Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group:

Group 15 Ward: 9F Hospital: MDH Bedside Conference Criteria History Biographic Data Assessment Diagnosis Surgical Procedure Interventions Report with Patients Ability to answer questions Total Signature of Student HN 5 4 3 2 1

5 Best 4 Better 3 Good 2 Fair 1 Needs Improvement

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Bedside Conference Criteria History Biographic Data Assessment Diagnosis Surgical Procedure Interventions Report with Patients Ability to answer questions Total Signature of Student HN 5 4 3 2 1

5 Best 4 Better 3 Good 2 Fair 1 Needs Improvement

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Bedside Conference Criteria History Biographic Data Assessment Diagnosis Surgical Procedure Interventions Report with Patients Ability to answer questions Total Signature of Student HN 5 4 3 2 1

5 Best 4 Better 3 Good 2 Fair 1 Needs Improvement

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Schedule of Activities Time Activity

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Special Procedure Room No. Patients Initial Procedure Schedule

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Attendance Students Name Time In/Signature Time Out/Signature

Thermomet er

Medication Tray

Micropore Tape

Wet & Dry Cottons

BP Apparatus

Bandagce Scissors

Tape Measure

Penlight

Gloves

Wrist Watch

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Masks

Pen & Pencil

Ruler

Students Name

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Patient Classification Chart Room No. Patients Name Students Name Diagnosis Category of Care

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH IV Fluid Monitoring Sheet Room No. Patients Name Students Name IVF Rate per Minute IV Level Received

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Vital Signs Recording Sheet 12 Midnight T P 4 AM T P Input Output ORAL URINE STOOL

Rm #

BP

BP

IV

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Sample Charting Criteria Problem Identification Assessment Planning Interventions Response Neatness Comprehensiveness Ability to pass on time Total 5 4 3 2 1

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Sample Charting Criteria Problem Identification Assessment Planning Interventions Response Neatness Comprehensiveness Ability to pass on time Total 5 4 3 2 1

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Sample Charting Criteria Problem Identification Assessment Planning Interventions Response Neatness Comprehensiveness Ability to pass on time Total 5 4 3 2 1

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Accomplishment of Nursing Forms Criteria Patients Profile Medication Sheet TPR Sheet IV Flow Sheet Nurses Notes Sheet Standing Order Sheet Carrying Out Doctors Orders Neatness Total 5 4 3 2 1

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Accomplishment of Nursing Forms Criteria Patients Profile Medication Sheet TPR Sheet IV Flow Sheet Nurses Notes Sheet Standing Order Sheet Carrying Out Doctors Orders Neatness Total 5 4 3 2 1

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor

Manila Tytana Colleges Related Learning Experience Leadership and Management (Head Nursing) Name: Section and Group: Group 15 Ward: 9F Hospital: MDH Accomplishment of Nursing Forms Criteria Patients Profile Medication Sheet TPR Sheet IV Flow Sheet Nurses Notes Sheet Standing Order Sheet Carrying Out Doctors Orders Neatness Total 5 4 3 2 1

Prepared by: ______________________ Student Head Nurse

Noted by: _____________________ Clinical Instructor