or back of dysfunction achieved normal
-incontinence elimination pattern flank pain elimination pattern
-retention or participate in or participate in
measures to correct -ascertain client’s -for comparison measures to correct
or compensate for previous pattern of with current or compensate for
detects elimination situation detects

-encourage fluid -to help maintain

intake up to 3000 renal function,
mL/day prevent infection,
and formation of
urinary stones,
avoid encrustation
around catheter, or
flush urinary
diversion appliance

-discuss possible -cystoscopy with

surgical procedure bladder hydro
and medical regimen distention may be
as indicated used for PBS/IC, or
 an electrical
stimulator may be
implanted to treat
chronic urinary urge
incontinence, non
obstructive urinary
retention, and
symptoms of
urgency and
frequency

-check frequently -to reduce risk of

for bladder infection and/or
distention and autonomic hyper
observe for over reflexia
flow

- Stephanie Eve M. Sanchez

Stephanie Eve Sanchez
DAILY PLAN OF ACTIVITIES

6:00- Pre-Conferences
-Receiving the endorsement
6:30- Distribution of student staff nurse
6:30-7:00Do the rounds per room / patient
7:00-7:15-Assign the task to the student staff nurse
7:15-8:00- Vital sign monitoring/recording c/o staff
8:00-10:00- Medications, I &O monitoring, procedures c/o staff
10:00-11:00- Checking of the supplies and initial charting
11:00-12:00- Observing the student staff nurse
12:00-1:00- NPI and Charting (Final) c/o staff
1:00-2:00- Endorsement
-Post Conferences
LEARNINGS/ INSIGHTS
In the subject of head nursing, I learned a lot of things like assigning my student
staff nurse, staffing, scheduling, directing, supervise with the skills or procedures and
evaluating my staff nurse according their performance. In assigning my student staff
nurse in their respective patients it should equally distributed, so that there’s no
favouritism. While staffing, I should not allowed myself performed the skills it should be
performed by my student staff nurse. In scheduling about the task, I find so difficult with
this, because setting a deadline the student staff nurse didn’t follow the deadline. In
directing my student staff nurse, they follow the responsibilities that I gave to them. In
supervising my student staff nurse, they performed step by step procedures with aseptic
techniques. Examples in giving the medications: they do compute, prepare it and label the
medication. After that we go to the patient and ask their name for us to determine that we
are giving the medication in the right patient, we look to the MAR for the accuracy of the
medication doses, route of administration and the due time of the medication. When
administering the medication I let the student staff nurse to give the medications. In IV
medication I asked them to wear glove before giving it and also prepared sterile water for
the flushing before pushing the medications and after giving the medication for the
patency of the IV site. I learned how to be act as head nurse in the ward and more
responsibilities to be act in this position even though you will not perform the procedure.
Head nurse will not supervise your staff nurse, monitor and evaluating them according to
their performance.

-Stephanie Eve M. Sanchez