Opd Performance Checklist
Opd Performance Checklist
Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
CRITERIA 1 2 3 4 5
E V S NI P
S
I. COMPETENCE IN UTILIZING THE
NURSING PROCESS
A. ASSESSMENT
1. Makes relevant observations.
2. Conducts purposeful interviews.
3. Utilizes physical assessment to gather data.
4. Collects supplemental data of the school
clinic department ( personnel, daily routine
and tasks ).
Reviews instructional program in patient
care in school clinic setting.
B. PLANNING
1. Does daily plan of activities.
2. identifies available resources.
3. Develop goals and objectives.
4. Makes a list of daily routine.
C. IMPLEMENTATION
1. Measures the result of nursing intervention
based on the goals and objectives.
2. Carries out basic nursing procedures. (Med.
Handwashing / Vital Signs / Flower
Arrangement / Dusting).
3. Makes proper referral if necessary
4. Makes relevant health teaching. Document
services rendered.
5. Assist health team members with daily OPD
routine and tasks.
D. EVALUATION
1. Measures the result of nursing intervention
based on the goals and objectives.
2. Document responses to services rendered.
3. Modifies client data as necessary in
coordination with client, health team
members, and clinical instructor.
RATING: __________
COMMENTS:
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