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Bulacan State University COLLEGE OF NURSING City of Malolos, Bulacan
Competency Appraisal
Maria Ongleo R.N.,MSN Clinical Instructor
Guevarra, Joe S. BS Nursing-4B
K.CASTRO City Address : Malipampang, San Ildefonso, Bulacan Email: n/a Cell no. : n/a
PERSONAL DATA Date of Birth Age Place of Birth Civil Status Citizenship Height Weight Religion Father’s Name Occupation Mother’s Name Their Address Languages : : : : : : : : : : : : : July 10, 1988 24 y/o Baliuag Single Filipino 167 m. 142 lbs. Roman Catholic Bernie Castro Retiree Gladys Maria Castro Malipampang, San Ildefonso, Bulacan Filipino and English
EDUCATIONAL BACKGROUND
College Course
: :
Baliuag University Bachelor of Science in Nursing 2009-2010
High School
:
Saint Paul College of San Miguel, Bulacan 2006
Elementary
:
Saint Paul University at San Miguel
EMPLOYMENT RECORD: She was a volunteer and got her experience in Baliuag District Hospital, and currently employed at Dr. Garcia Clinic and laboratory.
DUTIES AND RESPONSIBILITIES 1. To manage day-to-day operations of the Health Care Clinic. 2. To maintain health records, documenting each patient contact and updating patient profiles. 3. To check equipment and supplies, restocking as necessary. Check emergency kit. 4. To ensure confidentiality during visits and telephone contact. 5. To provide primary care for eligible patients health concerns during scheduled health service hours. 6. To distribute non-prescription medication after appropriate assessment. 7. To encourage health maintenance and promotion through counseling and awareness activities. 8. To take initial and interim history and vital signs on each patient. 9. To assist physician as needed during exams. 10. To assure that patients understand instructions. 11. To refer patients to the appropriate community resources, and to obtain signed releases from patient if a copy of the chart is sent. 12. To reconcile referral billings with clinic records insuring the validity of the claims. After reconciliation and validation. 13. To provide a holistic and quality nursing care by applying the key areas of responsibility of the nurse
Day 1 October 4, 2011 Tuesday 8:00am-4:00pm I visited her around 11:00am- 12:30pm I ask for permission and explain the purpose of visit and then a moment ago she says its fine with her..Then I interview her to get her personal data and as a Clinic Nurse what is her responsibilities inside the clinic. Then afterwards a short interview, I sit there and give her a break to proceed on at the same time I’m observing. NOTE on 1st visit: On the first day I can only see 3 areas of responsibilities she does because I interview, though she a little bit busy at that time she still manage to organize her work load to facilitate
patient care and at the same time interviewing her. I just observed that the usual thing she do there is that she is taking the blood pressure of the patients going there, taking their height and weight especially the children, measures the blood sugar and responds to the other health needs of the people in their clinic and document all visits and health care outcome of the patients.
Day 2 October 14, 2011 Friday 8:00am-4:00pm I visited her around 11:00am- 12:30pm On this 2nd visit of mine, well she still manages to chat with me for a while then she just let me conduct the observation. NOTE on the 2nd visit: and like the 1st visit she is maintaining those duties and responsibilities in the clinic, take those baseline data such as vital signs, height and weight. Assist with the doctors as necessary. Interview the patient and prioritize the plan of care to be render to the patient. Explaining the doctor’s order with them and assuring that those order are well understood. She secure those specimen that’s need to be send in the laboratory. Their some point that the doctor calls her and asks about what she thinks about client was experiencing. She also said that after of her duty she clean the clinic and checks each of the equipment functioning.
Day 3 October 17, 2011 Monday 8:00am-4:00pm I visited her around 11:00am- 4:00pm Like the 1st and 2nd visit. Well a chat and observation was done. This time I have a long time to observe and chat with her. Note on the 3rd visit: Like the first and second visit she still managing the clinic complying with the duties and responsibilities she accepted. In addition, she confess to me that they were accepting phone calls in assisting the patients and they also evaluate the patients respond to the care given to their patient through phone calls and scheduled follow up check-up. The documents was also keep in the safe place and they keep its confidentiality.
KEY AREAS
---those mark in red font, are the KAR that I observed.
A. Safe and Quality Nursing Care 1. Demonstrates knowledge based on the health/illness status of individual groups 2. Provides sound decision making in the care of individuals/groups 3. Promotes wholeness and well-being including safety and comfort of patients 4. Sets priorities in nursing care based on patients' need 5. Ensures continuity of care 6. Administers medications and other health therapeutics 7. Utilizes the nursing process as framework for nursing 8. Formulates a plan of care in collaboration with patients and other members of the health team 9. Implements planned nursing care to achieve identified outcomes 10. Evaluates progress toward expected outcomes 11. Responds to the urgency of the patient's condition
B. Management of Resources and Environment 1. Organizes work load to facilitate patient care 2. Utilizes resources to support patient care 3. Ensures availability of human resources 4. Checks proper functioning of equipment/facilities 5. Maintains a safe and therapeutic environment 6. Practices stewardship in the management of resources
C. Health Education 1. Assesses the learning needs of the patient and family 2. Develops health education plan based on assessed and anticipated needs 3. Develops learning materials for health education 4. Implements the health education plan 5. Evaluates the outcome of health education
D. Legal Responsibility 1. Adheres to practice in accordance with the nursing law and other relevant legislation including contracts, informed consent 2. Adheres to organizational policies and procedures, local and national 3. Documents care rendered to patients
E. Ethico-Moral Responsibility 1. Respects the rights of individuals/groups 2. Accepts responsibility and accountability for own decisions and actions 3. Adheres to the national and international code of ethics for nurses
F. Personal and Professional Development 1. Identifies own learning needs 2. Pursues continuing education 3. Gets involved in professional organizations and civic activities 4. Projects a professional image of the nurse 5. Possesses positive attitude towards change and criticism 6. Performs function according to professional standards
G. Quality Improvement 1. Utilizes data for quality improvement 2. Participates in nursing audits and rounds 3. Identifies and reports variances 4. Recommends solutions to identified causes of the problems 5. Recommends improvement of systems and processes
H. Research 1. Utilizes varied methods of inquiry in solving problems 2. Recommends actions for implementation 3. Disseminates results of research findings 4. Applies research findings in nursing practice
I. Record Management 1. Maintains accurate and updated documentation of patient care 2. Records outcome of patient care 3. Observes legal imperatives in record keeping 4. Maintains an effective recording and reporting system
J. Communication 1. Utilizes effective communication in relating with clients, members with the team and the
public in general 2. Utilizes effective communication in therapeutic use of self to meet the needs of clients 3. Utilizes formal and informal channels 4. Responds to needs of individuals, families, groups and communities 5. Uses appropriate information technology to facilitate communication
K. Collaboration and Teamwork 1. Establishes collaborative relationship with colleagues and other members of the health team for the health plan 2. Functions effectively as a team player
REMARKS: Clinic health nurse is the practice of promoting and protecting the health of each individual: using knowledge, skill and attitude of true nursing practice, social and public health sciences a nurse in the clinic, community, and hospital should how to act independently with confidence that he/she is effective and efficient enough in rendering a quality care to every individual, family, or community in addition, the clinic nurse can apply her knowledge of strategies to choose the intervention(s) that meets the needs of each individual, family and thru community.
Competency Appraisal
Maria Ongleo R.N.,MSN Clinical Instructor
Guevarra, Joe S. BS Nursing-4B
K.CASTRO City Address : Malipampang, San Ildefonso, Bulacan Email: n/a Cell no. : n/a
PERSONAL DATA Date of Birth Age Place of Birth Civil Status Citizenship Height Weight Religion Father’s Name Occupation Mother’s Name Their Address Languages : : : : : : : : : : : : : July 10, 1988 24 y/o Baliuag Single Filipino 167 m. 142 lbs. Roman Catholic Bernie Castro Retiree Gladys Maria Castro Malipampang, San Ildefonso, Bulacan Filipino and English
EDUCATIONAL BACKGROUND
College Course
: :
Baliuag University Bachelor of Science in Nursing 2009-2010
High School
:
Saint Paul College of San Miguel, Bulacan 2006
Elementary
:
Saint Paul University at San Miguel
EMPLOYMENT RECORD: She was a volunteer and got her experience in Baliuag District Hospital, and currently employed at Dr. Garcia Clinic and laboratory.
DUTIES AND RESPONSIBILITIES 1. To manage day-to-day operations of the Health Care Clinic. 2. To maintain health records, documenting each patient contact and updating patient profiles. 3. To check equipment and supplies, restocking as necessary. Check emergency kit. 4. To ensure confidentiality during visits and telephone contact. 5. To provide primary care for eligible patients health concerns during scheduled health service hours. 6. To distribute non-prescription medication after appropriate assessment. 7. To encourage health maintenance and promotion through counseling and awareness activities. 8. To take initial and interim history and vital signs on each patient. 9. To assist physician as needed during exams. 10. To assure that patients understand instructions. 11. To refer patients to the appropriate community resources, and to obtain signed releases from patient if a copy of the chart is sent. 12. To reconcile referral billings with clinic records insuring the validity of the claims. After reconciliation and validation. 13. To provide a holistic and quality nursing care by applying the key areas of responsibility of the nurse
Day 1 October 4, 2011 Tuesday 8:00am-4:00pm I visited her around 11:00am- 12:30pm I ask for permission and explain the purpose of visit and then a moment ago she says its fine with her..Then I interview her to get her personal data and as a Clinic Nurse what is her responsibilities inside the clinic. Then afterwards a short interview, I sit there and give her a break to proceed on at the same time I’m observing. NOTE on 1st visit: On the first day I can only see 3 areas of responsibilities she does because I interview, though she a little bit busy at that time she still manage to organize her work load to facilitate
patient care and at the same time interviewing her. I just observed that the usual thing she do there is that she is taking the blood pressure of the patients going there, taking their height and weight especially the children, measures the blood sugar and responds to the other health needs of the people in their clinic and document all visits and health care outcome of the patients.
Day 2 October 14, 2011 Friday 8:00am-4:00pm I visited her around 11:00am- 12:30pm On this 2nd visit of mine, well she still manages to chat with me for a while then she just let me conduct the observation. NOTE on the 2nd visit: and like the 1st visit she is maintaining those duties and responsibilities in the clinic, take those baseline data such as vital signs, height and weight. Assist with the doctors as necessary. Interview the patient and prioritize the plan of care to be render to the patient. Explaining the doctor’s order with them and assuring that those order are well understood. She secure those specimen that’s need to be send in the laboratory. Their some point that the doctor calls her and asks about what she thinks about client was experiencing. She also said that after of her duty she clean the clinic and checks each of the equipment functioning.
Day 3 October 17, 2011 Monday 8:00am-4:00pm I visited her around 11:00am- 4:00pm Like the 1st and 2nd visit. Well a chat and observation was done. This time I have a long time to observe and chat with her. Note on the 3rd visit: Like the first and second visit she still managing the clinic complying with the duties and responsibilities she accepted. In addition, she confess to me that they were accepting phone calls in assisting the patients and they also evaluate the patients respond to the care given to their patient through phone calls and scheduled follow up check-up. The documents was also keep in the safe place and they keep its confidentiality.
KEY AREAS
---those mark in red font, are the KAR that I observed.
A. Safe and Quality Nursing Care 1. Demonstrates knowledge based on the health/illness status of individual groups 2. Provides sound decision making in the care of individuals/groups 3. Promotes wholeness and well-being including safety and comfort of patients 4. Sets priorities in nursing care based on patients' need 5. Ensures continuity of care 6. Administers medications and other health therapeutics 7. Utilizes the nursing process as framework for nursing 8. Formulates a plan of care in collaboration with patients and other members of the health team 9. Implements planned nursing care to achieve identified outcomes 10. Evaluates progress toward expected outcomes 11. Responds to the urgency of the patient's condition
B. Management of Resources and Environment 1. Organizes work load to facilitate patient care 2. Utilizes resources to support patient care 3. Ensures availability of human resources 4. Checks proper functioning of equipment/facilities 5. Maintains a safe and therapeutic environment 6. Practices stewardship in the management of resources
C. Health Education 1. Assesses the learning needs of the patient and family 2. Develops health education plan based on assessed and anticipated needs 3. Develops learning materials for health education 4. Implements the health education plan 5. Evaluates the outcome of health education
D. Legal Responsibility 1. Adheres to practice in accordance with the nursing law and other relevant legislation including contracts, informed consent 2. Adheres to organizational policies and procedures, local and national 3. Documents care rendered to patients
E. Ethico-Moral Responsibility 1. Respects the rights of individuals/groups 2. Accepts responsibility and accountability for own decisions and actions 3. Adheres to the national and international code of ethics for nurses
F. Personal and Professional Development 1. Identifies own learning needs 2. Pursues continuing education 3. Gets involved in professional organizations and civic activities 4. Projects a professional image of the nurse 5. Possesses positive attitude towards change and criticism 6. Performs function according to professional standards
G. Quality Improvement 1. Utilizes data for quality improvement 2. Participates in nursing audits and rounds 3. Identifies and reports variances 4. Recommends solutions to identified causes of the problems 5. Recommends improvement of systems and processes
H. Research 1. Utilizes varied methods of inquiry in solving problems 2. Recommends actions for implementation 3. Disseminates results of research findings 4. Applies research findings in nursing practice
I. Record Management 1. Maintains accurate and updated documentation of patient care 2. Records outcome of patient care 3. Observes legal imperatives in record keeping 4. Maintains an effective recording and reporting system
J. Communication 1. Utilizes effective communication in relating with clients, members with the team and the
public in general 2. Utilizes effective communication in therapeutic use of self to meet the needs of clients 3. Utilizes formal and informal channels 4. Responds to needs of individuals, families, groups and communities 5. Uses appropriate information technology to facilitate communication
K. Collaboration and Teamwork 1. Establishes collaborative relationship with colleagues and other members of the health team for the health plan 2. Functions effectively as a team player
REMARKS: Clinic health nurse is the practice of promoting and protecting the health of each individual: using knowledge, skill and attitude of true nursing practice, social and public health sciences a nurse in the clinic, community, and hospital should how to act independently with confidence that he/she is effective and efficient enough in rendering a quality care to every individual, family, or community in addition, the clinic nurse can apply her knowledge of strategies to choose the intervention(s) that meets the needs of each individual, family and thru community.
