BUTUAN DOCTORS’ COLLEGE

J.C. AQUINO AVENUE, BUTUAN CITY

A Compilation of Student Head Nursing

Activities
In Partial Fulfillment of the Requirements for
the Degree of Bachelor of Science in Nursing

Submitted to the Faculty of Butuan Doctors’ College

Nursing Department

Submitted by:

Rickson P. Rambuyon
Student Head Nurse
BSN IV-A

Submitted to:

MRS. Nerissa C. Solis, RN, MN

Clinical Instructor
BDH Floor 1

Approved by:

MR. ARIEL R. SINCO, RN, MN

Level IV Coordinator
 TABLE OF CONTENTS

INTRODUCTION
ACKNOWLEDGEMENT
DEDICATION
NURSES’ PRAYER
NIGHTINGALES PLEDGE
BDCHYMN
MISSION AND VISION OF BDC
ORGANIZATIONAL STRUCTURE OF BDC NURSING DEPARTMENT
FLOW OF COMMUNICATION BETWEEN SCHOOL AND HOSPITAL
MISSION AND VISION OF BDH
ORGANIZATIONAL STRUCTURE OF BDH
ORGANIZATIONAL STRUCTURE OF BDH-NCSO CCI & STUDENT NURSES

BUTUAN DOCTORS’ HOSPITAL PROFILE

Br ie f His to ry o f BDH
BDH Pe rsonne l
Med ica l Consu l tan t
Fac i l i t i e s ava i l ab le , Bed capac i ty , e tc .
Med ica l Sta f f Di rec to ry
Spec ia l Fea tu res and Equ ipments
Serv i ces Of fe red

MODALITIES OF CARE AND STAFFING PATTERN

ORIENTATION GUIDE TO THE WARD ASSIGNMENT

Organ i za t i ona l St ruc tu re o f Ward Pe rsonne l
Organ i za t i ona l St ruc tu re o f the Nurs ing Serv i ce
V ic in i t y - Loca to r Map
Ward desc r i p t i on
Med ica l Consu l tan ts v i s ib l e i n the ward and the i r co lo r code
Med ica t i on T i cke t
F low Char t o f Admiss i on , Discharge
Chrono log i ca l Order o f the Char t
SHN REQUIREMENTS
Genera l & Spec i f i c Ob jec t i ves o f SHN
Po l i c i e s , Ru les and Regu la t i on o f Students
SHN Da i l y P lan Ac t i v i t i e s
Da i l y Student Prog ress Repor t
UNDERSTUDENTS REQUIREMENTS
Beds ide C l in i c Ac t i v i t y
Ward C lass Ac t i v i t y
Ass ignments
STUDENT NURSE EVALUATION
Grades of Understudents
 INTRODUCTION

Student Head Nursing is one of the activities in nursing department that develops

one’s capability and ability in managing other people. It is when the senior nursing student

functions as the head among students. They are exposed to be an accountable and

responsible individual for several students in the clinical area while establishing a

harmonious relationship between each other. They act to supervise their understudent

using their knowledge, skills, and attitude.

Student head nursing also enables the process of management put into action

through planning of activities for the inclusive dates of assignment, organizing, staffing,

directing the understudents with regards to the standard policies and procedure, and

controlling the things involved which may cause clinical errors in the area.

Through this, it molds student to be a good and effective leader or manager in the

near future. May it be in the hospital, community, school, or in any institution.

Moreover, it encourages every student on how to provide effective care to the

patient using the management skills learned to achieve a sound judgment.

 ACKNOWLEDGEMENT

I would like give thanks and praises to our Almighty God, Who is the source of all our

strength, knowledge, patience and wisdom and without Him everything is impossible.

I would like to extend my heartfelt gratitude to the following people who is in one way or

another helped me in the completion of this compilation.

To my family who is always there to support me in my journey of pursuing this course.

To our Clinical Instructor, Mrs. Nerissa C. Solis, RN, for her kindness and patience in

imparting their knowledge to all of us.

To my understudents who are very cooperative and are willing to learn and up to date in

submitting their requirements during the rotation.

And to my classmates and friends, for helping me to make this compilation a complete

one.
 DEDICATION

I WOULD LIKE TO

DEDICATE

THIS WORK

TO MY FAMILY,

MY DAD AND MY MOM

FRIENDS,

AND MOST OF ALL

TO OUR ALMIGHTY GOD,

WHO IS THE SOURCE OF EVERYTHING

 A Nurse’ s Prayer

As I care for my patient today,

Be there with me, oh Lord, I pray,
Make my words kind –
It means so much.
And in my hands
Place Your healing touch.

Let Your love shine through

In all that I do.
So those who are in need
May hear You, feel you,
And see You in me.

Amen.
 Night ingale ’s Pledge

I solemnly pledge myself before God and in the presence of this assembly
to pass my life in purity and to practice my profession faithfully.

I will abstain from whatever is deleterious and mischievous and will not
take or knowingly administer any harmful drug.

I will do all in my power to maintain and elevate the standard of my

profession and will hold in confidence all personal matters committed to my
keeping and all family affairs coming to my knowledge in the practice of my
calling.

With loyalty will I endeavor to work closely with the health team, and
devote myself to the welfare of those committed to my care.

So help me God.
BUTUAN DOCTORS’ COLLEGE HYMN

Here in the heart of Butuan

BDC proudly stands

Land from afar we travel

Seeking for light and wisdom
Where forth we go we will remember
Deep in our hearts and slumber

We will cherish you forever

To forget you BDC we will never do

How could we forget you

You have given us the guide
You’ll stay with us forever
Here in our thoughts you’ll linger
How could we ever repay you
Now are the fruits at hand
We will cherish you forever
BUTUAN DOCTORS’ COLLEGE
May you always be.
 BUTUAN DOCTORS’ COLLEGE
Es tac io V i l l age , Butuan C i ty

MISSION AND VISION OF BUTUAN DOCTORS’

COLLEGE

VISION:

Butuan Doctors’ College aspires to develop purpose

driven professionals.

MISSION:

To achieve her vision, Butuan Doctors’ College is

committed to develop:
An instutition anchored on ethical values that strengthen
capabilities to achieve excellence.

CORE VALUES

B- Benef icence
A compassionate and sincere acts to do good for others.
D- Dynamism
Sustaining desire to excel and be competitive.

C- Commitment
A pledge of loya l ty to the inst i tut ion and dedicat ion to the
profess ion.
 FLOW OF COMMUNICATION BETWEEN
SCHOOL & HOSPITAL

HOSPITAL

Dean of Nursing Assistant Hospital Administrator

Assistant Dean of Nursing Chief Nurse

Level IV Coordinator Nurse Supervisor

RLE Coordinator Head Nurse

Senior Nurse
Clinical Instructor

Staff Nurse

Student Head Nurse

Volunteer Nurse

Student Nurse Nursing Aid

Midwives

PATIENT
 VISION AND MISSION OF BUTAUN DOCTORS
HOSPITAL

VISION:
Butuan Doc to rs ’ Hosp i ta l asp i res to become a haven o f hea l th and
we l lness o f every member o f the commun i ty i t se rves and a cente r o f medica l
exce l l ence f o r hea l th pro fess i ona l who be l i eve tha t hea l th i s a bas i c human

MISSION:
It is the hospital’s Christian mission to develop and provide; A facility within
atmosphere of health, cleanliness and wellness that welcomes all who needs her services.
Health Professional of the highest competence committed to providing the best care. State
of the art facilities and equipment to attract physician in the different specialties and to
allow them to achieve there fullest potentials and capabilities. The opportunity to study,
improve and learn to continuously improve and keeping with the tremendous advance in
health care of all over the world.
 ORGANIZATIONAL STRUCTURE OF
BUTUAN DOCTORS’ HOSPITAL

DR. CLAUDIO B. ESTACIO

HOSPITAL DIRECTOR
DR. JUAN DELFIN GARCIA DR. GENEROSO DE JESUS
HOSPITAL ADMINISTRATOR MEDICAL DIRECTOR

NURSING SERVICE DEPARTMENT

MEDICAL DEPARTMENT
ADMINISTRATIVE DEPARTMENT
MARIANITA GORME, RN
CHIEF NURSE DR.C.BAUTISTA
SUSAN QUIMOD CHIEF OF CLINICS
ADMINISTRATIVE OFFICER
TERESITA MAGUIKAY, RN DR.C.OCLARIT
SUPERVISOR (WARD/PEDIA) ANESTHESIOLOGY/
LYRA M. GO, CPA, RN OR NURSE
CHIEF ACCOUNTANT
MA.VICTORIA B. CAMBRAY, RN DR.P.NEBRADA
SUPERVISOR SPECIAL AREA NICU HEAD
J. OBA M. PATRIA DR.V.ATUPAN
J.BUREROS, RN A.FESALBONI, RN CASHIER RADIOLOGY IN CHARGE SURG.PATHOLOGY
FL 1A HEAD NURSE ER HEAD NURSE HEAD
J. MANGUBAT DR.P. LIMCAUCO
B. AMANTILLO HST IN CHARGE CLINICAL
I.ROMANO, RN RJ MORDENO, RN HMO COORDINATOR
PATHOLOGY HEAD
FL 2A HEAD NURSE ICU HEAD NURSE
DR.J. DERAMPATEN
MRS. V.DEMAIN H.FALCON RADIOLOGY/ULTRA HEAD
CSR HEAD LABORATORY CHIEF
M. MADERAN, RN DR.R VILLANUEVA
T. BERNIDO, RN REHAB.HEAD
FL 2B HEAD NURSE OR HEAD NURSE A.MACAHILIG A.SALIGAN
ENG’G/MAINTENANCE ULTRA IN CHARGE DR.L VENTURA
RADIOLOGY HEAD
J. JAPITANA, RN U. PINO, RN
ENDOSCOPY NURSE M. TRAZARES J. ALBANO DR. R. SY
FL 3 HEAD NURSE MED.RECORD ADMITTING HEMODIALYSIS HEAD
HEAD SECTION
DR. E. GAMBE
E. CUNADA, RN C. MONTILLA, RN ENDOSCOPY HEAD
R. BADUYA
OB-NICU RN HEMODIALYSIS NURSE DR. D. DAYAN
CT SCAN IN CHARGE
ICU HEAD
ANCILLARY SERVICES DR. C. ITAO
AMBULANCE OB/DR HEAD
HEART STATION
NURSE N. BURIAS N. PASOK DR.LOZANO
LAUNDRY/LINEN DIETARY WARD ENT HEAD
DR. E. TAN
OPTHALMOLOGY HEAD
M. ARBIS, RM M. NABONG
HOUSEKEEPING SECURITY DR. M. AMANTE
ORTHOPEDIC HEAD
DR. E. PARINAS
ER HEAD
DR. R. PONCE
AMBULANCE DIABETOLOGY
DR. J. DACUDAO
NEUROSURGERY
 ORGANIZATIONAL STRUCTURE OF BUTUAN
DOCTORS’
HOSPITAL-NSO CCI & STUDENT NURSES

PRESIDENT BDH DIRECTOR

Dr. Claudio Estacio

ADMINISTRATOR
Dr. Juan Delfin Garcia ASSISTANT DEAN
Carmenchu B. Vicente, RN, MN

DEAN OF NURSING
Purita R. Escobar, RN, MAN, DM
CHIEF NURSE
Marianita Gorme,RN

LEVEL IV COORDINATOR
Ariel R. Sinco, RN
ASSISTANT CHIEF NURSE

NURSE SUPERVISOR
CLINICAL INSTRUCTOR

STAFF NURSE

STUDENT HEAD NURSE

NURSING STUDENT

PATIENT
 HISTORY OF BUTUAN DOCTORS’ HOSPITAL

Fifty years ago the late Manuel O. Estacio, M.D., establishes a humble five-bed,
family clinic in front of Butuan’s public square. Professional competence, right partnership,
and his shared youthful passion to succeed were the main ingredients of the clinic’s
reliable service. Complementing his effort as lone resident physician and administrator of
the clinic would come from a nursing attendant, a utility worker and most importantly, for
his wife, Victoria, the nurse.

The young doctor aptly names its pioneering medical facility “Emmanuel Hospital”
after the name of the Son Of God- the child being sent by the Heavenly Father to fulfill a
mission of saving humanity. So, it came to pass the Angels reveal of the Child Emmanuel’s
coming to bring forth “Peace on Earth and Goodwill to All”. The same Christian mission
would be carried out by the hospital as it responds to the challenges of public health care
and to the increasing demand for more medical-related services.

VICTORIOUS EMMANUEL AND BUTUAN’S WHIRLWIND 50’S:

Emmanue l Hosp i ta l ca res to grow wi th the new c i t y. And the v i s i onary doc to r
takes a spo t i n the c i t y ’ s h i s to ry by s ta r t i ng f ou r years ear l i e r . I n 1952 ,
becomes a char te r c i ty and the cap i ta l o f the und iv ided Agusan Prov ince . The
l ogg ing i ndus t ry was a l ready i n p lace . Butuan cove ts the proud name “T imber
C i ty o f the South” .
Butuan progress was ra the r f renzy and many o f i t s l oca l par take r has to
succumb to an overwhe lming l o t o f un fami l i a r , perhaps , a l i ena t i ng i deas and
exper iences brought by such i nc reas ing contac t wi th the equa l i t y - con fused
J apanese , Russ ian , Amer i can and European nat i ona l s who came i n l a rge vesse l s
at the Por t o f Masao . The re ’ s a rush o f peop le hav ing d ive rse i n te res t and
whi r lw ind o f new soc ia l malad ies as the l ogg ing i ndus t ry gobb les up the f o re
areas . Gast ro - i n tes t i na l d i sease and those f rom the f o res t , most notab ly
mala r i a and ce r ta in a l l e rg ies became widesp read . Pub l i c hea l th i n Butuan
needed at ten t i on . Meant ime , Emmanue l Hosp i ta l earns pub l i c respec t and
succeeds to bet te r equ ip i t s two - s to ry bu i l d ing .
 HISTORY OF BUTUAN DOCTORS’ COLLEGE

The history of Butuan Doctors’ College started in 1968 when Dr. Manuel Estacio
conscious of the increasing health needs of the community felt the call of expanding his
old hospital, then the Emmanuel Hospitals. Together with nine other doctors, he formed
Butuan Doctors’ Hospital, Inc. and constructed a 100 bed capacity situated in an 8,000
square meter lot and was inaugurated in October 1969.
Moved by the desire to contribute to the improvement of nursing education in the
Philippines, Butuan Doctors’ Hospital Board of Directors opened the Butuan Doctors’
Hospital School of Nursing in Northern Mindanao.

June 26, 1971 - inauguration of the School offering a program in General Nursing with
Paz de Leon as first Principal.
January 1974 - Mrs. Purita R. Escobar took over as principal.
1976 - Transition from GN program to Bachelor Science in Nursing (BSN)
- Two year Medical secretarial Course offered.
1977 - One-year Health Aide and Medical Secretarial.
1978 - Recognition of Health Aide; and Medical Secretarial.
1979
1980 - Opening of Bachelor of Arts and B.S. in Nutrition and Dietetics.
1981 - Opening of Bachelor of Science in Biology.
1982 - Opening of Two-Year Midwifery Course.
1983 - Recognition of Graduate in Midwifery.
1984 - Recognition of Bachelor of Arts.
1985 - Recognition of Bachelor of Science in Biology.
June 1987 - Installation of Dr. Victoria B. Estacio as President.
1993 - Opening of Bachelor of Science in Medical Technology and Associate in
Radiologic Technology
1995 - Recognition of Associate in Radiologic Technology.
- Opening of Bachelor of Science in Physical Therapy.
1997 - Recognition of Bachelor of Science in Medical Technology.
- Opening of Bachelor of Science in Radiologic Technology.
- Offering of Master in Nursing in Consortium with Cebu State
College
 FACILITIES AVAILABLE AND SERVICES
OFFERED

In-patient INFRASTRUCTURE:
• 100 beds (Annex B) A. POWER
• 2 4 Bay Emergency Room • 450 KVA/150 KVA Trans fo rmer
• Ambu lance bank
• Opera t i ng Room • Stand - by Genera to r : Cate rp i l l a r
• Te r t i a ry Labora to ry 350 KVA
B. COMMUNICATION
• Rad io logy
• 60 L ine / t runk phone sys tem
• 500 MA F i xed X-Ray Un i t (H i tach i )
• Smar t phone ( Ce l lu l a r )
• 250 MA Por tab le X-Ray
• Smar t repea te r sys tem
• GE Log i c 500 Ul t rasound
• I n - house E -mai l sys tem (w idow
• Med i son Ul t rasound
spaced)
• CT SCAN (GE)
C. if LAN 9 13 stations
• Lase r Pr in te r (KODAK) • Compute r i zed :
• Automat i c Deve lope r (KODAK • B i l l i ng / Cash ie r
2000 /5000)
• Procu rement
• Pharmacy - 24 hours
• I nven to ry
• I CU - 4 Bay
• Account Management
• NICU-I ncuba to rs
• F inanc ia l Repor t
• CPAP
• PH IC /HMO B i l l i ng /Repor t s
• B i l i L igh ts
• Charg ing / room a l l oca t i on
• 1 Rad ian t Warmer
• Admiss i on /Reco rds
• OR/DR Complex
• C l in i ca l Repor t genera t i on
• 2 Majo r O.R
D. WATER SOURCES
• 1 Minor • Deep Wel l - not potab le
• 2 DR • AWASS-not potab le
• Labor Room • Wate r Pur i f i e r 9reverse osmos i s
• Recovery Room E. FIRE SAFETY DEVICES
• B lood Bank • Spr ink le r sys tem
• F i re A la rm sys tem
• F i re Hose un i t (8 un i t s )
• Dry Chemica l Ext ingu i she r (26 )

ANNEX-A
MEDICAL STAFF DIRECTORY :

MEDICINE • GENERAL SURGERY

• CARDIOLOGY • ORTHOPEDICS
• GASTROENTEROLOGY • UROLOGY
• NEPHROLOGY • NEURO-SURGERY
• DIABETOLOGY PEDIATRICS
• ONCOLOGY OB-GYNE
• REHAB IL I TAT ION MEDIC INE • PER INATOLOGY
SURGERY • OB-GYNE ULTRASOUND
 OPTHALMOLOGY
E.E.N.T.
ANESTHESIA
PATHOLOGY

CENTER FOR MEDICAL

ARTS:
Out-patient Department Services:

Doctors ’ Off ices

• A l l majo r spec ia l t i e s and most
subspec ia l t i e s (ANNEX-A)
Specia l ty Cl in ics
• Diabe tes /Obes i ty C l in i c
• Menopause C l in i c
• Chemothe rapy Un i t
• Hear t Sta t i on
• 2 –D Echo St ress Tes t
• Ho l te r Mon i to r i ng
• ECG
• V ideo Endoscopy Cente r
• Gast roscopy
• Bronchoscopy
• ENT V ideo Endoscopy
• Hear ing Care Cente r
Audiometry
Tymphanometry
Hear ing Aids
• Argon Eye Lase r
• Spec ia l Chemis t ry
• Spec ia l Ul t rasound

OB (3D/4D)
Gynecology –Transvagina l
Ultrasound
Direct Biops ies -L ive r, Breast ,
Thyro id
ECC Industr ia l Cl in ic
Proposed OWWA Cl in ic
Rehabi l i tat ion Center
E.R. Complex
CT Scan
Proposed MAMMOGRAPHY
E.e Out-Pat ient Surgery
Dia lys is Center
Pharmacy
Denta l Cl in ic
 MODALITY OF CARE AND STAFFING PATTERN

Pr imary nurs ing ca re prac t i ced as the hosp i ta l ’ s moda l i t y o f ca re . The s ta f f nurs
respons ib le i n every nurs ing and med ica l aspec t o f the pat i en t , f rom admiss i on up to
t ime o f d i scha rge . I n th i s manner , not on ly the know ledge and sk i l l s are be ing deve lo
and nur tu red , but the r i gh t at t i tude as we l l as render ing opt imum nurs ing ca re to
pat i en ts wi l l be enhanced . Th i s ensures tha t tender l ov ing ca re wi l l be g iven to the pa
Fu r the rmore , e f f i c i ency and e f fec t i v i t y i n the se rv i ces o f fe red wi l l be f os te red .

Another modality used is “Functional Nurse” wherein a nurse is given a specific and
greater control over worked activities, thus reducing the possibility of committing
unnecessary errors and blunders during their shift.

The method of staffing pattern used in this agency is modified cyclical wherein staff
nurses has an equal distribution of good and bad hours, and which may be assigned to any
staff member. Assignment of workdays and shifts for personnel is done according to a
predictable schedule of two rotations each month. A sufficient number of personnel are
maintained to ensure maximum efficiency, for work to improve and for the achievement of
its goals and objectives.
ORGANIZATIONAL STRUCTURE OF WARD
PERSONNEL

JOJI J. JAPITANA, RN
Head Nurse of Floor 3

THEA VICENTE, RN
Charge Nurse

JO BALLARA, RN
Medication Nurse

MARCELINA SIMBULAN, RN
Vital Sign Nurse
 POLICIES, RULES & REGULATIONS

I. That the students should observe the following:

A. Type a uniform in the Ward and ER

Female:
Checked un i fo rm wi th whi te apron .
Lad ies wear caps and namep la tes at a l l t imes whi l e on dut y.
They shou ld wear whi te s tock ings and c lean whi te duty shoes .
They shou ld keep the i r ha i r neat c lean and i n p lace .
Male:
P la in whi te but toned po lo and whi te pants , opt i ona l whi te undersh i r t .
Gent lemen wear badges and namep la tes at a l l t imes on dut y.
They shou ld wear whi te socks and c lean whi te shoes .

B. CHN UNIFORM
Female:
Whi te b louse and dark b lue pants except maong
B lack shoes and b lack socks
Namep la te
Male:
Whi te po lo and dark b lue pants except maong
B lack shoes and b lack socks
Namep la te

C. OR/DR UNIFORM
Male and Female
Dark b lue sc rub su i t
Bonnet and Mask
Whi te socks
OR/DR s l i ppe rs

D. SPECIAL AREAS (ICU, NICU, OPD, DIALYSIS, REHAB) TRAVELING-SUIT

Male and female
Sc rub su i t ( checke red ) & whi te pants
C lean whi te duty shoes & whi te socks
Namep la te

E. Females are required to wear light makeup. No heavy perfumes for both
Male and Female .

II. PARAPHERNALIA
Ba l l po in t pen ( red , b lue , b lack ) J o t down notebook
Penc i l wi th erase r Ora l and rec ta l the rmomete r
6 i nches ru le r Med ic ine g lass /p las t i c cap
Bandage sc i s so r wi th rubber Med ic ine Tray
tou rn ique t Na i l cu t te r
 Sphygmomanomete r & Drug handbook or MIMS/P IMS
s te thoscope Umbre l l a - CHN on ly
Pen l i gh t Comple te CHN bag- CHN on ly

III. ATTENDANCE

• At tendance wi l l be checked at exac t l y 7 :45 - 8 :15 i n the morn ing or dur ing c i r c l e & 3 :4
4 :15 f o r the a f te rnoon c i r c l e dur ing the tou r o f duty ass igned .
• Student nurse i s cons ide red absent i f he / she ar r i ves 15 minutes a f te r nurse ’ s
endorsement . I f he / she ar r i ves wi th in the endorsement , he / she cons ide red l a te .
• Student nurse shou ld be i n the c l i n i ca l area 30 minutes be fo re the t ime o f dut y.
• I n case o f absences , the s tudent must secure an admiss i on s l i p s igned by the dean /
c l i n i ca l i n s t ruc to r be fo re he / she a l l owed go ing on duty the f o l l ow ing day. Fa i l u re to
secure an admiss i on s l i p wou ld mean anothe r day o f absence .
• A s tudent nurse who l i ves h i s /he r pos t wi thout proper endorsement , i s cons ide red
absent and wi l l be sub jec ted to d i sc ip l i na ry ac t i on .
• I n case o f persona l necess i ta tes , the s tudent must ask permiss ion f rom the C l in i ca l
i n s t ruc to r be fo re l eav ing the pos t .

IV. REQUIREMENTS

 Every s tudent i s requ i red to submi t 1 PAT IENT PROF ILE and 1 -3 NURS ING CARE
PLAN o f h i s /he r pat i en t everyday.
 A wr i t ten DRUG STUDY i s to be submi t ted f o r those med ica t i on tha t were g iven
dur ing the sh i f t as ide f o rm the ora l drug s tudy conduc ted be fo re the ac tua l
admin i s t ra t i on o f the med ica t i ons .
 Each s tudent nurse i s requ i red to conduc t a BEDS IDE CL IN IC WARD CLASS AND
HEALTH TEACHING wi th proper documenta t i on and a CASE STUDY o f the pat i en t
hand led .
 Qu izzes area g iven to measure s tudent nurse ’ s at t i tude i n the ward .
 Eva lua t i on exam i s g iven at the l a s t day o f exposure as a means o f eva lua t i ng a
s tudent nurse ’ s know ledge to the area ass igned .
 PAT IENT ANALYT ICAL REPORT: at the l a s t week o f exposure , s tudent nurses ass igned
wi l l conduc t a PAR presen ta t i on which i s to be proper l y documented and submi t ted
on the l a s t day o f exposure .

V. OTHERS
 Student nurses are reques ted and expec ted to render good qua l i t y ca re to the i r
ass igned pat i en ts .
 Student nurses shou ld address each othe r by Fami l y names .
 Student nurses are not a l l owed to ente r ta in v i s i t o r s dur ing duty days /hours excep
f o r some urgent mat te rs , which wi l l be re fe r red f i r s t to the C l in i ca l i n s t ruc to r .
 Ce l lu l a r phones shou ld be tu rned o f f or p laced i n a s i l en t mode dur ing duty hours
and are not a l l owed to be used .
 Eat ing i s s t r i c t l y proh ib i ted outs ide break hours .
 Student nurses are not a l l owed to go to mal l or anywhere outs ide schoo l premises
wear ing Type A Un i fo rm.
 Ho ld ing hands and s i t t i ng on the pat i en t ’ s bed /ha l lway are s t r i c t l y proh ib i ted wh
on dut y.
 Student nurses shou ld observe Pro fess i ona l conduc t i n the ass igned area .
 Wear ing Nurs ing cap /ap ron outs ide the hosp i ta l premises / can teen are proh ib i ted .
VI. EXTENSION OF DUTY

A. Uni form
Violation/penalty:
 Co lo red ha i rne t /p ins ( f ema le )
 Di r ty shoes / s tock ings
 Heavy make -up or wi thout make up
 Male w/ mustache /bea rd
 Male wear ing co lo red undersh i r t
 Student wi thout handke rch ie f
 Male wi th l ong ha i r
 Wear ing o f j ewe l r i es
 Without namep la te , badges
 Wear ing maong pants (CHN)
 Uncut f i nge rna i l s / wi th po l i sh
 Unt idy Nurs ing cap
 B. Paraphernal ia
 Lack ing 1 parapherna l i a
 C. Attendance
 Absent dur ing Or ien ta t i on
 With med ica l Cer t i f i ca te
 La te f o r f i r s t ca l l
 La te f o r second ca l l
 I n ward , l a te wi th in 15 to 30 minutes
 La te a f te r the endorsement
 Absent f o r 4 days or 50% o f the at tendance
 To the who le ro ta t i on

B. Clinical behavior

 Leav ing the area wi th C l in i ca l i n s t ruc to r permiss ion

 but f a i l u re to come back a f te r 15 minutes
 Caught rooming around the hosp i ta l
 Us ing ce l l phone dur ing duty hours
 Ente r ta in ing v i s i t o r s dur ing duty hours
 Ta l k ing / l augh ing / shout ing dur ing duty hours
 Eat ing dur ing duty hours
 Students who l eave the pos t wi thout proper endorsement 1 d
 Wear ing o f cap to the canteen /ou ts ide premises
 Wear ing whi te rubber shoes
 E . At t i tude
 Impo l i te
 Dishones ty
 I nsubo rd ina te
 Student caught smok ing dur ing duty hours or schoo l hour
 And wi th in the hosp i ta l / s choo l
 Fema le s tudent f ound pregnant wi thout the bene f i t o f marr i age or
 Male respons ib le f o r the pregnancy wi l l be sub jec ted to d i sc ip l i na ry ac t i on
 Any s tudent f ound to be add i c ted to drugs sha l l be sub jec ted to suspens ion or
expu l s i on
 DEPARTMENTAL PURPOSES AND OBJECTIVES
Department of Nursing

The Depar tment o f Nurs ing be l i eves tha t an educa t i ona l program based on the
pr inc ip les o f the phys io l og i ca l b io log i ca l and soc ia l sc iences and us ing prac t i ca l pr
so l v ing wi l l bes t s t imu la te c rea t i ve th ink ing , se l f - d i rec t i on and respec t f o r a l l peop le

To this end, the Department of Nursing strives:

• To prov ide oppor tun i t i e s f o r the s tudent to deve lop unders tand ing and ab i l i t y
recogn i z i ng pat ien t ’ s needs phys i ca l , emot iona l , soc ia l and sp i r i tua l i n prov i
i n te l l i gen t nurs ing ca re .
• To prov ide oppor tun i t i e s f o r the s tudent to deve lop pro f i c i ency i n commun ica t i on
e f fec t i ve i n te rpe rsona l re l a t i ons as a pro fess i ona l nurse and an ac t i ve cont r i bu
c i t i zen o f the commun i t y.
• To deve lop i n the ; s tudent at t i tude o f i nqu i ry to unders tand sc ien t i f i c and s
changes o f contempora ry t imes and the i r app l i ca t i on to cura t i ve , prevent i ve , an
teach ing f unc t i ons o f a nurse .
• To prov ide oppor tun i t i e s f o r the s tudent to deve lop her i nd i v idua l potent i a l s
competence to f unc t i on as ac t i ve member o f the pro fess i on and o f the commun i t y.
• To prov ide oppor tun i ty to deve lop ab i l i t y to par t i c i pa te i n resea rch ac t i v i t i e s f
improvement o f nurs ing ca re .
• To deve lop awareness to the cont r i bu t i on o f Commun i ty Hea l th Agenc ies and othe r
members o f the hea l th team f o r the to ta l we l fa re o f the commun i t y.

THE NURSING SERVICE

PHILOSOPHY:
The Butuan Doctors’ Hospital Nursing Service believes that the highest possible
equality of patient care can be attained by meeting all aspects of patient’s needs and
providing continuous professional growth of its personnel, thru research and in-service
training.
OBJECTIVES:
• To g ive the h ighes t poss ib le qua l i t y o f nurs ing ca re i n te rms o f to ta l pat i en t n
Th i s i nvo l ves sp i r i tua l , psycho log i ca l , soc ia l , phys i ca l , rehab i l i t a t i on and educ
needs o f the pat i en t .
• To ass i s t the phys i c i an i n the med ica l ca re o f the pat i en t and to ca r ry out
the rapy as i t i s presc r ibed .
• To promote cont inuous i n - se rv i ce program t ra in ing to a l l personne l .
• To promote and encourage nurs ing s tud ies and resea rch i n orde r tha t qua l i t y o
per fo rmance maybe improve and max imum ut i l i za t i on o f personne l e f f i c i ency
obta ined .
• To coo rd ina te wi th schoo l o f nurs ing and to prov ide adequate f ac i l i t i e s and l ea rn
exper iences f o r the s tudents i n the hosp i ta l .

HEAD NURSE:
• The key person who admin i s te rs and superv i ses the nurs ing se rv i ce o f the ward .

RESPONSIBILITIES:
• The pat i en ts ca re management
• The un i t s management

DUTIES:
 Administrat ive :
 Endorses and rece ives endorsement to and f rom i ncoming proceed ing sh i f t s pay ing
par t i cu la r at ten t i on to :

 Pa t i en t census
 A l l new and se r i ous pat i en t
 Spec ia l t rea tment to be done dur ing the ear l y par t o f the sh i f t or to be ca r r i ed
the th ree sh i f t s .
 Unusua l occur rence
 P lans and d i rec t s the nurs ing se rv i ce ac t i v i t i e s i n the un i t s .
 Coord ina tes the ac t i v i t i e s and coopera te wi th depar tment or agency f o r the we l fa re
o f the pat i en t .
 I n te rp re ts po l i c i e s , and regu la t i on o f the hosp i ta l to s ta f f and pat i en t , gami l y
commun i ty and execu te them.
 Makes wr i t ten ass ignments to each personne l i n ward .
 Coord ina tes and superv i ses the per fo rmance o f the pro fess i ona l and non-
pro fess i ona l personne l .
 I den t i fy nurs ing se rv i ce prob lems and need ing s tudy and par t i c i pa tes i n the i r
so lu t i on .
 Make requ i s i t i on and see to i t tha t supp l i e s and equ ipments are used economica l l y
and ca re fu l l y.
 Eva lua te the se rv i ces rende red cont inuous l y and p lans f o r i t s improvements .
 Prov ided and main ta ins comfor tab le , orde r l y , c lean and sa fe env i ronments .
 Accompl i sh accura te and i n fo rmat i ve , l eg ib le ward reco rds .

I. Patients’ chart
 II. Medicines, injection, diet, and treatment lists
III. Nurses report book
IV. Ward briefs
V. Directory patients personnel
VI. 24-hours report (11-7 shift)
VII. Monthly inventories
VIII. Efficiency record
IX. Etc.

• Keeps a comp le te f i l e o f ward po l i c i e s admin i s t ra t i on and equ ipment .

• Ass igns othe r dut ies to her personne l when necessar y.

NURSING:
• Makes rounds f o r personne l observa t i on o f pat i en ts .
• Accompan ies the doc to r i n h i s rounds .
• Sees to the execu t i on o f doc to r ’ s orde r .
• Gives med ic ines , i n j ec t i ons , and t rea tment when ca l l ed f o r .
• Renders emergency nurs ing as needed and g ive persona l at ten t i on to ce r ta in
s i tua t i on when necessar y.
• Teaches pat i en ts good nurs ing as needed and g ives persona l at ten t i on to ce r ta in
s i tua t i on when necessar y.

STAFF NURSE:
• The nurse who g ives and d i rec t nurs ing ca re to pat i en ts .

RESPONSIBILITIES:
1. Rendering bedside nursing care effectively.
2. Meeting patient nursing needs.
DUTIES:
Renders tota l nurs ing care
 Phys i ca l
 Gives da i l y persona l hyg iene
 Uses sa fe ty dev i ce
 Ass i s t i n main ta in ing a c lean , sa fe and hea l th fu l env i ronment
 Admin i s te rs med ic ine , i n j ec t i ons , and t rea tments
 I den t i f i e s nurs ing needs and prob lems and t r i e s to meet them.
 Menta l
 Ga ins con f idence o f pat i en ts and watche r .
 Recogn i zes prob lems and ut i l i zes othe r agenc ies f o r the i r so lu t i on .
 Promotes good pat i en t - nurse re l a t i onsh ip .
 Ass ist in the therapeut ic management of the disease
 Takes and reco rds TPR.
 Ass i s t dur ing phys i ca l examinat i on and othe r d iagnos i s procedures .
 Prepa res and ass i s t pat i en ts f o r t rea tment .
 Observe , repor t , and reco rds any changes i n pat i en ts cond i t i on .

A. ADMINISTRATIVE:
 Endorses and rece ives respons ib i l i t i e s f rom i ncoming and outgo ing sh i f t s .
 Ass i s t i n the genera l nurs ing ac t i v i t i e s i n the un i t s .
 Ac ts i n the capac i ty o f the head nurse as des igna ted .
 Par t i c i pa tes i n the i n te r and i n t ra - depar tment ac t i v i t i e s .
 Accompl i sh accura te i n fo rmat i on and l eg ib le reco rds i n the ward , e .g . pat i en ts
char t s , e tc .

B. EDUCATIONAL:

Orient newly admitted pat ient with regards to :

• Phys i ca l se t - up
• Ward rou t ines
• Hosp i ta l personne l
• Co-pat i en ts
• Ru les and regu la t i ons
• Ar t i c l es needed f o r use
Ass ist in inc identa l teaching and evaluat ion of non-profess ional personnel
Contr ibute to the educat ional program of student nurse
Ut i l i zed opportuni t ies for personnel meet ing and conferences
CHRONOLOGICAL ORDER OF THE CHART

Discharge form

Clearance

Consent to care

Patient’s Clinical Record

Admission Form

Doctor’s Progress Notes

Doctor’s Order

Nurse’s Notes

Medication Sheet

Vital sign’s Sheet

Vital sign’s Record Form

IVF Sheet

All the Laboratory Results

I & O Sheet
 FLOW OF WORK
(ADMISSION)

ADMISSION

HOSPITAL
INFORMATION

EMERGENCY ROOM

Reco rd F ind ing

V i ta l S igns tak ing and we igh ing o f pat i en t
I n te rv iew o f pat i en t and f i l l i ng up c l i n i ca l case reco rd /pe rsona l data
Examinat i on by the res iden t phys i c i an on duty
I f orde rs are STAT , ER s ta f f nurse ca r r i e s the Doc to r ’ s orde r and usher pat i en t to
room o f cho i ce and or un i t o f admiss i on

FLOOR 1 FLOOR 2-A FLOOR 3 ICU OR DR

FLOOR 2-B

Cont inue i n assess ing the pat i en t ’ s cond i t i on

The nurse wi l l ca r ry out the Doc to r ’ s orde r i f not ye t ca r r i ed out by ER Sta f f nu
fo r :
• X-ray - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - to x - ray room
• Labora to ry examinat i on - - - - - - - - - - - - to l abo ra to ry
• Pharmacy
Giv ing o f med ica t i ons per Doc to r ’ s orde r
V i ta l S igns wi l l be rechecked
The at tend ing Phys i c i an wi l l examine the pat i en t everyday
Assess the pat i en t wi th the use o f your senses
FLOW CHART OF DIRECT ADMISSION

NOD receive a call from

Admission Section

Prepare the desired

Room of the patient

Received patient/wheelchair

Gather patient’s data

Inspect patient’s chart

Take initial vital signs

Carry out Doctor’s Order:

Start IVF
Start new medication
Transmit lab request

NOD inform the A/P

Patient’s room
Latest vital signs
Present complain of patient
Referral of lab result

Remind A/P to complete form 3 during his/her rounds within 24 hours

Continuous patient care

Chart every after shift

FLOW OF WORK
(DISCHARGE)

WARD

“MAY GO HOME” AS ORDERED BY THE PHYSICIAN

 DO THE CHARTING AND FILL OUT FORMS

LET THE INSTRUCTOR SIGN YOUR CHARTING AND THE STAFF NURSE

CENTRAL SUPPLY ROOM

PHARMACY

RETURN EXCESS MEDICATIONS OR GIVE THE REMAINING MEDICATIONS TO THE PATIENT

AND INSTRUCT PROPERLY WHEN TO TAKE THE MEDICATIONS IF IT WILL BE HOME MEDICATIONS

LABORATORY ROOM PHYSICAL

BILLING SECTION
THERAPY
X-RAY

CASHIER

PROVIDE
CLEARANCE DISCHARG
E
HEALTH
WARD NOD SECURITY GUARD

DISCHARGE
 MEDICATION TICKET OF BDH

TICKETS

SCHEDULE COLORS TIMING

OD/ONCE A DAY WHITE 6:00 AM

HS/HOURS OF SLEEP WHITE 9:00 PM

q 6 / every 6 hrs. WHITE 6-12-6-12

BID / twice a day YELLOW 8 AM- 8 PM

q 12 / every 12 hrs. YELLOW 6 AM- 6 PM

TID / thrice a day PINK 6-12-6

QID / 4X a day GREEN 6-10-2-6

q 4 / every 4 hrs. GREEN 6-10-2-6

q 8 / every 8 hrs. BLUE 6-2-10

STAT / now/immediately RED NOW

PRN / as needed ORANGE AS NECESSARY

RTC / round the clock GREEN AS TIMED

AC / before meals PINK 5 AM- 11 AM- 5 PM

PC / after meals PINK 7 AM- 1 PM- 7 PM

 MEDICAL CONSULTANT VISIBLE
IN THE WARD

Dr. Claudio B. Estacio

(RED )

Dr. Chita Itao Dr. Chyrrl Bautista

Dr. Castulo Oclarit Dr. Psyche Netroda Dr. R. Gonzales
(ORANGE ) (YELLOW ) (BLUE )

Dr. R. Munez Dr. E. Uriarte

(P INK) (GREEN )

Dr. Aala Dr. M. Aala Dr. Brodith Dr. E. Coleto Dr. JM. Dacudoa

Dr. D. Dayan Dr. M. Deresas Dr. Duenas Dr.A. Gambe Dr. Erik Gambe

Dr. Virginia Yu Dr. J. Yap Dr. E. Urag Dr. S. Sy Dr. Rafael Sy

Dr. AJ Robles Dr. A. Robles Dr. R. Ponce Dr. L. Ponce Dr. L. Parinas

Dr. D. Nakila Dr. Hangos Dr. Jugao Dr. R. Lagare Dr. MJ Layese

Dr. Lim- Yu (WHITE)

 STUDENT HEAD NURSE
FLOW OF COMMUNICATION

Dean of Nursing Department BDH Director

Asst. Dean of Nursing Department Chief Nurse

Clinical Coordinator Supervisor

Clinical Instructor Staff Nurse

Student Head Nurse

Student Nurse

Patient
 NURSING DEPARTMENT
BUTUAN CITY

GRADING SYSTEM IN CLINICAL DUTY

Name of Student: ______________________________________________________________

Area of Assignment: ____________________Rotation: ______________Section: __________
Inclusive Dates of Assignment: ___________________________________________________

I. PERFORMANCE (50%) FINAL GRADE

Implementation of Nsg. care/Nsg. intervention
A. Independent Nursing Care (30%) _________
 Initiative 5%
 Efficiency of care/mastery/usage of Nursing Process 10%
 Consumption of available resources 2.5%
 Knowledge of principles and rationale 5%
 Attitude towards health care team and clients 2.5%
 Outcomes of care 5%

B. Dependent Nursing Care (20%) _________

 Knowledge and skills in pharmacology/ 5%
Rights in giving meds.
 Efficiency in carrying out doctors’ order 5%
 Knowledge and skills of disease process 5%
 Ability to coordinate with the health care team 5%

II. REQUIRED WARD ACTIVITIES (10%) _________

A. Ward Class (5%)
 Performance 2.5%
 Delivery/Content 2.5%
B. Bedside Clinic (5%)
 Performance 2.5%
 Delivery/ Content 2.5%

III. WRITTEN REQUIREMENTS (15%) _________

A. Patient’s Profile (5%)
 Completeness and promptness 2.5%
 Content 2.5%
B. NCP (5%)
 Completeness and promptness 2.5%
 Content 2.5%
C. Drug Study (5%)
 Completeness and promptness 2.5%
 Content 2.5%

IV. ATTITUDE (10%) ________

 Punctuality 5%
 Respect and courtesy to CI and the staff 5%
 GENERAL OBJECTIVES

That the student will be able to implement and develop knowledge,

skills, and attitude appropriate for achieving effective nursing care

towards the patient in the hospital setting by using the four steps in the

SPECIFIC OBJECTIVES

• That the s tudent nurse wi l l be ab le to deve lop sk i l l s , know ledge , and at t i tude
re l a t i on to nurs ing ca re and render i t to the pat i en t .
• To be ab le to know the f eed ing o f how i t i s to be l i ke i n the ac tua l hosp i ta l s
Pe rsonne l , C l in i ca l I ns t ruc to r , Nurs ing s ta f f wi thout pre jud i ce and to ga in respe
the process .
• To be ab le to accomp l i sh ac t i v i t i e s be ing p lanned and ca r ry out the respons ib i l i
as a s tudent nurse .
• To be ab le to deve lop c r i t i ca l th ink ing and sound j udgment in the ca re an
management o f the pat i en t .
 Length of Duty

February 18 – 27, 2008

Inclusive Date of Duty

Floor 1
Area of Assignment

12MN – 8AM
Shift

Under Students:
Manelyn Pacon
Josephine Racoma
Delilah Reyes

Mrs. Nerissa C. Solis, RN, MN

Clinical Instructor
 General Objectives

Within two weeks of duty I will be able to function as a Student Head Nurse and Impart my
Knowledge to my understudents and to coordinate always with my clinical Instructor and
be able to finish my rotation with accomplishment of the requirements and needed.

Spec i f i c Object ives

I will be able:

1. To develop the attitude and skills needed of a good Student Head Nurse following the
proper standards of care.

2. To guide my understudents on their daily duties and activities and be able to assess
their performance.

3. To share my knowledge and skills to my understudents and encourage them to make

the best of their performance.
 Daily Plan of Activities

Date Time Activities

February 18, 7:45 – 8:00Am

2008
8:00 – 8:15Am
8:15 – 8:30Am
8:30 – 10:30Am
10:30 – 11:30Am
12:00NN
1:00 – 1:15Pm
1:15 – 2:00Pm
2:00 – 2:30Pm
2:30 – 3:00Pm
3:00Pm
Checking of Attendance
7:45 – 8:00Am Checking of Uniforms
Collecting of assignments
8:00 – 8:15Am Pre-test

8:15 – 8:30Am Checking of papers

8:30 – 10:30Am Checking and discussion of assignments with
rationalization
10:30 – 11:30Am Class discussion and interaction
Giving of data for the afternoon activities
February 19, 12:00NN Lunch Break
2008 1:00 – 1:15Pm Checking of attendance
Library work
1:15 – 2:00Pm Collection of Activities
Activity discussion and rationalization
Giving of Post-test related to activity discussed.
2:00 – 2:30Pm Checking of papers
2:30 – 3:00Pm Giving of assignments
Planning of activities for tomorrow
3:00Pm Dismissal
 Checking of Attendance
7:45 – 8:00Am Checking of Uniforms
Collecting of assignments
8:00 – 8:15Am Pre-test

8:15 – 8:30Am Checking of papers

8:30 – 10:30Am Checking and discussion of assignments with
rationalization
February 20, Bed side clinic
2008 10:30 – 11:30Am Individual Reporting and Interaction
Class discussion and rationalization
12:00NN Lunch Break
1:00 – 1:15Pm Checking of attendance
1:15 – 2:00Pm Giving of activity and research work
2:00 – 2:30Pm Collecting of activity and discussion
2:30 – 3:00Pm Post-test related to morning activity
Giving of assignments and planning of activities
for tomorrow
3:00Pm Dismissal
 Checking of Attendance
7:45 – 8:00Am Checking of Uniforms
Collecting of assignments
8:00 – 8:15Am Collection of assignments regarding Dorothea
Orem’s Theories
8:15 – 10:30Am Group reporting on the different theories
Discussion with the topics reported
February 21, 2008 10:30 – 11:30Am Giving of pre-test regarding the Report
12:00NN Lunch Break
1:00 – 1:15Pm Checking of attendance
1:15 – 2:30Pm Library work
Group Interaction
2:30 – 3:00Pm Giving of Post-test
3:00Pm Dismissal
7:45 – 8:00Am Checking of Attendance
Checking of Uniforms
February 26, 8:00 – 9:00Am Meeting with the Clinical Instructor for
2008 instructions and checking of activities
9:00 – 11:130Am Library work
12:00NN Dismissed
Checking of Attendance
8:00Am Checking of Uniforms
Collecting of assignments
8:00Am – 12:00NN Attended the Methodology at the Old AVR
February 26, 1:00 – 1:15Pm Checking of attendance
2008 Ward Class
Discussion and Interaction regarding ward class
1:15 – 3:00Pm Giving of Post-test regarding on the ward class
3:00Pm Dismissed
 Daily Students Progress Report

Date Students Descriptions

 She ar r i ved ear l y wi th comp le te

February 19, 2008 Manelyn Pacon un i fo rm and ass ignments . Dur ing the
d i scuss ion she par t i c i pa ted and
i n te rac ted we l l , she was s i l en t i n
c lass . She was ab le to submi t her
ac t i v i t i e s on t ime , f o l l ow i n s t ruc t i ons
and get good sco res on qu i zzes .
 She ar r i ved ear l y i n the area wi th
Josephine Racoma comp le te un i fo rm and ass ignments .
She par t i c i pa ted we l l dur ing the
d i scuss ion , was ab le to sha re her
i deas on the c lass , she i s ac t i ve and
a lways ask ques t i ons but she ’ s good
i n c lass get t i ng good sco res on the i r
qu i zzes .
 She ar r i ved on the area ear l y wi th
Delilah Reyes comp le te un i fo rm and ass ignments .
She ’ s good i n c lass , s i l en t somet imes
but ta l k s when she wants to sha re
someth ing . She behave we l l and
l i s ten at ten t i ve l y. She got h igh
sco res on the i r qu i zzes . But tha t day
she a lways ask permiss i on to go to
the bath room.
  She ar r i ved ear l y on the area wi th
February 20, 2008 Manelyn Pacon comp le te un i fo rm and ass ignments .
She got good sco res on the i r pre -
tes t . She had a comp le te and co r rec t
ass ignments on the Ac t i v i t i e s o f
Da i l y l i v i ng . Dur ing d i scuss ion she
par t i c i pa ted we l l and ab le to sha re
her I deas on c lass .
 She had her Beds ide C l in i c tha t day
and was ab le to d i scuss i t to us . I t
was good she was ab le to g ive data ’ s
and i n fo rmat ion but the re were
i n fo rmat ion ’ s not ment ioned
par t i cu la r at the present cond i t i on o f
her pat ien t but i t was co r rec ted a f te r .
 She co r rec ted her ac t i v i t y on the
d i f fe ren t c lass i f i ca t i on o f drugs and
submi t ted i n on the a f te rnoon . She
behaves we l l i n c lass , comes on t ime
and l i s ten at ten t i ve l y.
 She ar r i ved ear l y at the area wi th
Josephine Racoma comp le te un i fo rm and ass ignments .
She d id we l l on her pre - tes t tha t
morn ing . She submi t ted her
ass ignment on ADL i n was comp le te
and co r rec t .
 She had her beds ide c l i n i c tha t
morn ing , she was ab le to d i scuss
and sha re i t to us , i t was n i ce the
data and i n fo rmat ion are good but
was l ack ing o f some i n fo rmat ion ’ s
par t i cu la r l y bout the i r pat ien ts and
so i t was co r rec ted a f te r .
 At the a f te rnoon she submi t ted her
rev i sed ac t i v i t y on the d i f fe ren t
drugs i t was now comp le te . She was
good i n c lass and as usua l very
ac t i ve and ask ques t i ons and
somet imes cont rad i c t s but accepted
cause she has her po in t .
 She comes a lmos t l a te on the area
Delilah Reyes wi th comp le te un i fo rm and
ass ignments . She d id bes t on the
pre - tes t f o r she got a h igh sco re tha t
morn ing . She submi t ted her
ass ignment on the ADL i n was
co r rec t and comp le te .
 She had her Beds ide c l i n i c tha t
morn ing and l i ke wi th the othe r
groups i t was good but as usua l
some i n fo rmat ion ’ s was not
ment ioned such as the present
cond i t i on o f the i r pat ien t and i n i t i a l
V i ta l S igns and so i t was co r rec ted
a f te r the repor t .
  She ar r i ved ear l y on the area wi th
February 21, 2008 Manelyn Pacon comp le te un i fo rm and ass ignments .
She submi t ted her ass ignments on
Orem’s theory i t was comp le te and
co r rec t .
 That morn ing she repor ted i t to us ,
dur ing the repor t she presented a
v i sua l a id i t was n i ce but on ly reads
the repor t . She was co r rec ted a f te r .
She d id good i n the i r qu i zzes pre and
pos t . She behave we l l i n c lass and
l i s ten at ten t i ve l y.
 She ar r i ved on the area on t ime wi th
Josephine Racoma comp le te un i fo rm and ass ignments .
She submi t ted her ass ignment on
Orem’s Theory i n was co r rec t and
comp le te .
 She a l so repor ted on the c lass and
had her v i sua l a ids . She d i scussed i t
we l l but most l y j u s t read the repor t
j u s t l i ke the othe rs . She d id good on
the i r qu i zzes tha t day. She behaves
we l l on the c lass and l i s ten
at ten t i ve l y.

 She ar r i ved ear l y on the area wi th

Delilah Reyes comp le te un i fo rm and at tendance .
 She submi t ted her ass ignment on
Orem’s theory i t was co r rec t and
comp le te . That morn ing she repor ted
a l so on Orem’s Nurs ing Theory
toge the r wi th her group o f Pacon and
Racoma. She d i scussed her par t we l l
and was ab le to exp la in and g ive
some examp les to us .
 She behaved we l l and l i s ten
at ten t i ve l y i n the c lass . She d id good
on her pre and pos t qu i zzes tha t by
by get t i ng good and h igh sco res .
  She ar r i ved ear l y on the area wi th
February 26, 2008 Manelyn Pacon comp le te un i fo rm.
 She submi t ted her ass ignments and
ac t i v i t i e s to our C l in i ca l I n s t ruc to r f o r
check ing .
 On the morn ing she d id resea rch and
prepara t i on f o r the i r ward c lass
ac t i v i t y the next day and do some
l i b ra ry works wi th superv i s i on .
 She was present the who le morn ing
and f i n i shes her l i b ra ry work and
resea rch .
 She ar r i ved ear l y on the area wi th
Josephine Racoma comp le te un i fo rm.
 Submi t ted her ass ignments and
ac t i v i t i e s to our c l i n i ca l i n s t ruc to r f o r
check ing , i t was comp le te .
 That morn ing she a l so d id some
resea rch and prepara t i on f o r the i r
ward c lass ac t i v i t y on the next day ,
she d id some l i b ra ry works and
f i n i shes i t .
 She ar r i ved ear l y on the area wi th
Delilah Reyes comp le te un i fo rm.
 She submi t ted her ass ignments to
our c l i n i ca l i n s t ruc to r f o r check ing .
 She have some resea rch tha t
morn ing i n the l i b ra ry f o r the i r ward
c lass the next day. She f i n i shes i t
the re wi th superv i son .
 She ar r i ved ear l y on the area wi th
February 27, 2008 Manelyn Pacon comp le te un i fo rm.
 She at tended the methodo logy at
the o ld AVR on the ent i re morn ing
and was ab le to par t i c i pa te on the
ac t i v i t i e s done .
 She ar r i ved ear l y on the area wi th
Josephine Racoma comp le te un i fo rm.
 She at tended the methodo logy at
the o ld AVR on the ent i re morn ing
and was ab le to par t i c i pa te on the
ac t i v i t i e s done .
 She ar r i ved ear l y on the area wi th
Delilah Reyes comp le te un i fo rm.
 She at tended the methodo logy at
the o ld AVR on the ent i re morn ing
and was ab le to par t i c i pa te on the
ac t i v i t i e s done .
 Grades of Under-students

Name:
Performance (50%)
Required Ward Activities(10%)
Written Requirements (15%)
Examination (15%)
Attitude (10%)
Total

Name:
Performance (50%)
Required Ward Activities(10%)
Written Requirements (15%)
Examination (15%)
Attitude (10%)
Total

Name:
Performance (50%)
Required Ward Activities(10%)
Written Requirements (15%)
Examination (15%)
Attitude (10%)
Total
 ORGANIZATIONAL STRUCTURE OF
BUTUAN DOCTORS’ COLLEGE
NURSING DEPARTMENT

PURITA R. ESCOBAR, RN, MAN, DM

Dean

CARMENCHU B. VICENTE, RN, MN

Assistant Dean

RIZZA E. BESA, RN ESTRELLA P.ROM, RN ARIEL R. SINCO, RN

Level II Coordinator Level III Coordinator Level IV Coordinator

Clinical Instructors:

Josehpine Aromin, RN
Marivick M. Piencenaves, RN
Oscar Dorano, RN
Elaine Lauria, RN Clinical Instructors:
Jeffrey Apat, RN
Jennifer Arana, RN
Meraluna C. Cacho, RN
Nerissa C. Solis, RN
Michael C. Luarez, RN Clinical Instructors:
Margarita A. Sanglay, RN
Rey Pacanza, RN Marivick M. Suguitan, RN
Jerome Bajao, RN Ma. Lourdes Tayag, RN
Rosie Silaga, RN Leila Gutierrez, RN
Alester Padillo, RN Precilla Monton, RN
Clares Leona C. Plaza, RN Mary Jane Gallao, RN
Ione A. Lacorte, RN Anne Luarez, RN
Jesus Picardal, RN Juliet Callet, RN
Ryan Lister Flores, RN Evangeline Cabilao, RN
Eden Paulette A. Consad, RN Mercedez Abigail
Cristie C. Vapor, RN Dumanayos, RN
Paulynne May E. Racho, RN Leoneth Marie Lim, RN
Leslie Vee Wagas, RN Shiela V. Fumar, RN
Edward C. Benolerao, RN
Melvin Mendoza, RN
Jennifer Mae P. Estella, RN
Jemelyn Coletp, RN
Organizational
Structure
Orientation Guide
SHN Requirements
Student Nurse
Requirements