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11 Key Areas of Responsibility

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CORE VALUES SAFE AND QUALITY NURSING CARE

1. Love of God  Demonstrates knowledge base


2. Caring as the core of nursing on the health or illness status of an
individual or groups
a. Compassion
- identifies the health needs of
b. Competence
the patients or group
c. Confidence
- explains the health status of
d. Conscience
the patients or groups
e. Commitment
 Provides sound decision making
in the care of individuals or
3. Love of people
groups considering their values
a) Respect for the dignity of each
and beliefs
person regardless of creed,
- identifies the problem
color, gender and political
- gathers data related to the
affiliation
problem
- analyzes the data gathered
4. Love of country
- selects appropriate action
a. Patriotism - monitors the progress of the
action taken
b. Preservation and
enrichment of the
environment and culture
 Promotes safety, comfort and
heritage
privacy of the patient
- performs age-specific safety
measures, comfort measures,
11 Key Areas of Responsibility measures to ensure privacy in
all aspects of patient care.

1. SAFE AND QUALITY NURSING


CARE  Sets priorities in nursing care
2. MANAGEMENT OF RESOURCES based on patient’s needs
AND ENVIRONMENT - identifies the priority needs of
3. HEALTH EDUCATION patients
4. LEGAL RESPONSIBILITY - analyzes the needs of the
5. ETHICO-MORAL RESPONSIBILITY patient
6. PERSONAL AND PROFESSIONAL - determines appropriate
DEVELOPMENT nursing care to be provided
7. QUALITY IMPROVEMENT
8. RESEARCH
9. RECORDS MANAGEMENT
 Ensures continuity of care
10. COMMUNICATION
- refers identified problem to
11. COLLABORATION AND
appropriate individuals or
TEAMWORK
agencies
- establishes means of providing o Formulates a plan of care in
continuous patient care collaboration with patients and
other members of the health team
- includes patient and his family
 Administers medications and in care planning
other health therapeutics - states expected outcomes of
- conforms to the 10 golden nursing intervention
rules in medication - develops comprehensive
administration and health patient care plan
therapeutics - accomplishes patient
centered discharge plan

10 RIGHTS IN DRUG ADMINISTRATION


o Implements planned nursing care
1. Right Drug to achieve identified outcomes
2. Right Patient - explains interventions to
3. Right Dose patients and his family before
4. Right Route carrying them out
5. Right Time & Frequency - implements nursing
6. Right Documentation intervention that is safe and
7. Right History comfortable
8. Right Drug Approach and - acts according to clients
Right to Refuse health condition and needs
9. Right Drug Interaction - performs nursing activities
10. Right education and effectively and in a timely
information manner

UTILIZES THE NURSING PROCESS AS o Evaluates progress towards


FRAMEWORK FOR NURSING expected outcomes
o Performs comprehensive - monitors effectiveness of
&systematic nursing assessment nursing interventions
- obtains consent - revises care plan when
- completes appropriate necessary
assessment forms
- performs appropriate
assessment techniques
- obtains comprehensive client
information
- maintains privacy and
confidentiality
- identifies health needs
MANAGEMENT  Maintains a safe environment
OF RESOURCES AND ENVIRONMENT - observes proper disposal of
wastes
 Organizes work load to facilitate - adheres to policies,
patient care procedures and protocols on
- identifies the task or activities prevention and control of
that need to be accomplished infection
- plans the performance of tasks - defines steps to follow in case
or activities based on priorities of fire, earthquake and other
- finishes work assignment on emergency situations
time
HEALTH EDUCATION

 Utilizes resources to support  Assesses the learning needs of


patient care the patient
- determines the resources
needed to deliver patient - defines relevant information
care - obtains learning information
- controls the use of supplies through interview, observation
and equipment and validation
- Identifies priority needs
- completes assessment records
 Ensures functioning of resources completely
- checks proper functioning of
equipment
- refers malfunctioning  Develops health education plan
equipment to appropriate unit based on assessed & anticipated
needs
- considers the nature of learner
 Checks proper functioning of in relation to: social, cultural,
equipment political, economic,
- establishes mechanism to educational, and religious
ensure proper functioning of factors
equipment
- determines tasks and
procedures that can be safely  Develops learning materials for
assigned to other member of health education
the team - involves the patient, family,
- verifies the competency of the significant others and other
staff prior to delegating tasks resources
- formulates a comprehensive
health education plan with
following components:
objectives, content, time  Documents care rendered to
allotment, teaching-learning patients
resources and evaluation - utilizes appropriate patient
parameters care records and reports
- provides for feedback to - accomplishes accurate
finalize the plan documentation in all matters
concerning patient care in
accordance to the standards
 Implements the health education of nursing practice
plan
- provides for a conducive
learning situation in terms of ETHICO-MORAL RESPONSIBILITY
time and place
 Respects the rights of individuals
- considers client and family
or groups
preparedness
- renders nursing care consistent
- utilizes appropriate strategies
with the patients’ bill of rights

 Evaluates the outcome of health


 Accepts responsibility and
education
accountability for own decision
- utilizes evaluation parameters
actions
- documents outcome of care
- meets nursing accountability
- revises health education plan
requirements as embodied in
when necessary
the job description
- justifies basis for nursing actions
and judgment
LEGAL RESPONSIBILITY
- projects a positive image of
 Adheres to organizational policies the profession
and procedures, local and
national
- articulates the vision, mission of  Adheres to the national and
the institution where one international codes of ethics for
belongs nurses
- acts in accordance with the - adheres to the Code of Ethics
established norms of conduct for Nurses and abides by its
of the institution or provision
organization - reports unethical and immoral
incidents to proper authorities
PERSONAL AND PROFESSIONAL - tries new strategies or
DEVELOPMENT approaches
- adapts to changes willingly
Identifies own learning needs
- verbalizes strengths,
weaknesses and limitations
Performs function according to
- determines personal and
professional standards
professional goals and
- assesses own performance
aspirations
against standards of practice
- sets attainable objectives to
enhance nursing knowledge &
Pursues continuing education
skills
- participates in formal and non-
- explains current nursing
formal education
practices when situations
- applies learned information for
calling for it
the improvement of care

QUALITY IMPROVEMENT
Gets involved in professional
organizations and civic activities  Gathers data for quality
- participates actively in improvement
professional, social, civic and - demonstrates knowledge of
religious activities method appropriate for
- maintains membership to clinical problems identified
professional organizations - detects variation in the vital
- support activities related to signs of the patient from day
nursing and health tissues to day
- reports necessary elements at
the bedside to improve
Projects a professional image of patient stay at hospital
the nurse - solicits feedback from patient
- demonstrates good manners & significant others regarding
and right conduct care rendered
- dresses appropriately
- demonstrates congruence of
words and action  Participates in nursing audits and
- behaves appropriately at all rounds
times - contributes relevant
information about patient
condition as well as unit
Possesses positive attitude condition and patient current
towards change and criticisms reactions
- listens to suggestions and
recommendations
- shares with team current RESEARCH
information regarding
o Gather data using different
particular patient’s condition
methodologies
- encourage the patient to
- able to identify research- able
speak about what is relevant
problems regarding patient
to his condition
care & community health
- documents and records all
- identify appropriate methods
nursing care actions
of research for a particular
- performs daily check of
patient or community problem
patients records or condition
- combines quantitative &
- completes patients records
qualitative nursing design thru
- actively contributes relevant
simple explanation on the
information of patients during
phenomena observed
rounds thru readings and
- analyzes data gathered
sharing with others

o Recommends actions for


 Identifies and reports variances
implementation
- documents observed variance
- based on analysis of data
regarding patient care and
gathered, recommends
submits to appropriate group
practical solutions appropriate
within 24 hours
for the problem
- identifies actual and potential
variance to patient care
- reports actual and potential
variance to patient care o Disseminates results of research
- submits reports to appropriate findings
groups within 24 hours - able to talk about the result
findings to colleagues or
patients or family and others
- endeavors to publish research
 Recommends solutions to
- submits research findings to
identified problems
own agencies and others as
- gives appropriate suggestions
appropriate
on corrective and preventive
measures
- communicates and discusses
with appropriate groups o Applies research findings in
- gives an objective and nursing practice
accurate report on what was - utilizes findings in research in
observed rather than an the provision of nursing care to
interpretation of the event individuals or groups or
communities
- makes use of evidence-based  Identifies verbal and non-verbal
nursing to ameliorate nursing cues
practice - interprets and validates clients
body language and facial
expressions
RECORDS MANAGEMENT
 Maintains accurate and updated
 Utilizes formal and informal
documentation of patient care
channels
- completes updated
- makes use of available visual
documentation of patient
aids
care

 Responds to needs of individuals,


 Records outcome of patient care
family, group and community
- utilizes a records system
- provides reassurance through
therapeutic touch, warmth
and comforting words of
 Observes legal imperatives in encouragement
record keeping - readily smiles
- observes confidentiality and
privacy of the patients records
- maintains an organized system
 Uses appropriate information
of filing and keeping patients’
technology to facilitate
records in a designated area
communication
- refrains from releasing records
- utilizes telephone, mobile
and other information without
phone, email and internet,
proper authority
and informatics
- identifies significant others so
that follow up care can be
COMMUNICATION obtained
 Establishes rapport with patients, - provides “holding” or
significant others and members of emergency numbers for
the health team services
- creates trust and confidence
- listens attentively to client’s
queries and requests
- spends time with the client to
facilitate conversation that
allows client express concerns
COLLABORATION AND TEAMWORK
 Establishes collaborative
relationship with colleagues and
other members of the health team
- contributes to the decision
making regarding patients’
needs and concerns
- participates actively in patient
care
- recommends appropriate
intervention to improve patient
care
- respects the role of other
members of the health team
- maintains good interpersonal
relationship with patients,
colleagues and other
members of the health team

 Collaborates plan of care with


other members of the health team
- refers patients to allied health
team partners
- acts as liaison or advocate of
the patient
- prepares accurate
documentation for efficient
communication of services

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