Name: Ian Mizzel A.

Dulfina
Concept: Leadership Management
CI: Virginia Bellena

Date: December 14, 2014

Placement: BSN4-A
Area: BJRMH St. Joseph
Operational Plan

Areas of concern
Physical Plan
Cleanliness and
orderliness of the
following:
a. Nurses
station
b. Medicating
Area
c. Ward
d. Alley
e. Students
lounge

Objectives

Activities and strategies

Within a week of 73
shift, cleanliness and
orderliness will be
observed as
evidenced by:
Proper
disposal of
garbage from
the ward,
nurses
station,
students
lounge;
Nurses
station will be
free from trash
like empty IV
bottles and
used papers.
and things will
be arranged
appropriately;
The sink is
always kept
clean and dry;

A. Nurses station
Before the start of
the shift
housekeeping will be
done for 15 min.
every clinical rotation
by each nursing staff.
There will be two
trash cans within the
nurses station with
corresponding color
coding of
cellophanes, yellow
for infectious and
black for noninfectious wastes.
Nursing staff is
reminded to properly
dispose the waste to
the designated
garbage bins.
Arrange charts
according to hospital
policy, before and
after the doctors

Date and
time
December
15-17,
2014
73

Responsible
person
Head nurse,
charge nurse,
case method
and primary
nurse.

Budget

Evaluation

After care in
the medicating
area is
observed
every after
preparation of
medication;
Patients chart
and different
forms used as
well as
equipment
found in the
nurses area
are organized
and are
placed
properly.

orders are carried

out, organize and set
forms and equipment
used in the nurses
station.
B. Medicating area
The case method
and primary nurses
are tasked to place
properly the
corresponding
medication tickets on
the assigned patients
medicine boxes and
to use medicating
trays whenever
preparing and
administering
medications, to
observe orderliness.
After care should be
done after preparing
medications to be
administered.
Needles that are
used in
administration of
drugs should be
disposed to a sharp
container.

C. Ward
Remind nursing staff
to call the attention
of the janitor/utility, if
available, to sweep
the floor for
maintaining
cleanliness.
Remind nursing staff
to inform patients
and watchers to
observe proper
waste segregation
and educate them
about the color
coding of garbage
bins.
Remind nursing staff
to inform patients
and watchers to
throw plastic bottles
that are not in use in
the garbage bins.
D. Alley
Alley should be free
from garbage and
other unnecessary
items by getting it
and placing to the
right place.
Nursing service

Within a week of 73

Vital signs monitoring

December

Head nurse,

a. Vital signs
monitoring
b. Bedside care
c. Proper
assessment
d. Giving
medications
e. Proper
documentati
on

am shift provision of
safe, efficient and
effective quality
nursing care is
observed as
evidenced by:

Accurate and
timely
monitoring of
vital signs;
Bed linens,
bedside tables
are clean and
patient needs
are attended;
Accurate and
timely
administration
of medication
is observed;
Accurate and
timely
documentation
of
observations
and evaluation
are observed.

Monitor vital signs in 15-17,

2014
accordance to the
doctors order.
73
Use functioning
equipment when
obtaining patients
vital signs.
Equipment used in
monitoring VS should
be properly cleaned
before and after
using from one
patient to another.
State the result with
the corresponding
explanation after
obtaining vital signs.
Record, refer, and
give proper
interventions to any
unusualities obtained
from patients VS.

A. Bedside care
Remind case
method and primary
nurses to always
observe cleanliness
and wrinkle-free bed
linens.
Remind case
method and primary

charge nurse,
case method
and primary
nurse.

nurses to inform
patients and
watchers to clean
bedside tables by
wiping table surface
and arranging things
in place to observe
orderliness.
Monitor patients
status, IV fluids, as
well as I and O,
NeuroVS, if ordered,
and give appropriate
interventions and
health teachings.
Provide well
ventilated
environment, by
turning on ceiling
fans and opening
windows.
Provide a safe
environment by
raising side rails if
available, use of
pillows, place table
near the head part
of the patient and
inform watcher to
accompany patient.
Offer bedpan or
urinals if needed.

B. Proper assessment
Use patient-need
assessment.
Perform
cephalocaudal
assessment through
inspection, palpation,
percussion, and
auscultation (IPPA).
Secure comfortable
environment that will
minimize discomfort
while conducting
physical assessment.
Identify factors that
would exacerbate
patients condition.
Allow the client and
watcher to ask
questions regarding
the procedures being
done.
C. Giving medications
Check the doctors
order and find the
corresponding
medication cards
before preparing the
medication
Perform hand
washing before and

after giving the

medication.
Observe ten rights of
drug administration;
right drug, right
patient, right dose,
right route, right time
and frequency, right
documentation, right
assessment, right to
refuse, right
evaluation and right
education.

D. Proper
documentation
Case method and
primary nurses
should use DAR in
documenting
patients condition,
and see to it that it is
passed at the time
indicated for it to be
checked by the
assigned student
head nurse and
clinical instructor.
Make sure to use the
prescribed color of
pen when
documenting.
Write legibly, without

Personnel
a. Punctuality
b. Politeness
c. Prescribed
grooming
d. Completeness
of
paraphernalia
e. Compliance of
Requirements

Within 73 am shift,
punctuality,
prescribed grooming,
and completeness of
paraphernalia will be
observed as
evidenced by:

Reporting on
duty 45 min.
before duty/
morning circle
as mandated
in the school
policy;
Giving of
gratitude and
respect for costudent
nurses, staff,

errors and do not

leave charts
unattended, if charts
are not in use situate
it back to its proper
placement.
Make sure that all
charts being
documented have
complete headings
and are being
counter signed by the
clinical instructor.
A. Punctuality
Dec 1517, 2014
Attendance of each
73
members of the
group will be
checked using a daily
time record, giving
extensions will start
after 6:15 a.m.
B. Politeness
Student
nurses
should address each
other as Maam/Sir
and talk in a gentle
and
appropriate
manner as well as to
the CI, staffs, doctors
and other hospital
personnel.
Student
nurses

Head nurse,
charge nurse,
case method
and primary
nurse.

other hospital
personnel and
doctors.
cleanliness
and neatness
of uniform,
complete with
school I.D, pin
and name
plate, and
wrist watch
with second
hand and
prescribed hair
cut for males;
required
paraphernalia
are brought in
the clinical
area.
Requirements
are
accomplished
on time given.

should
not
talk
irrelevant
topics
during the duty.
Student nurses must
give respect to their
co-student nurses by
not interrupting or
having
unusual
conversations during
the duty especially in
doing drug study and
in endorsement.

C. Prescribed grooming
Head nurse is
assigned to check for
the following;
cleanliness and
neatness of uniform,
school I.D, pin, name
plate, and wrist
watch with second
hand, and prescribed
haircut for males,
extension will be
given if one is not
observed.
D. Completeness of
paraphernalia
Paraphernalia are
checked during the
morning circle,

extension will be
given if there is
lacking or nonfunctioning
paraphernalia.
E. Requirements are
accomplished on
time given.

Student nurses
should submit
requirements on the
time set.