Head Nursing
Head Nursing
Head Nursing
Within 2 days of clinical duty as student head nurse at MJ Santos Hospital (Pedia
Ward), I will be able to:
1. Obtain a variety of ideas with the necessary things to get acquainted regarding the
assigned institution.
2. Develop the qualities expected to each student head nurse.
3. Formulate a daily management plan prior to the actual clinical duty.
4. Participate in the usual endorsement done by the hospital staff nurse from the night shift.
5. Initiate a pre and post conference with my staff nurses.
6. Assign patients accordingly to each staff nurses.
7. Discuss the case and special endorsements for each patient taken.
8. Facilitate nursing rounds as well as assessing patient’s condition prior to actual handling.
9. Conduct a bedside conference with my staff nurses to be certain with their patient’s
condition.
10. Utilize previous learning regarding the appropriate rendition of care towards the patient.
11. Check the daily written requirements as well as paraphernalias of my staff nurses.
12. Add on or make corrections to the sample SOAPIE / METHOD charting of my staff
nurses.
13. Assess the knowledge of my staff nurses regarding their patient’s oral medications prior
to administration.
14. Render appropriate informations and necessary inputs during the endorsement with the
next shift.
15. Evaluate the learnings of my staff throughout the span of clinical exposure.
WEEKLY RECORDING OF ACTIVITIES
Census: 36
Date: July 31, 2008 Total Number of Handled Patients: 6
Ward: Pedia Ward Patients with FBC: 0
Shift: 8:00 – 4:00PM Patients with NGT: 0
Head Nurse: Sheila Marie Adorador Patients with IVF: 6
Staff Nurses: Patients with O2: 0
Charge Nurse: Vivina Tero
Medication Nurse: Melanie Mae Nazi
V/S Nurse: John Ryan Oñate
IVF Nurse: Brenn Maagad
Vivina Tero Room 321 J CC: fever, cough, [+] Tubex Test
Lamoste, Jelou with D5IMB 500 cc @ 35-40 cc/hr
on DAT, no choco, no dark colored
food
afebrile
3 y.o., under Dr. Royeca
Melanie Mae Nazi Room 329 A CC: fever, [+] Tubex Test
Ledesma, Thea 11 y.o
under Dr. C. Aala
with D5.3Nacl 1L @ 80 cc/hr
diet for age
for 12L ECG
continue meds
TF IVF D5.3Nacl 500 cc@ 40 cc/hr
Room 329 C
CC: fever, LBM, vomiting
Patuasic, Sunshine
1 y.o.
under Dr. V. Yu
with D5IMB 500 cc @ 40 gtts/min
on DAT
still for SE
record frequency & characteristic of
stool
refer for persistent vomiting
WEEKLY RECORDING OF ACTIVITIES
Census: 29
Date: August 1, 2008 Total Number of Handled Patients: 7
Ward: Pedia Ward Patients with FBC: 0
Shift: 8:00 – 4:00PM Patients with NGT: 0
Head Nurse: Sheila Marie Adorador Patients with IVF: 7
Staff Nurses: Patients with O2: 1
Charge Nurse: Brenn Maagad
Medication Nurse: Vivina Tero
V/S Nurse: Melanie Mae Nazi
IVF Nurse: John Ryan Oñate
Room 321 J
• Dr. Royeca
Lamoste, Jelou
• 3 y.o.
CC: fever, cough, [+] Tubex Test
with D5IMB 500 cc @ 30 cc/hr
on DAT, no choco, no dark colored
food
Room 329 D
• Dr. V. Yu
Ebrado, Mark
• 3 y.o.
CC: fever for 3 days on DAT
with D5LR 500 cc @ 70 cc/hr
alternate with D5.3Nacl @ SR time
tape IVF
Room 321 I
Room 329 C
Patient: Lamoste, Necole
Attending Physician: Dr. Royeca Patient: Patuasic, Sunshine
Age: 6 months Attending Physician: Dr. V. Yu
CC: cough, fever Age: 1 y.o.
Diet: Full diet, lugaw for diet CC: fever, LBM, vomiting
IVF: without IVF Diet: DAT
Special Endorsement: IVF: D5IMB 500 cc @ 40 gtts/min
MGH Special Endorsement:
Home meds given TPR every 4 hrs
Room 329 A
Room 321 I
Patient: Ledesma, Thea Corine
Attending Physician: Dr. C. Aala Patient: Lamoste, Jelou
Age: 11 y.o. Attending Physician: Dr. Royeca
CC: fever, [+] Tubex Test Age: 3 y.o.
Diet: diet for age CC: cough, fever, [+] Tubex Test
IVF: D5.3Nacl 1L @ 80cc/hr Diet: DAT, no dark colored food
Special Endorsement: IVF: D5IMB 500 @ 35-40 cc/hr
Seen and examined by Dr. Aala Special Endorsement:
with orders: Seen & examined by Dr. Royeca
for 12L ECG [done]; reading with order:
by Dr. Gambe TF D5IMB 500 cc @ 30 cc/hr
continue meds
IVF TF D5.3Nacl 500 @ 40
cc/hr
Room 329 B
Room 329 D
Room 321 I
Room 323 F
Room 329 A
Patient: Abcede. Zian
Attending Physician: Dr. M. Villanueva Patient: Ledesma, Thea Corine
Age: 13 y.o. Attending Physician: Dr. C. Aala
CC: fever with epistaxis 4 days PTA Age: 11 y.o.
Diet: full diet CC: fever, [+] Tubex Test
IVF: D5LR 500 cc @ 15 gtts/min Diet: diet for age
Special Endorsement: IVF: D5.3Nacl 1L @ 40cc/hr
TPR every 4 hours Special Endorsement:
o Paracetamol mgtts/min
Room 329 D
Room 329 C