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PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC.

College of Nursing

NAME: Ailynne C. Gomez GROUP: 7


Patients Name: CAA Ampo Ryan Jay G. Room & Bed #: CA6 Diagnosis: germ cell tumor Attending Physician: Vitals Signs: Diet: DAT Activity: none Contraptions: none I.V.F NONE Procedure and Laboratory Work up: Histopath result Medications: Multi vit. OD 1 Cap Tramadol hydrochloride 50mg Vital Signs: BP: 120/80 TEMP: 36.1 RR:76 PR: 24 OUTPUT: URINE: 5 STOOL: 3

DAILY TASK SHEET

CLINICAL AREA: 4D- BURN UNIT DATE: February 15, 20012

Focus > abdominal pain Data > ambulatory,DAt, pale in appearance, (+) enlargement of the abdomen, >pain scale of 6/10 > V/S taken as follows: BP: 120/80 TEMP: 36.1 RR: 76 PR: 24 ACTION > positioning of patient >conducting activities for alternative to reduced the pain >determine the possible patho physiological source of pain. >use pain rating scale appropriate for age. > encourage deep breathing exercises. > Note patient attitude towards pain. RESPONSE > response for intervention/ teaching and action performed. >decrease level of pain from 6/10 to 3/10. >increase pain tolerance because of teaching and intervention. >source of pain has been identified Endorsed:

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

RELATED LEARNING EXPERIENCE LEADERSHIP and MANAGEMENT ( Head Nursing)

QUIZZ

Leadership and Management (Matching Type) 1. Formed outside the scope of formal leadership 2. Leaders are born 3. To lead toward a definite result 4. Also called assigned leadership 5. They display self confidence 6. Leader acts as facilitator 7. Leader dominates the group 8. Something is said or done 9. Technique for allocating ones time 10. Influence of some well known people has determined the control of history A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. Leadership Culture Autocratic Trait Theory Style Charisma Formal Leadership Democratic Leadership Skill Charismatic Leader Trait Theory Informal Leadership Time Management Behavioral Approach Great Man Theory

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

Enumeration: Phases of Burn 1-3 Types of Burns 4-7 Burn Prevention Tips 8-10 Multiple Choice 1. When caring for a patient with extensive burns, the nurse anticipates that pain medication will be administered via which route? a. Oral b. Intramascular c. Intravenous d. Subcutaneous

2. The nurse is caring for a client following an autograft & grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client? a. Out of bed b. Bathroom privileges c. Immobilization of the affected leg d. Placing the affected leg in a dependent position

3. The nurse is caring for a patient who sustained superficial partial-thickness burns o the anterior lower legs and anterior thorax. Which of the following does the nurse expect to note during the emergent phase of burn injury? a. Decreased heart rate b. Increased blood pressure c. Elevated hematocrit levels d. Increased urinary output

4. During the administration of IV fluids, you must be watchful of? a. Cardiac Overload b. Hypovolemic Shock c. Bulging of IV sites d. Cardiac Arrest

5. What is the priority or focus nursing diagnosis during rehabilitation phase of burned patients? a. Alteration in self image c. Altered fluid and electrolytes b. Risk for infection d. Risk for injury Goodluck!!! A good leader is a good follower

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

NAME:GRACE ATUN GROUP: 7


Patients Name: CAA Ampo Ryan Jay G. Room & Bed #: CA6 Diagnosis: germ cell tumor Attending Physician: Vitals Signs: Diet: DAT Activity: none Contraptions: none I.V.F NONE Procedure and Laboratory Work up: Histopath result Medications: Multi vit. OD 1 Cap Tramadol hydrochloride 50mg Vital Signs: BP: 120/80 TEMP: 36.1 RR:76 PR: 24 OUTPUT: URINE: 5 STOOL: 3

CLINICAL AREA: 4D- BURN UNIT DATE: February 20, 20012

Focus > abdominal pain Data > ambulatory,DAt, pale in appearance, (+) enlargement of the abdomen, >pain scale of 6/10 > V/S taken as follows: BP: 120/80 TEMP: 36.1 RR: 76 PR: 24 ACTION > positioning of patient >conducting activities for alternative to reduced the pain >determine the possible patho physiological source of pain. >use pain rating scale appropriate for age. > encourage deep breathing exercises. > Note patient attitude towards pain. RESPONSE > response for intervention/ teaching and action performed. >decrease level of pain from 6/10 to 3/10. >increase pain tolerance because of teaching and intervention. >source of pain has been identified Endorsed:

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

NAME: NORHANA TAMPI GROUP: 7


Patients Name: TABAGAN Room & Bed #: CA6 Diagnosis: HPN II , keloid on chest cavity Attending Physician: major gascon Vitals Signs: Diet: DAT Activity: none Contraptions: none I.V.F NONE Procedure and Laboratory Work up: Medications: Multi vit. OD 1 Cap Vital Signs: BP: 120/90 TEMP: 36 RR:81 PR: 24 OUTPUT: URINE: 5 STOOL: 3

CLINICAL AREA: 4D- BURN UNIT DATE: February 20, 20012

Focus> disturbed body image related to burn Data> received patient, awake and coherent. (+) keloid on chest cavity v/s taken as follows BP: TEMP: RR: PR: ACTION Be positive during treatments, and in health teaching and in setting goals. Encourage to view wounds and assist it with care, as appropriate Assist client to identify extent of actual change in appearance/ body function Refer to physical or occupational therapist Check for vital signs Give medicine if needed RESPONSE Promotes acceptance of reality of injury and of change in body image. Positive coping behavior Enhances trust and rapport between client and nurse Identifies ways and devices to regain and maintain independence.

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

NAME:PATRICK MANABAT GROUP: 7


Patients Name: REYES Room & Bed #: CA6 Diagnosis: FLAME BURN Attending Physician: major gascon Vitals Signs: Diet: DAT Activity: none Contraptions: none I.V.F NONE Procedure and Laboratory Work up: NONE Medications: Multi vit. OD 1 Cap Tramadol hydrochloride 50mg Vital Signs: BP: 110/80 TEMP: 36.1 RR:74 PR: 24 OUTPUT: URINE: 2 STOOL: 3

CLINICAL AREA: 4D- BURN UNIT DATE: February 20, 20012

FOCUS > nd Impaired physical mobility due to 2 degree burn Limitation in independent, purposeful physical movement of the body or of one or more extremities DATA> received patient ambulatory with flame burn in his lower extremities first aid done vital signs taken as follows (+) pain With pain scale of 8/ 10 (+) erythma ACTION> V/S To identify causative factors Assess functional mobility Health teaching to avoid further infection Assess for ROM Increase fluid intake Maintain sterility RESPONSE> Observed for 10 Rs Several wounds had dried up Pain scale decreases from 8/ 10 to 3/10 Patient felt more comfortable Meds given

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

NAME: PAUL JAY NAPAO GROUP: 7


Patients Name: TABAGAN Room & Bed #: CA6 Diagnosis: HPN II , keloid on chest cavity Attending Physician: major gascon Vitals Signs: Diet: DAT Activity: none Contraptions: none I.V.F NONE Procedure and Laboratory Work up: Medications: Multi vit. OD 1 Cap Vital Signs: BP: 120/90 TEMP: 36 RR:81 PR: 24 OUTPUT: URINE: 5 STOOL: 3

CLINICAL AREA: 4D- BURN UNIT DATE: February 20, 20012

Focus> disturbed body image related to burn Data> received patient, awake and coherent. (+) keloid on chest cavity v/s taken as follows BP: TEMP: RR: PR: ACTION Be positive during treatments, and in health teaching and in setting goals. Encourage to view wounds and assist it with care, as appropriate Assist client to identify extent of actual change in appearance/ body function Refer to physical or occupational therapist Check for vital signs Give medicine if needed RESPONSE Promotes acceptance of reality of injury and of change in body image. Positive coping behavior Enhances trust and rapport between client and nurse Identifies ways and devices to regain and maintain independence.

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

NAME: ALFONSO VENTURA GROUP: 7


Patients Name: GIBA GERALD Room & Bed #: CA6 Diagnosis: electrical burn Attending Physician: major gascon Vitals Signs: Diet: DAT Activity: none Contraptions: none I.V.F NONE Procedure and Laboratory Work up: BADO SPLINT Medications: Multi vit. OD 1 Cap Tramadol hydrochloride 50mg Vital Signs: BP: 120/80 TEMP: 36.1 RR:76 PR: 24 OUTPUT: URINE: 5 STOOL: 3

CLINICAL AREA: 4D- BURN UNIT DATE: February 20, 20012

FOCUS> impaired skin integrity DATA>

received patient awake ambulatory with electrical burn in his upper extremities first aid done vital signs taken as follows (+) pain With pain scale of 7/ 10 (+) erythma first aid done vital signs taken as follows (+) pain With pain scale of 7/ 10 (+) erythma

Action> v/s instruct the family to maintain clean an dry clothes give medication for itchiness encourage deep breathing exercises positioning of the patient increase fluid intake

RESPONSE Observed for 10 Rs Minimize itchiness of the wound Several wounds had dried up Minimized erythma Pain scale decreases from 7/ 10 to 4/10 Patient felt more comfortable

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

Name: Norhana P. Tampi

Date: February 15, 2012

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

SCORE: _______ I Leadership and Management (Matching Type) 1. Formed outside the scope of formal leadership 2. Leaders are born 3. To lead toward a definite result 4. Also called assigned leadership 5. They display self confidence 6. Leader acts as facilitator 7. Leader dominates the group 8. Something is said or done 9. Technique for allocating ones time 10. Influence of some well known people has determined the control of history

A. B. C. D. E. F. G. H. I. J. K. L. M. N. O.

Leadership Culture Autocratic Trait Theory Style Charisma Formal Leadership Democratic Leadership Skill Charismatic Leader Trait Theory Informal Leadership Time Management Behavioral Approach Great Man Theory

NAME: MARTIN EDIZA

CLINICAL AREA: 4D- BURN UNIT

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing February 20, 20012 GROUP: 7 DATE:

Patients Name: GIBA GERALD Room & Bed #: CA6 Diagnosis: electrical burn Attending Physician: major gascon Vitals Signs: Diet: DAT Activity: none Contraptions: none I.V.F NONE Procedure and Laboratory Work up: BADO SPLINT Medications: Multi vit. OD 1 Cap Tramadol hydrochloride 50mg Vital Signs: BP: 120/80 TEMP: 36.1 RR:76 PR: 24 OUTPUT: URINE: 5 STOOL: 3

FOCUS> impaired skin integrity DATA>

received patient awake ambulatory with electrical burn in his upper extremities first aid done vital signs taken as follows (+) pain With pain scale of 7/ 10 (+) erythma first aid done vital signs taken as follows (+) pain With pain scale of 7/ 10 (+) erythma

Action> v/s instruct the family to maintain clean an dry clothes give medication for itchiness encourage deep breathing exercises positioning of the patient increase fluid intake

RESPONSE Observed for 10 Rs Minimize itchiness of the wound Several wounds had dried up Minimized erythma Pain scale decreases from 7/ 10 to 4/10 Patient felt more comfortable

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing NAME: Ailynne C. Gomez CLINICAL AREA: 4D- BURN UNIT GROUP: 7
Patients Name: CAA Ampo Ryan Jay G. Room & Bed #: CA6 Diagnosis: germ cell tumor Attending Physician: Vitals Signs: Diet: DAT Activity: none Contraptions: none I.V.F NONE Procedure and Laboratory Work up: Histopath result Medications: Multi vit. OD 1 Cap Tramadol hydrochloride 50mg Vital Signs: BP: 120/80 TEMP: 36.1 RR:76 PR: 24 OUTPUT: URINE: 5 STOOL: 3

DATE: February 15, 20012

Focus > abdominal pain Data > ambulatory,DAt, pale in appearance, (+) enlargement of the abdomen, >pain scale of 6/10 > V/S taken as follows: BP: 120/80 TEMP: 36.1 RR: 76 PR: 24 ACTION > positioning of patient >conducting activities for alternative to reduced the pain >determine the possible patho physiological source of pain. >use pain rating scale appropriate for age. > encourage deep breathing exercises. > Note patient attitude towards pain. RESPONSE > response for intervention/ teaching and action performed. >decrease level of pain from 6/10 to 3/10. >increase pain tolerance because of teaching and intervention. >source of pain has been identified Endorsed:

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

Enumeration: Phases of Burn 1-3 Types of Burns 4-7

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing 8-10 Burn Prevention Tips

Multiple Choice 1. When caring for a patient with extensive burns, the nurse anticipates that pain medication will be administered via which route? c. Oral d. Intramascular c. Intravenous d. Subcutaneous

2. The nurse is caring for a client following an autograft & grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client? c. Out of bed d. Bathroom privileges c. Immobilization of the affected leg d. Placing the affected leg in a dependent position

3. The nurse is caring for a patient who sustained superficial partial-thickness burns o the anterior lower legs and anterior thorax. Which of the following does the nurse expect to note during the emergent phase of burn injury? c. Decreased heart rate d. Increased blood pressure c. Elevated hematocrit levels d. Increased urinary output

4. During the administration of IV fluids, you must be watchful of? c. Cardiac Overload d. Hypovolemic Shock c. Bulging of IV sites d. Cardiac Arrest

5. What is the priority or focus nursing diagnosis during rehabilitation phase of burned patients? c. Alteration in self image c. Altered fluid and electrolytes d. Risk for infection d. Risk for injury Goodluck!!! A good leader is a good follower

Name: Grace D. Atun SCORE: _______ I Leadership and Management (Matching Type)

Date: February 15, 2012

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

1. Formed outside the scope of formal leadership 2. Leaders are born 3. To lead toward a definite result 4. Also called assigned leadership 5. They display self confidence 6. Leader acts as facilitator 7. Leader dominates the group 8. Something is said or done 9. Technique for allocating ones time 10. Influence of some well known people has determined the control of history

A. B. C. D. E. F. G. H. I. J. K. L. M. N. O.

Leadership Culture Autocratic Trait Theory Style Charisma Formal Leadership Democratic Leadership Skill Charismatic Leader Trait Theory Informal Leadership Time Management Behavioral Approach Great Man Theory

Enumeration: Phases of Burn 1-3 Types of Burns 4-7

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing Burn Prevention Tips 8-10 Multiple Choice 1. When caring for a patient with extensive burns, the nurse anticipates that pain medication will be administered via which route? a) Oral b) Intramuscular c. Intravenous d. Subcutaneous

2. The nurse is caring for a client following an autograft & grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client? a) Out of bed b) Bathroom privileges c. Immobilization of the affected leg d. Placing the affected leg in a dependent position

3. The nurse is caring for a patient who sustained superficial partial-thickness burns o the anterior lower legs and anterior thorax. Which of the following does the nurse expect to note during the emergent phase of burn injury? a) Decreased heart rate b) Increased blood pressure c. Elevated hematocrit levels d. Increased urinary output

4. During the administration of IV fluids, you must be watchful of? a) Cardiac Overload b) Hypovolemic Shock c. Bulging of IV sites d. Cardiac Arrest

5. What is the priority or focus nursing diagnosis during rehabilitation phase of burned patients? a) Alteration in self image c. Altered fluid and electrolytes b) Risk for infection d. Risk for injury Goodluck!!! A good leader is a good follower

Name: Martin F. Ediza SCORE: _______ I Leadership and Management

Date: February 15, 2012

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

(Matching Type) 1. Formed outside the scope of formal leadership 2. Leaders are born 3. To lead toward a definite result 4. Also called assigned leadership 5. They display self confidence 6. Leader acts as facilitator 7. Leader dominates the group 8. Something is said or done 9. Technique for allocating ones time 10. Influence of some well known people has determined the control of history

A. B. C. D. E. F. G. H. I. J. K. L. M. N. O.

Leadership Culture Autocratic Trait Theory Style Charisma Formal Leadership Democratic Leadership Skill Charismatic Leader Trait Theory Informal Leadership Time Management Behavioral Approach Great Man Theory

Enumeration: Phases of Burn 1-3 Types of Burns

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing 4-7 Burn Prevention Tips 8-10 Multiple Choice 1. When caring for a patient with extensive burns, the nurse anticipates that pain medication will be administered via which route? a) Oral b) Intramuscular c. Intravenous d. Subcutaneous

2. The nurse is caring for a client following an autograft & grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client? a) Out of bed b) Bathroom privileges c. Immobilization of the affected leg d. Placing the affected leg in a dependent position

3. The nurse is caring for a patient who sustained superficial partial-thickness burns o the anterior lower legs and anterior thorax. Which of the following does the nurse expect to note during the emergent phase of burn injury? c) Decreased heart rate d) Increased blood pressure c. Elevated hematocrit levels d. Increased urinary output

4. During the administration of IV fluids, you must be watchful of? a) Cardiac Overload b) Hypovolemic Shock c. Bulging of IV sites d. Cardiac Arrest

5. What is the priority or focus nursing diagnosis during rehabilitation phase of burned patients? c) Alteration in self image c. Altered fluid and electrolytes d) Risk for infection d. Risk for injury Goodluck!!! A good leader is a good follower

Name: Paul Jay P. Napao SCORE: _______

Date: February 15, 2012

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

I Leadership and Management (Matching Type) 1) Formed outside the scope of formal leadership 2) Leaders are born 3) To lead toward a definite result 4) Also called assigned leadership 5) They display self confidence 6) Leader acts as facilitator 7) Leader dominates the group 8) Something is said or done 9) Technique for allocating ones time 10)Influence of some well known people has determined the control of history

A. B. C. D. E. F. G. H. I. J. K. L. M. N. O.

Leadership Culture Autocratic Trait Theory Style Charisma Formal Leadership Democratic Leadership Skill Charismatic Leader Trait Theory Informal Leadership Time Management Behavioral Approach Great Man Theory

Enumeration: Phases of Burn 1-3

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing 4-7 Types of Burns

Burn Prevention Tips 8-10 Multiple Choice 1. When caring for a patient with extensive burns, the nurse anticipates that pain medication will be administered via which route? a) Oral b) Intramuscular c. Intravenous d. Subcutaneous

2. The nurse is caring for a client following an autograft & grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client? a) Out of bed b) Bathroom privileges c. Immobilization of the affected leg d. Placing the affected leg in a dependent position

3. The nurse is caring for a patient who sustained superficial partial-thickness burns o the anterior lower legs and anterior thorax. Which of the following does the nurse expect to note during the emergent phase of burn injury? a) Decreased heart rate b) Increased blood pressure c. Elevated hematocrit levels d. Increased urinary output

4. During the administration of IV fluids, you must be watchful of? c) Cardiac Overload d) Hypovolemic Shock c. Bulging of IV sites d. Cardiac Arrest

5. What is the priority or focus nursing diagnosis during rehabilitation phase of burned patients? a) Alteration in self image c. Altered fluid and electrolytes b) Risk for infection d. Risk for injury Goodluck!!! A good leader is a good follower

Name: Don Michael Patrick B. Manabat

Date: February 15, 2012

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

SCORE: _______ I Leadership and Management (Matching Type) 1. Formed outside the scope of formal leadership 2. Leaders are born 3. To lead toward a definite result 4. Also called assigned leadership 5. They display self confidence 6. Leader acts as facilitator 7. Leader dominates the group 8. Something is said or done 9. Technique for allocating ones time 10. Influence of some well known people has determined the control of history

A. B. C. D. E. F. G. H. I. J. K. L. M. N. O.

Leadership Culture Autocratic Trait Theory Style Charisma Formal Leadership Democratic Leadership Skill Charismatic Leader Trait Theory Informal Leadership Time Management Behavioral Approach Great Man Theory

Enumeration: Phases of Burn

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing 1-3 Types of Burns 4-7 Burn Prevention Tips 8-10 Multiple Choice 1. When caring for a patient with extensive burns, the nurse anticipates that pain medication will be administered via which route? a) Oral b) Intramuscular c. Intravenous d. Subcutaneous

2. The nurse is caring for a client following an autograft & grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client? a) Out of bed b) Bathroom privileges c. Immobilization of the affected leg d. Placing the affected leg in a dependent position

3. The nurse is caring for a patient who sustained superficial partial-thickness burns o the anterior lower legs and anterior thorax. Which of the following does the nurse expect to note during the emergent phase of burn injury? a) Decreased heart rate b) Increased blood pressure c. Elevated hematocrit levels d. Increased urinary output

4. During the administration of IV fluids, you must be watchful of? a) Cardiac Overload b) Hypovolemic Shock c. Bulging of IV sites d. Cardiac Arrest

5. What is the priority or focus nursing diagnosis during rehabilitation phase of burned patients? a) Alteration in self image c. Altered fluid and electrolytes b) Risk for infection d. Risk for injury Goodluck!!! A good leader is a good follower

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

Name: Krsitine Bernadetted C. Hernando Date: February 15, 2012 SCORE: _______ I Leadership and Management (Matching Type) 1. Formed outside the scope of formal leadership 2. Leaders are born 3. To lead toward a definite result 4. Also called assigned leadership 5. They display self confidence 6. Leader acts as facilitator 7. Leader dominates the group 8. Something is said or done 9. Technique for allocating ones time 10. Influence of some well known people has determined the control of history

A. B. C. D. E. F. G. H. I. J. K. L. M. N. O.

Leadership Culture Autocratic Trait Theory Style Charisma Formal Leadership Democratic Leadership Skill Charismatic Leader Trait Theory Informal Leadership Time Management Behavioral Approach Great Man Theory

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing Enumeration: Phases of Burn 1-3 Types of Burns 4-7 Burn Prevention Tips 8-10 Multiple Choice 1. When caring for a patient with extensive burns, the nurse anticipates that pain medication will be administered via which route? a) Oral b) Intramuscular c. Intravenous d. Subcutaneous

2. The nurse is caring for a client following an autograft & grafting to a burn wound on the right knee. Which of the following would the nurse anticipate to be prescribed for the client? a) Out of bed b) Bathroom privileges c. Immobilization of the affected leg d. Placing the affected leg in a dependent position

3. The nurse is caring for a patient who sustained superficial partial-thickness burns o the anterior lower legs and anterior thorax. Which of the following does the nurse expect to note during the emergent phase of burn injury? a) Decreased heart rate b) Increased blood pressure c. Elevated hematocrit levels d. Increased urinary output

4. During the administration of IV fluids, you must be watchful of? a) Cardiac Overload b) Hypovolemic Shock c. Bulging of IV sites d. Cardiac Arrest

5. What is the priority or focus nursing diagnosis during rehabilitation phase of burned patients? a) Alteration in self image c. Altered fluid and electrolytes b) Risk for infection d. Risk for injury Goodluck!!! A good leader is a good follower

RELATED LEARNING EXPERIENCE

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

MANAGEMENT

LEADERSHIP and ( Head Nursing)

EXAMINATION RESULT FORM


Date: February 15, 2012 Clinical Area: 4D BURN UNIT 1. 2. 3. 4. 5. 6. 7. NAME Grace D. Atun Norhana P. Tampi Kristine C. Hernando Paul Jay P. Napao Martin F. Ediza Don Michael Manabat Ailynne C. Gomez RAW SCORE PERCENTAGE

Prepared By: Alfonso T. Ventura Student Head Nurse

Noted By: Mrs. Sharon C. Pandong, RN, MAN Clinical Instructor

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

RELATED LEARNING EXPERIENCE LEADERSHIP and MANAGEMENT (Head Nursing)

Name: Norhana P. Tampi Group: 7

Date of Exposure: February 15, 2012 Clinical Area: 4D BURN-UNIT

Direction: Rate the students on following competencies using a 5 point scale as follows:

Rating 5 4

Quantitative Outstanding Very Satisfactory

Satisfactory

Needs Improvement

Unsatisfactory

Description Able to function independently and correctly observes principles Able to function with less supervision from the instructor & observes principles theories of nursing most of the time Able to function but requires close supervision from the instructor and observes principles at theories of nursing sometimes Able to function but requires close supervision from the instructor and occasionally applies principles and theories of nursing Unable to function and has applied nor observed underlying principles at theories of nursing

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

PERFORMANCE I. ESTABLISHMENT OF WORKING RELATIONSHIP 1. Establishes rapport with subordinates 2. Gain trust and confidence of subordinates 3. Able to mediate between subordinates and patients 4. Able to maintain stability under pressure II. ASSESSMENT / PLANNING 1. Utilizes appropriate resources forward assessment 2. Utilize different techniques in gathering data ( interview, observation, records review, reports) 3. Gathers data on: Nursing service history Physical set up Organization Chart Ongoing appraisal evaluation Ward rules and regulation at SOPS Channel of communication Records and reports 4. Analyze data gathered based on scientific concepts and principles 5. Brief student staff nurse on data gathered 6. Identifies and priorities problems based on data gathered according to the urgency of the, availability of resources (manpower, materials, money/ budget) III. PROBLEM SOLVING PROCESS A. Involves the staff, other members of health team and administrative units in identifying problems in the unit B. Generates suggestions and recommendations for the resolution of identifies problems C. Analyze the existence of the problem D. identifies specific and appropriate

RATING

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

strategies to attain objectives E. Develops alternative course of action F. Implements plan of action G. Sets criteria for evaluation using the different parameters of evaluation IV. LEADERSHIP A. Conducts a pre-conference with his/ her staff to discuss the objectives and activities for the day, helps subordinates formulates strategies in accomplishing assigned tasks, address questions pertaining to accomplishment of tasks B. Prepares and brief subordinates on the learning objectives for the day C. Distributes patient assignment evenly D. Delegates task to student staff nurse E. Prepares and brief subordinates on the daily plan of activities F. Evaluates if the objectives are met G. Come up with resolutions to address constraints H. Supervise his/ her staff during procedures and other assigned tasks I. Coordinates and collaborates with other members of the health team and other administrative units in the attainment of objectives J. Evaluation performance of staff and the unit as a whole through the use of reports, records, observations, interviews and conferences K. Troubleshoot as necessity arise L. Conducts post conference at the end of the shift, resolves issues and concerns and conducts debriefing as necessary M. Requires incident reports as necessary, keeps the clinical instructor informed and updated N. Utilizes the existing chain of command in implementing activities

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

REMARKS: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _________________________________________________________

Evaluated by:

Norhana P. Tampi Student Staff Nurse Alfonso T. Ventura Student Head Nurse Mrs. Sharon C. Pandong, RN, MAN Clinical Instructor

Conformer:

Noted by:

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

RELATED LEARNING EXPERIENCE LEADERSHIP and MANAGEMENT (Head Nursing)

Name: Grace D. Atun Group: 7

Date of Exposure: February 15, 2012 Clinical Area: 4D BURN-UNIT

Direction: Rate the students on following competencies using a 5 point scale as follows:

Rating 5 4

Quantitative Outstanding Very Satisfactory

Satisfactory

Needs Improvement

Unsatisfactory

Description Able to function independently and correctly observes principles Able to function with less supervision from the instructor & observes principles theories of nursing most of the time Able to function but requires close supervision from the instructor and observes principles at theories of nursing sometimes Able to function but requires close supervision from the instructor and occasionally applies principles and theories of nursing Unable to function and has applied nor observed underlying principles at theories of nursing

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

PERFORMANCE I. ESTABLISHMENT OF WORKING RELATIONSHIP 1. Establishes rapport with subordinates 2. Gain trust and confidence of subordinates 3. Able to mediate between subordinates and patients 4. Able to maintain stability under pressure II. ASSESSMENT / PLANNING 1. Utilizes appropriate resources forward assessment 2. Utilize different techniques in gathering data ( interview, observation, records review, reports) 3. Gathers data on: Nursing service history Physical set up Organization Chart Ongoing appraisal evaluation Ward rules and regulation at SOPS Channel of communication Records and reports 4. Analyze data gathered based on scientific concepts and principles 5. Brief student staff nurse on data gathered 6. Identifies and priorities problems based on data gathered according to the urgency of the, availability of resources (manpower, materials, money/ budget) III. PROBLEM SOLVING PROCESS A. Involves the staff, other members of health team and administrative units in identifying problems in the unit B. Generates suggestions and recommendations for the resolution of identifies problems C. Analyze the existence of the problem D. identifies specific and appropriate

RATING

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

strategies to attain objectives E. Develops alternative course of action F. Implements plan of action G. Sets criteria for evaluation using the different parameters of evaluation IV. LEADERSHIP A. Conducts a pre-conference with his/ her staff to discuss the objectives and activities for the day, helps subordinates formulates strategies in accomplishing assigned tasks, address questions pertaining to accomplishment of tasks B. Prepares and brief subordinates on the learning objectives for the day C. Distributes patient assignment evenly D. Delegates task to student staff nurse E. Prepares and brief subordinates on the daily plan of activities F. Evaluates if the objectives are met G. Come up with resolutions to address constraints H. Supervise his/ her staff during procedures and other assigned tasks I. Coordinates and collaborates with other members of the health team and other administrative units in the attainment of objectives J. Evaluation performance of staff and the unit as a whole through the use of reports, records, observations, interviews and conferences K. Troubleshoot as necessity arise L. Conducts post conference at the end of the shift, resolves issues and concerns and conducts debriefing as necessary M. Requires incident reports as necessary, keeps the clinical instructor informed and updated N. Utilizes the existing chain of command in implementing activities

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

REMARKS: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _________________________________________________________

Evaluated by:

Grace D. Atun Student Staff Nurse Alfonso T. Ventura Student Head Nurse Mrs. Sharon C. Pandong, RN, MAN Clinical Instructor

Conformer:

Noted by:

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

RELATED LEARNING EXPERIENCE LEADERSHIP and MANAGEMENT (Head Nursing)

Name: Martin F. Ediza Group: 7

Date of Exposure: February 15, 2012 Clinical Area: 4D BURN-UNIT

Direction: Rate the students on following competencies using a 5 point scale as follows:

Rating 5 4

Quantitative Outstanding Very Satisfactory

Satisfactory

Needs Improvement

Unsatisfactory

Description Able to function independently and correctly observes principles Able to function with less supervision from the instructor & observes principles theories of nursing most of the time Able to function but requires close supervision from the instructor and observes principles at theories of nursing sometimes Able to function but requires close supervision from the instructor and occasionally applies principles and theories of nursing Unable to function and has applied nor observed underlying principles at theories of nursing

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

PERFORMANCE I. ESTABLISHMENT OF WORKING RELATIONSHIP 1. Establishes rapport with subordinates 2. Gain trust and confidence of subordinates 3. Able to mediate between subordinates and patients 4. Able to maintain stability under pressure II. ASSESSMENT / PLANNING 1. Utilizes appropriate resources forward assessment 2. Utilize different techniques in gathering data ( interview, observation, records review, reports) 3. Gathers data on: Nursing service history Physical set up Organization Chart Ongoing appraisal evaluation Ward rules and regulation at SOPS Channel of communication Records and reports 4. Analyze data gathered based on scientific concepts and principles 5. Brief student staff nurse on data gathered 6. Identifies and priorities problems based on data gathered according to the urgency of the, availability of resources (manpower, materials, money/ budget) III. PROBLEM SOLVING PROCESS A. Involves the staff, other members of health team and administrative units in identifying problems in the unit B. Generates suggestions and recommendations for the resolution of identifies problems C. Analyze the existence of the problem D. identifies specific and appropriate strategies to attain objectives E. Develops alternative course of action

RATING

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

F. Implements plan of action G. Sets criteria for evaluation using the different parameters of evaluation IV. LEADERSHIP A. Conducts a pre-conference with his/ her staff to discuss the objectives and activities for the day, helps subordinates formulates strategies in accomplishing assigned tasks, address questions pertaining to accomplishment of tasks B. Prepares and brief subordinates on the learning objectives for the day C. Distributes patient assignment evenly D. Delegates task to student staff nurse E. Prepares and brief subordinates on the daily plan of activities F. Evaluates if the objectives are met G. Come up with resolutions to address constraints H. Supervise his/ her staff during procedures and other assigned tasks I. Coordinates and collaborates with other members of the health team and other administrative units in the attainment of objectives J. Evaluation performance of staff and the unit as a whole through the use of reports, records, observations, interviews and conferences K. Troubleshoot as necessity arise L. Conducts post conference at the end of the shift, resolves issues and concerns and conducts debriefing as necessary M. Requires incident reports as necessary, keeps the clinical instructor informed and updated N. Utilizes the existing chain of command in implementing activities

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

REMARKS: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _________________________________________________________

Evaluated by:

Martin F. Ediza Student Staff Nurse Alfonso T. Ventura Student Head Nurse Mrs. Sharon C. Pandong, RN, MAN Clinical Instructor

Conformer:

Noted by:

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

RELATED LEARNING EXPERIENCE LEADERSHIP and MANAGEMENT (Head Nursing)

Name: Paul Jay P. Napao Group: 7

Date of Exposure: February 15, 2012 Clinical Area: 4D BURN-UNIT

Direction: Rate the students on following competencies using a 5 point scale as follows:

Rating 5 4

Quantitative Outstanding Very Satisfactory

Satisfactory

Needs Improvement

Unsatisfactory

Description Able to function independently and correctly observes principles Able to function with less supervision from the instructor & observes principles theories of nursing most of the time Able to function but requires close supervision from the instructor and observes principles at theories of nursing sometimes Able to function but requires close supervision from the instructor and occasionally applies principles and theories of nursing Unable to function and has applied nor observed underlying principles at theories of nursing

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

PERFORMANCE I. ESTABLISHMENT OF WORKING RELATIONSHIP 1. Establishes rapport with subordinates 2. Gain trust and confidence of subordinates 3. Able to mediate between subordinates and patients 4. Able to maintain stability under pressure II. ASSESSMENT / PLANNING 1. Utilizes appropriate resources forward assessment 2. Utilize different techniques in gathering data ( interview, observation, records review, reports) 3. Gathers data on: Nursing service history Physical set up Organization Chart Ongoing appraisal evaluation Ward rules and regulation at SOPS Channel of communication Records and reports 4. Analyze data gathered based on scientific concepts and principles 5. Brief student staff nurse on data gathered 6. Identifies and priorities problems based on data gathered according to the urgency of the, availability of resources (manpower, materials, money/ budget) III. PROBLEM SOLVING PROCESS A. Involves the staff, other members of health team and administrative units in identifying problems in the unit B. Generates suggestions and recommendations for the resolution of identifies problems C. Analyze the existence of the problem D. identifies specific and appropriate

RATING

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

strategies to attain objectives E. Develops alternative course of action F. Implements plan of action G. Sets criteria for evaluation using the different parameters of evaluation IV. LEADERSHIP A. Conducts a pre-conference with his/ her staff to discuss the objectives and activities for the day, helps subordinates formulates strategies in accomplishing assigned tasks, address questions pertaining to accomplishment of tasks B. Prepares and brief subordinates on the learning objectives for the day C. Distributes patient assignment evenly D. Delegates task to student staff nurse E. Prepares and brief subordinates on the daily plan of activities F. Evaluates if the objectives are met G. Come up with resolutions to address constraints H. Supervise his/ her staff during procedures and other assigned tasks I. Coordinates and collaborates with other members of the health team and other administrative units in the attainment of objectives J. Evaluation performance of staff and the unit as a whole through the use of reports, records, observations, interviews and conferences K. Troubleshoot as necessity arise L. Conducts post conference at the end of the shift, resolves issues and concerns and conducts debriefing as necessary M. Requires incident reports as necessary, keeps the clinical instructor informed and updated N. Utilizes the existing chain of command in implementing activities

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

REMARKS: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _________________________________________________________

Evaluated by:

Paul Jay P. Napao Student Staff Nurse Alfonso T. Ventura Student Head Nurse Mrs. Sharon C. Pandong, RN, MAN Clinical Instructor

Conformer:

Noted by:

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

RELATED LEARNING EXPERIENCE LEADERSHIP and MANAGEMENT (Head Nursing)

Name: Don Michael B. Manabat 2012 Group: 7

Date of Exposure: February 15, Clinical Area: 4D BURN-UNIT

Direction: Rate the students on following competencies using a 5 point scale as follows:

Rating 5 4

Quantitative Outstanding Very Satisfactory

Satisfactory

Needs Improvement

Unsatisfactory

Description Able to function independently and correctly observes principles Able to function with less supervision from the instructor & observes principles theories of nursing most of the time Able to function but requires close supervision from the instructor and observes principles at theories of nursing sometimes Able to function but requires close supervision from the instructor and occasionally applies principles and theories of nursing Unable to function and has applied nor observed underlying principles at theories of nursing

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

PERFORMANCE I. ESTABLISHMENT OF WORKING RELATIONSHIP 1. Establishes rapport with subordinates 2. Gain trust and confidence of subordinates 3. Able to mediate between subordinates and patients 4. Able to maintain stability under pressure II. ASSESSMENT / PLANNING 1. Utilizes appropriate resources forward assessment 2. Utilize different techniques in gathering data ( interview, observation, records review, reports) 3. Gathers data on: Nursing service history Physical set up Organization Chart Ongoing appraisal evaluation Ward rules and regulation at SOPS Channel of communication Records and reports 4. Analyze data gathered based on scientific concepts and principles 5. Brief student staff nurse on data gathered 6. Identifies and priorities problems based on data gathered according to the urgency of the, availability of resources (manpower, materials, money/ budget) III. PROBLEM SOLVING PROCESS A. Involves the staff, other members of health team and administrative units in identifying problems in the unit B. Generates suggestions and recommendations for the resolution of identifies problems C. Analyze the existence of the problem D. identifies specific and appropriate

RATING

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

strategies to attain objectives E. Develops alternative course of action F. Implements plan of action G. Sets criteria for evaluation using the different parameters of evaluation IV. LEADERSHIP A. Conducts a pre-conference with his/ her staff to discuss the objectives and activities for the day, helps subordinates formulates strategies in accomplishing assigned tasks, address questions pertaining to accomplishment of tasks B. Prepares and brief subordinates on the learning objectives for the day C. Distributes patient assignment evenly D. Delegates task to student staff nurse E. Prepares and brief subordinates on the daily plan of activities F. Evaluates if the objectives are met G. Come up with resolutions to address constraints H. Supervise his/ her staff during procedures and other assigned tasks I. Coordinates and collaborates with other members of the health team and other administrative units in the attainment of objectives J. Evaluation performance of staff and the unit as a whole through the use of reports, records, observations, interviews and conferences K. Troubleshoot as necessity arise L. Conducts post conference at the end of the shift, resolves issues and concerns and conducts debriefing as necessary M. Requires incident reports as necessary, keeps the clinical instructor informed and updated N. Utilizes the existing chain of command in implementing activities

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

REMARKS: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _________________________________________________________

Evaluated by:

Don Michael B. Manabat Student Staff Nurse Alfonso T. Ventura Student Head Nurse Mrs. Sharon C. Pandong, RN, MAN Clinical Instructor

Conformer:

Noted by:

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

RELATED LEARNING EXPERIENCE LEADERSHIP and MANAGEMENT (Head Nursing)

Name: Kristine Bernadette C. Hernando Group: 7

Date of Exposure: February 15, 2012 Clinical Area: 4D BURN-UNIT

Direction: Rate the students on following competencies using a 5 point scale as follows:

Rating 5 4

Quantitative Outstanding Very Satisfactory

Satisfactory

Needs Improvement

Unsatisfactory

Description Able to function independently and correctly observes principles Able to function with less supervision from the instructor & observes principles theories of nursing most of the time Able to function but requires close supervision from the instructor and observes principles at theories of nursing sometimes Able to function but requires close supervision from the instructor and occasionally applies principles and theories of nursing Unable to function and has applied nor observed underlying principles at theories of nursing

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

PERFORMANCE I. ESTABLISHMENT OF WORKING RELATIONSHIP 1. Establishes rapport with subordinates 2. Gain trust and confidence of subordinates 3. Able to mediate between subordinates and patients 4. Able to maintain stability under pressure II. ASSESSMENT / PLANNING 1. Utilizes appropriate resources forward assessment 2. Utilize different techniques in gathering data ( interview, observation, records review, reports) 3. Gathers data on: Nursing service history Physical set up Organization Chart Ongoing appraisal evaluation Ward rules and regulation at SOPS Channel of communication Records and reports 4. Analyze data gathered based on scientific concepts and principles 5. Brief student staff nurse on data gathered 6. Identifies and priorities problems based on data gathered according to the urgency of the, availability of resources (manpower, materials, money/ budget) III. PROBLEM SOLVING PROCESS A. Involves the staff, other members of health team and administrative units in identifying problems in the unit B. Generates suggestions and recommendations for the resolution of identifies problems C. Analyze the existence of the problem D. identifies specific and appropriate

RATING

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

strategies to attain objectives E. Develops alternative course of action F. Implements plan of action G. Sets criteria for evaluation using the different parameters of evaluation IV. LEADERSHIP A. Conducts a pre-conference with his/ her staff to discuss the objectives and activities for the day, helps subordinates formulates strategies in accomplishing assigned tasks, address questions pertaining to accomplishment of tasks B. Prepares and brief subordinates on the learning objectives for the day C. Distributes patient assignment evenly D. Delegates task to student staff nurse E. Prepares and brief subordinates on the daily plan of activities F. Evaluates if the objectives are met G. Come up with resolutions to address constraints H. Supervise his/ her staff during procedures and other assigned tasks I. Coordinates and collaborates with other members of the health team and other administrative units in the attainment of objectives J. Evaluation performance of staff and the unit as a whole through the use of reports, records, observations, interviews and conferences K. Troubleshoot as necessity arise L. Conducts post conference at the end of the shift, resolves issues and concerns and conducts debriefing as necessary M. Requires incident reports as necessary, keeps the clinical instructor informed and updated N. Utilizes the existing chain of command in implementing activities

PHILIPPINE REHABILITATION INSTITUTE FOUNDATION, INC. College of Nursing

REMARKS: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _________________________________________________________

Evaluated by:

Kristine Bernadette C. Hernando Student Staff Nurse Alfonso T. Ventura Student Head Nurse Mrs. Sharon C. Pandong, RN, MAN Clinical Instructor

Conformer:

Noted by:

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