NCMB 419

NURSING LEADERSHIP
JOURNAL, SCHEDULING, DAY to DAY ACTIVITIES

SUMMARY OF WHAT I LEARNED FROM THE HEAD NURSING

DUTY:

I've gained a lot of knowledge as I begin my duties as the head nurse at Assumption
Specialty Hospital and Medical Center. I was able to get by in the head nurse's environment
thanks to Ma'am Ofelia and my clinical instructor, Ms. Gail. The scope of this obligation
amazed me. I've discovered the following throughout my Head Nursing Duty:

In the same way, nurses are crucial to patient care, safety, and treatment. In our role as
head nurses, we supervise the nursing department, directly supervise the nursing team,
and make sure they adhere to all protocols and medical best practices—a critical
component of providing high-quality care and guaranteeing patient satisfaction.
As a head nurse in the health care profession, I learned that we fulfill both nursing and
managerial duties. In addition to managing the nursing department, head nurses oversee
the care of all patients by assigning work to other nurses and support staff and managing a
greater caseload of patients than staff nurses. Additionally, we act as the main point of
contact for the nurses, physicians, administrators, and other staff members in their medical
facility.

As far as managerial roles I learned that the Head Nurse plays a key role in maintaining
cleanliness, infection control, and patient safety in their respective wards this includes:

Hand Hygiene: Regular handwashing with soap and water, or the use of alcohol-based
hand sanitizers, is critical for preventing the transmission of illnesses. Signboards indicating
the stages of handwashing were dispersed throughout ASHMC and put in every comfort
room.

Importance of endorsement
● Assures that patient improvement is noted
● Makes certain that patient care and information are transferred appropriately.
● Assists in providing constant attention
● Enables efficient communication between the workers of the previous shift and the
current shift
● Minimizes and saves more time.

Appropriate Waste Management: To avoid contamination and the spread of illnesses,

infectious waste, such as used needles and other medical supplies, should be disposed of
carefully. I learned that it is my responsibility as the head nurse to ensure that the
ward-wide proper waste segregation and disposal are being carried out.

Education and Training: Hospital staff receive education and training on infection control
practices to ensure they understand the importance of prevention measures and how to
implement them effectively.

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MEDICATION ADMINISTRATION AND THERAPEUTICS

During my shift, I discovered that the head nurse plays an important role in ensuring the
safe and effective administration of medication in a healthcare facility.

The head nurse is frequently involved in creating and revising drug administration rules
and procedures. These rules guarantee that drugs are provided properly, adhering to best
practices and regulatory standards. In addition, head nurses train nursing staff on drug
administration protocols, dosage calculations, medication safety, and the proper use of
medication administration equipment such as IV pumps and infusion devices. The head
nurse also monitors staff to ensure they follow these guidelines. They also oversee the
reporting of adverse drug events and medication errors, researching the core reasons, and
putting corrective measures in place to prevent them from happening again. This improves
pharmaceutical safety and patient outcomes.

DAY-TO-DAY ACTIVITIES

May 9, Thursday

Room 501 Room 503

Time Activity Time Activity
6:00 am - 7:00 am Endorsement 6:00 am - 7:00 am Endorsement

7:00 am - 7:30 am Assigning of tasks and patients 7:00 am - 7:30 am Assigning of tasks and patients

7:30 - 8:00 Checking of px history 7:30 - 8:00 Checking of px history

8:00 - 8:30 Med administration and vital signs 8:00 - 8:15 Vital Signs checking

9:00 - 10:00 Vital signs checking 8:15 - 9:00 Charting

10:00 - 11:00 Lunch break 10:00 - 11:00 Lunch Break

11:00 - 11:15 Vital signs and Dulcolax 12:00 - 12:15 Vital Signs

12:00 - 12:15 Removal of IFC and Vital sign 12:30 - 1:30 FDAR
monitoring

12:30 - 1:30 FDAR (VS by 1 pm) 1:30 - 2:00 Presentation of FDAR

1:30 - 2:00 Presentation of Fdar

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May 10

Time Activity
6:00 am - 7:00 am Endorsement

7:00 am - 7:30 am Rounds

7:30 - 8:00 Assigning of tasks and patients

8:00 - 8:30 Med administration and vital signs checking

8:30 - 9:30 Drug Study

9:30 - 10:00 FDAR

10:00 - 11:00 Lunch Break

11:00 - 12:00 FDAR Presentation

12:00 - 12:15 Vital Signs and Med Administration

12:30 - 1:00 Patient Interview

1:00 - 1:30 TPR Graphing

May 11

Time Activity
6:00 am - 7:00 am Endorsement

7:00 am - 7:30 am Rounds

7:30 - 8:00 Assigning of tasks and patients

8:00 - 8:30 Med administration and vital signs checking

8:30 - 9:30 Hospital tour

9:30 - 10:00 NCP

10:00 - 11:00 Lunch Break

11:00 - 11:30 Quiz

12:00 - 12:15 Vital Signs and Med Administration

12:30 - 1:30 Case Presentation and NCP Presentation

1:00 - 1:30 TPR Graphing

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SCHEDULING
May 1, 2024 May 2,2024 May 3, 2024 May 4, 2024 May 5, 2024
Wednesday Thursday Friday Saturday Sunday
Adriano AM OFF AM AM MID
Arragona AM MID OFF OFF MID
Clores AM OFF PM PM MID
Daquiz MID AM OFF PM PM
Lapuz MID AM PM MID OFF
Veneranda MID AM AM AM OFF
San Juan OFF PM AM AM AM
Aragon OFF PM MID MID AM
Bezonan PM MID MID OFF PM
Ceriales PM MID MID MID OFF

Shift Legend
AM 6:00 am - 2:00 pm

2:00 pm - 10:00
MID pm

10:00 pm - 6:00
PM am

May 6, May 9, May 10, May 11, May 12,

2024 May 7,2024 May 8, 2024 2024 2024 2024 2024
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Adriano OFF PM OFF AM AM MID AM
Arragona AM MID MID OFF OFF MID AM
Clores OFF PM OFF PM PM MID PM
Daquiz MID AM AM AM OFF OFF OFF
Lapuz MID AM AM PM MID OFF OFF
Veneranda OFF AM AM OFF AM AM AM
San Juan AM OFF PM AM AM AM PM
Aragon AM OFF PM MID OFF AM MID
Bezonan PM MID MID OFF OFF PM OFF
Ceriales PM MID OFF MID MID OFF MID

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 Shift Legend
6:00 am - 2:00
AM pm

2:00 pm -
MID 10:00 pm

10:00 pm -
PM 6:00 am

May 13, 2024 May 14,2024 May 15, 2024

Monday Tuesday Wednesday
Adriano OFF AM MID
Arragona OFF AM MID
Clores OFF AM AM
Daquiz MID PM PM
Lapuz MID PM OFF
Veneranda AM OFF AM
San Juan AM OFF PM
Aragon AM OFF PM
Bezonan PM MID OFF
Ceriales PM MID OFF

Shift Legend
AM 6:00 am - 2:00 pm

2:00 pm - 10:00
MID pm

10:00 pm - 6:00
PM am

Staffing

Ensuring the availability of sufficient qualified nursing staff to provide safe, efficient, and highly
effective patient care is an important duty of the head nurse. To allocate the right number of
employees and a safe workplace, they balance the needs of operations, the law, and employee

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preferences. I gained knowledge about assigning nurse staff to specific patient care duties in
accordance with their qualifications, experience, and skills. In my capacity as the head nurse, it is
my responsibility to make sure that staffing levels are appropriate to meet patient needs and
provide top-notch care.

PATIENT Staff
RM 407 - Lapuz
- Seizure stage 2 - Benzonan
with brain tumor
stage 4
RM 501 D - Clores
- status: post - Arragona
cesaerean
RM 503 - Daquiz
- CC: Vomiting - Adriano
- Acute Gastritis
Rm 504 - Ceriales
- CVD Bleed - Aragon
- Hypertension
RM 506 - Veneranda
- CC: pain on right
leg
- Cellulitis possible
osteomyelitis
- Considered DM
RM 507 - Sanjuan
- CC: Fever - Lapuz
- UTI possible URTI

Prepared by:
Estrada, Aaron Charles P.