CLINICAL FOCUS- HEADNURSING EXPERIENCE
SPECIFIC OBJECTIVES
First and Second Day:
Given a Nurse Manager to shadow /
observe, the student should:
- Describe the conceptual,
interpersonal and technical
competencies of the nurse manager
by:
a. identifying activities related to the
competencies
b. identifying activities that are
related to the different management
functions such as:
*Planning
*Organizing
*Directing
*Controlling
LEARNING ACTIVITIES
Clinical Instructor
Prior to experience, orient the students to Read through the handout on the
the activities and guidelines of the
activity
-Assign the student to the Nurse
Manager he/she will observe
-Guide the student in doing the
observation
-Conduct individual conference in order
to:
a. Check data gathered during
observation
b. Clarify competencies identified
by the student
c. Ask the student to share insights
and learnings on the experience
d. Answer questions the student
may want to clarify
EVALUATION
Student Accomplishment of:
a. Management Competency
Nurse Manager’s Competencies. Grid
b. Individual Work Sheet
-Introduce self to the Nurse Manager
-participation during the
-Conduct observation by listing down individual conference
all the activities the Nurse Manager
performs during the two days
observation
-Identify activities that are done daily,
weekly and monthly
-Classify activities according to
competencies (Conceptual,
Interpersonal, Technical)
-Classify activities according to
Management Functions (Planning,
Organizing, Directing, Controlling)
Third Day:
At the end of the 4 hours workshop, the
student should be able to:
-Analyze the conceptual, interpersonal and
technical competencies of the nurse
managers by:
a. Comparing similarities and
differences in the competencies of
each level of nurse managers
b. Contrast the similarities and
differences of competencies among
the levels of nurse managers
c. Colate the different activities
according to competencies and
management functions of nurse
managers
-Synthesize the findings on the
competencies
-Formulate conclusions based on the
findings
-Formulate recommnedations
Clinical Instructor Student
-Explain the workshop objectives and -Select a facilitator and recorder for Submission of the group output
activities the group (each should have a synthesized
output to be submitted to the
-Group the students according to the -Share his/her findings with the group Nursing Service Office )
level of nurse managers they shadowed
-Participate in:
-Monitor groups as they collate their
findings a. Making of the group’s
management grid
-Act as moderator during student b. Summarize findings
presentation c. Formulating conclusions
d. Formulating recommendations
-Guide students in:
a. Formulating conclusions
b. Formulating recommendations
-Evaluate the experience with the
students by identifying:
a. Strengths
b. Weakness
c. Opportunities
d. Threats
N205 LEADERSHIP AND MANAGEMENT
HEAD NURSING EXPERIENCE
CLINICAL FOCUS
UNIT MANAGER

A. Job Summary

Responsible for providing leadership in assessing, planning, implementing, directing and evaluating the care of all patients on a 24 hour basis. Ensures that standards of
nursing practice maintained in the management of personnel, supplies and equipment.

B. Duties and Responsibilities

1. Maintain attentiveness to customer’s need; initiates steps that will comply with their requirements to meet and exceed their expectations.
2. Maintain alertness on opportunities for service enhancement, endeavors to continually improve quality of work.
3. Assesses the number and level of personnel needed to provide quality patient care
4. Prepares bi-weekly schedule of staff
5. Adjusts staffing and assignment appropriately
6. Prepares daily staff assignment
7. Ensures that:
a. health status of all patients is assessed as outlined in the Standard Nursing Practice in the unit
b. assessment date are organized so that they are accurate, complete, accessible and confidential
c. records and reports are assessed and interpreted
d. pertinent information are communicated among the health care team members, such as accurate identification of the patient, complete consent form, vital signs
and time taken, pre anesthesia evaluation, confirmation of surgical site, preoperative medication and time given, laboratory and diagnostic results, last oral
intake, elimination, admissions, transfer and discharge, lab results, significant change in patient’s health status.
8. Participates in the development of nursing policies and procedures for the unit.
9. Participates in the development of an action plan based on the operational plan of the department
10. Monitors adequacy and functionality of equipment, transferring patients and other relevant matters that ensure quality care.
11. Participates in the planning of the in-service training and continuing education of the unit’s nursing personnel.
12. Directs staff in the implementation of the standards of nursing practice, policies, procedures, guidelines, work instructions and protocols.
13. Implements standards and policies related to:
a. Unit Specific procedures/practice
b. Personnel Management
c. Supplies
 d. Drugs/control of regulated drugs
e. Calibration/preventive maintenance of equipment
f. Quality improvement
g. Safety practices/protocols (which include, but not limited to fall, bedsore, retrain, prisoner – as – patient, safely related incident reporting protocol)
h. Monitoring of hospital affiliation policies with MMC-CN
14. Assists in conduction of unit orientation and education of new employees.
15. Participates in the provision of in-services education/training programs pertinent to the unit.
16. Keeps immediate superior informed needs, problems, incidents and other reportable situation such as:
a. all unit-specific equipment/supplies
b. care and use of all unit-specific equipment/supplies
17. Maintains a clean and safe environment for the patients and personnel
18. Serves as a consultant in technical and professional matters for personnel.
19. Evaluates continually standards of nursing practice by reviewing assessment of patients, reviewing of charts, interviewing, observing, and participating in quality
system activities.
20. Analyzes incident reports, corrective action reports, customer complaints and other related reports and take appropriate act.
21. Revises standards in collaboration with the Area/ Department Managers.
22. Accomplish monthly report. Submits to Area/ Department Managers as required.
23. Participates in the conduction of regular performance appraisal of all nursing personnel. Recommends personnel for recognition/promotion.
24. Performs other responsibilities as delegated by the Area/ Department Managers/Supervisors.
CHARGE NURSE

A. Job Summary

Provides leadership in assessing, planning, implementing and evaluating patient care in the unit during the shift. Responsible in meeting the standards in
Managing all the assigned person, equipment and material resources in the unit. Ensures that continuity of care with other shifts and teamwork are maintained and promoted all the
time.

B. Duties and Responsibilities

1. Maintain attentiveness to customer’s need; initiates steps that will comply with their requirements to meet and exceed their expectations.
2. Maintain alertness on opportunities for service enhancement, endeavors to continually improve quality of work.
3. assesses the number and level of personnel needed to provide quality patient care
4. Prepares staff assignment for the shift
5. Adjusts staffing and assignment appropriately
6. Assess the health status of the patients per nursing standards to the unit. Ensures that:
a. a comprehensive history and physical examination is completed in each patient
b. assessment data are organized, accurate, complete in each patient
c. reports and records and assessed and interpreted
d. pertinent information are communicated among the members of the health care team, such as:
i. accurate identification of patient
ii. complete consent forms
iii. vital signs and time taken
iv. laboratory/diagnostic results
v. nurse’s progress notes
7. Regarding nursing care plan:

e. Directs/supervise others in the formulation of nursing care plan

i. the patient’s problem are identified
ii. desired outcomes specific to the problems are formulated
e. Ensures that the nursing care plan is documented
 8. Demonstrates knowledge and skills in:
a. all unit-specific nursing procedures
b. care and use of all unit-specific equipment and supplies
9. Plans ways to solve problems and make improvements in the delivery of patient care
10. Participates in the orientation and evaluation of new employees and other in-service training programs.
11. Communicates the hospitals/departments’ vision, mission, policies, procedures, guidelines, work instructions ad protocols.
12. Supervises personnel in the implementation of nursing standards and procedures of the unit
13. Ensures doctor’s orders are carried out and implemented as prescribed.
14. Keeps Unit Manager/ Coordinator informed of needs, problems, incidents and other reportable situations during the shift.
15. Assists in the investigation of problems, irregularities and non-conformances
16. Performs other responsibilities or tasks as assigned by the Unit Manager.
 MANAGEMENT GRID

Instructions: Fill up the chart with the activities that you have observed from the nurse managers and classify them according to competencies and management functions.

COMPETENCIES/MANAGEMENT PLANNING ORGANIZING DIRECTING CONTROLLING

FUNCTIONS
CONCEPTUAL COMPETENCIES

INTERPERSONAL
COMPETENCIES

TECHNICAL COMPTENCIES