Activity Summary2

8/3/2019 Activity Summary2

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Summary of Staff Daily Activities According to Shift

I. Staff Nurses

A. Morning Shift (6:00am-2:00pm) with 3 staff nurses.

Summary was based on the activities written by eight (8) nurses

who were assigned on 6:00am-2:00pm shift indicating the minimum length

of time required for them to accomplish a nursing activity or procedure.

Time frame of the study is from November 3 to November 8, 2011.

Activity

(6:00am-2:00pm)

Length of Time toAccomplish per

nurse (minimum)

Checking of the completeness of the E-Cart andother supplies

10 minutes

Changing of Surgical instrument 10-20 minutes

Packing of surgical instruments to beautoclaved.

5-10 minutes

Checking of equipments 5-10 minutes

Prayer/ Endorsement (Receiving endorsements) 10 minutes

Housekeeping (dusting to include refilling ofsupplies)

30-45 minutes

Triaging 5 minutes per patientVital signs taking

4 minutes (1 minuteper VS)

Carrying-out of doctors orders/ Admitting Procedures(PER PATIENT)

Requisition (pharmacy and ancillary servicesetc.)

3-5 minutes

Retrieving requisitions (medicines and suppliesfrom the Pharmacy

5-10 minutes

Coordination with the Ancillary departments. 3-5 minutes

Coordination with HMO approval hotlines (if with

HMO)

15-20 minutes

(depending on caseand HMO protocol)

Preparation Medication 3-5 minutes/ medicine

Giving of Medications (oral) 1-3 minutes/ medicine

Giving Medications (IV) 3-5 minutes/ medicine

Giving Medication (Nebulization) 3-5 minutes/ medicine

Giving Medication (IM, SQ) 3-5 minutes/ medicine

Skin Testing 3-5 minutes/ medicine


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Starting Oxygenation 1-3 minutes

Foley Catheter insertion 15-20 minutes

Straight Catheterization 15-20 minutes

Preparing supplies for NGT insertion 3-5 minutes

Assisting residents on duty in performing NGT

insertion15-20 minutes

CBG taking 3-5 minutes

I.V. insertionStarting I.V. Fluid/s /venoclysis

10-15 minutes

Shifting I.V. Fluids 3-5 minutes

Heplock insertion 5-10 minutes

Assisting/ accompanying patients to X-Ray/ CTScan/ ultrasound if close monitoring is needed.

10-20 minutes

Assisting Surgery residents during minorsurgical procedures.

15-20 minutes

Preparation of Dressing Set 3-5 minutes

Washing of used instruments 5-10 minutesCharting 5-10 minutes

Following-up of Laboratory results 3-5 minutes

Transporting patient 3-5 minutes

Endorsing patient/s to receiving unit 5-10 minutes

Housekeeping after shift 10-20 minutes

Completion of the E-cart 10-15 minutes

Endorsement (out-going) 10-15 minutes

Logging/ transcribing data on time and motionsheet

10-15 minutes

Assisting in a CODE (two nurses required)

Gathering/ Preparation of all supplies/equipment needed. Resuscitation

procedure takesminimum of 45-60minutes. Notincludingaftercare/replacement ofsupplies/coordinationwith ancillary

department andpostmortem.

Ambu-bagging

Connecting patient to Cardiac Monitor and PulseOximeter

CPR

Starting I.V. Access

Administration of Emergency drugs

Suctioning

Assisting resident during intubation

Assisting residents during cardioversion/defibrillation.

Coordination with ancillary departments.

Requisition of used medicines and supplies.

Aftercare of all equipment and apparatus used.

Postmortem Care

Discharging Patients

Prepares charges by transcribing on patients 3-5 minutes


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chart and prepare charge slip to be issued bythe ER encoder.

Ushers patient or accompanying person to theER information

2-3 minutes

Assists patient out of bed; assists patients in

riding wheelchair or ushering out of ER.

3-5 minutes

Instructs patient or accompanying personregarding payment of charges (location ofcashiers)

3-5 minutes

Coordination with HMO for approval of servicesgiven

15-20 minutes

B. Afternoon Shift (2:00pm-10:00pm) with four (4) nurses on duty

Summary was based on the activities of six (6) staff nurses

assigned on 2:00pm-10:00pm shift from November 3 to November 8,

2011.

Activity(2:00pm-10:00pm)


nurse (minimum)


10 minutes

Prayer/ Endorsement (Receiving endorsements) 10-15 minutes

Housekeeping (Changing of linens/ bed-makingetc.)

5-10 minutes

Triaging 5 minutes per patient

Vital signs taking4 minutes (1 minuteper VS)

Patients Registration (Role of Nurses) after Business Center closes.

Assisting patients in filling-up the BIZBOX slip. 3-5 minutes

Coordination with ancillary services for inquiriesregarding procedures requested.

3-5 minutes

Coordination with HMO approval hotlines (if withHMO)

15-20 minutes(depending on case

and HMO protocol)Carrying-out of doctors orders/ Admitting Procedures(PER PATIENT)


3-5 minutes


5-10 minutes



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15-20 minutes(depending on caseand HMO protocol)



Giving Medications (IV) 3-5 minutes/ medicineGiving Medication (Nebulization) 3-5 minutes/ medicine








10-15 minutes


Heplock insertion 5-10 minutesAssisting/ accompanying patients to X-Ray/ CTScan/ ultrasound if close monitoring is needed.

10-20 minutes


15-20 minutes


Washing of used instruments 5-10 minutes

Charting 5-10 minutes








10-15 minutes



procedure takesminimum of 45-60minutes. Notincludingaftercare/replacement ofsupplies/coordinationwith ancillarydepartment and

Ambu-bagging

Connecting patient to Cardiac Monitor and Pulse

OximeterCPR

Starting I.V. Access


Suctioning




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postmortem.Coordination with ancillary departments.



Postmortem Care


Prepares charges by transcribing on patientschart and prepare charge slip to be issued bythe ER encoder.

3-5 minutes


2-3 minutes

Assists patient out of bed; assists patients inriding wheelchair or ushering out of ER.

3-5 minutes


3-5 minutes

Coordination with HMO for approval of services

given15-20 minutes

C. Night Shift (10:00pm-6:00am) with three (3) nurses on duty.

Summary was based on the activities of six (6) staff nurses assigned on

10:00pm- 6:00pm shift from November 3 to November 8, 2011.



nurse (minimum)


10 minutes

Prayer/ Endorsement (Receiving endorsements) 10-15 minutes

Triaging 5 minutes per patient

Vital signs taking4 minutes (1 minuteper VS)

Wash all injection trays, cotton canister, pick-upforceps, medicine glasses and other patientsutensils.

15-20 minutes

Carrying-out of doctors orders/ Admitting Procedures(PER PATIENT)


3-5 minutes


5-10 minutes


Coordination with HMO approval hotlines (if with 15-20 minutes


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HMO) (depending on caseand HMO protocol)




Giving Medication (Nebulization) 3-5 minutes/ medicineGiving Medication (IM, SQ) 3-5 minutes/ medicine







10-15 minutes



Assisting/ accompanying patients to X-Ray/ CTScan/ ultrasound if close monitoring is needed.

10-20 minutes


15-20 minutes











10-15 minutes



procedure takesminimum of 45-60minutes. Notincludingaftercare/replacement ofsupplies/coordinationwith ancillarydepartment andpostmortem.

Ambu-bagging

Connecting patient to Cardiac Monitor and PulseOximeter

CPRStarting I.V. Access


Suctioning



Coordination with ancillary departments.


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Postmortem Care

NIGHT ROUTINE

Changing of linens 5-10 minutes

Disinfecting of all stretchers 10-15 minutesDisinfecting of all equipment 10-15 minutes

Dusting 10-15 minutes


Prepares charges by transcribing on patientschart and prepare charge slip to be issued bythe ER encoder.

3-5 minutes


2-3 minutes

Assists patient out of bed; assists patients inriding wheelchair or ushering out of ER.

3-5 minutes


3-5 minutes


15-20 minutes

D. Out-Patient Nurse (9:00am-5:00pm)

Summary was based on the activity of one (1) staff nurse assigned on

OPS (9:00am- 500pm) from November 3-4, 2011.

Activity(9:00am-5:00pm)

Length of Time toAccomplish per nurse

(minimum)

Checking of Chart Deficiencies at the MedicalRecords

15 minutes

Checking and completing OPS Supplies 10-20 minutes

Changing of OPS Linens/ Bed-Making 10-15 minutes

Triaging/ Nurses Assessment 5 minutes per patient

Vital signs taking4 minutes (1 minute perVS)

Retrieval of Old Chart/ Record for follow-upconsultation 3-5 minutes

Carrying-out of Out-patient Doctors orders/ Personnel PhysiciansOrders/ Admission Procedures at ER OB-Gyn(PER PATIENT)


3-5 minutes

Retrieving requisitions (medicines and supplies 5-10 minutes


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from the Pharmacy



15-20 minutes(depending on caseand HMO protocol)

Preparation Medication 3-5 minutes/ medicineGiving of Medications (oral) 1-3 minutes/ medicine


Giving Medication (Nebulization) 3-5 minutes/ medicine






Preparing supplies for NGT insertion 3-5 minutes

Assisting residents on duty in performing NGT

insertion 15-20 minutesCBG taking 3-5 minutes


10-15 minutes




15-20 minutes


Preparation of Minor Surgery Sets 3-5 minutes








Prepares charges by transcribing on patientschart.

2-3 minutes


2-3 minutes


3-5 minutes


15-20 minutes

RECORD KEEPING

Recording of all patients record at the OPDLogbook.

15-20 minutes


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Encoding of patients data in computer system(SOFTWORLD)

15-20 minutes

Filing each chart on individual folders and filed inrecord cabinets.

15-20 minutes

II. Nursing Assistant (Male)A. Morning Shift (6:00am-2:00pm) with one (1) aide on duty.

Summary was based on the activities of two (2) male nursing

assistant assigned on morning shift from November 3-5, 2011.

Activity(6:00am-2:00pm)


(minimum)

Housekeeping Tasks

Turning-Off of all units air-conditioners 3-5 minutesFacilitates airing of the unit by opening allwindows.

3-5 minutes

Cleaning of all stretcher 20-30 minutes

Checks availability of wheelchairs. 5-10 minutes

Check availability of Oxygen tanks. 5-10 minutes

Request and retrieve requested Oxygen tanks 10-15 minutes

Prepares all instruments for autoclaving andregas.

10-15 minutes

Delivers all properly packed instruments forautoclaving/ regas to the CSSR.

5-10 minutes

Retrieve all autoclaved instruments andambubags from the CSSR.

5-10 minutes

Counts and drops all soiled linens at theLaundry.

10-15 minutes

Delivers all requisitions for supplies to theFinance Office/ CPO

5-10 minutes

Receives, counts arranges clean linens given bythe Linen Department

10-15 minutes

Inspect and reports unit fixtures for repair e.g.air-conditioner, fluorescent lights etc.

5-10 minutes

Patient CareLifting and Transferring of patients entering ER. 2-3 minutes

Ushers wheeled/ stretcher-borne patients to theX-Ray/ CT-Scan/ Ultrasound etc.

5-10 minutes

Sends urine/ stool/ other specimens to thelaboratory

3-5 minutes

Retrieve X-Ray/ CT Scan Plates 2-3 minutes

Assist patient in minor nursing procedure e.g. 5-10 minutes


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fleets/ cleansing enema, condom catheterplacement etc. with nurses supervision

Assist nurses in transporting admitted patients. 5-10 minutes

Performs sponging 10-15 minutes

Transport patients to doctors clinic at the MAB

Bldg.

3-5 minutes

Retrieves borrowed items/ equipment at theCSSR.

3-5 minutes

Retrieve equipment needed during CODE e.g.E-Cart, Cardiac Monitor, Defibrillator etc.

Immediately less than 1minute

Performs CPR during Code with nursessupervision.

CODE usually takes30-45 minutesdepending on case.

Performs post-mortem care. 10-15 minutes

Responsible in releasing cadaver from themorgue (cadaver from ER only)

5-10 minutes

Assists discharged patients needing wheelchair/stretcher.

3-5 minutes

B. Broken shift (12:00pm-8:00pm) with one (1) aide on duty.



(minimum)

Housekeeping Tasks

Prepares pack surgical towel and eye sheet for

autoclaving

15-20 minutes

Prepares and pack cotton balls for unit use. 15-20 minutes

Check level of oxygen tanks 5-10 minutes

Replaces empty oxygen tanks. 10-20 minutes

Patient Care

Assists in transporting patients to the RadiologyDepartment for X-Ray, Ultrasound, CT Scan etc.

10-15 minutes perpatient depending onprocedure

Assists in transferring admitted patients to roomof choice.

5-10 minutes perpatient

Carries out nurses errands such as fetching

supplies in the CSSR, CPO etc.

3-5 minutes

Retrieves X-Ray/ CT Scan films in the RadiologyDepartment.

3-5 minutes

Assists other patients (not ER patients) going tothe Delivery Room, hemodialysis etc.


Assists nurses during CODE.CODE usually takes30-45 minutesdepending on case.


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Performs postmortem care 10-15 minutes

Releases cadaver for pick-up 5-10 minutes

Assists discharged patients needing wheelchair/stretcher.

3-5 minutes

C. Afternoon shift (2:00pm-10:00pm) with one (1) aide on duty.



(minimum)

Housekeeping Tasks

Prepares other supplies for autoclaving/ regas. 15-20 minutes

Prepares cotton balls for unit use 15-20 minutes

Performs mopping of the floor 15-20 minutes

Patient Care

Assists in transporting patients to the RadiologyDepartment for X-Ray, Ultrasound, CT Scan etc.

10-15 minutes perpatient depending onprocedure

Assists in transferring admitted patients to roomof choice.


Carries out nurses errands such as retrievingsupplies in the CSSR, CPO etc.

3-5 minutes

Delivers specimen/ urine sample to thelaboratory

3-5 minutes

Performs sponging as needed. 10-15 minutes

Performs change of diapers to adult patients as

needed.

3-5 minutes

Performs change of hospital gown to malepatients.

3-5 minutes

Retrieves X-Ray/ CT Scan films in the RadiologyDepartment.

3-5 minutes

Assists other patients (not ER patients) going tothe Delivery Room, hemodialysis etc.


Assists nurses during CODE.CODE usually takes30-45 minutesdepending on case.

Performs postmortem care 10-15 minutes

Releases cadaver for pick-up 5-10 minutesAssists discharged patients needing wheelchair/stretcher assistance.

3-5 minutes

III. Nursing Aide (Female): One (1) aide per shift.

ActivityLength of Time to

Accomplish per nurse


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(minimum)

Prayer/ Receiving of endorsement 10-15 minutes

Checking of ER and HMO charges. 10-15 minutes

Cleaning/ Dusting of tables, counters andequipments.

20-30 minutes

Triaging(Chief Complaint taking, V/S taking,)

5 minutes/ patient

Retrieval of Old Chart 3-5 minutes

Approval of procedures/ requisitions for HMOpatients.

10-15 minutes/ HMOhotline

Dropping of Admission charges to the FinanceOffice.

5-10 minutes

Transcribing patients data on ER-OPS Logbook 20-30 minutes

Encoding patients data on computer system 20-30 minutes

Filing of patients record 30 minutes

Prepares census (daily/ monthly) 30 minutes

Logging admissions on Admission Notebook 5-10 minutesLogging of HMO patients on HMO Notebook 5-10 minutes

Patient Care

V/S taking of Blood Donor 5 minutes/ patient

Sponging of patient as needed. 10-15 minutes

Change of diaper/ hospital gown 3-5 minutes

V/ S taking as requested 5 minutes

Preparing dressing set when requested. 3-5 minutes

Washing of used surgical instruments includingvaginal speculum)

5-10 minutes

Performs other housekeeping such as bed-making, washing of other equipments etc.

5-10 minutes

Prepares and arranges office of the personnelphysician

5-10 minutes

Prepares OB-Gyn ER 5-10 minutes

Transports patients to DR when male aide is notaround.

5-10 minutes

Prepares patients charges 3-5 minutes

Assist discharged patients 3-5 minutes

Endorses to incoming shift 10-15 minutes

During Nightshift

Thorough housekeeping such as disinfecting ofstretcher bed mattresses, tables and counters,unit equipments etc.

20-30 minutes

Changing of linens 15-20 minutes

IV. ER Encoders/ Clerks: One (1) clerk per shift

ActivityLength of Time to

Accomplish per nurse


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(minimum)

Encodes requisitions of ER-Patients toPharmacy, Laboratory, Radiology etc.

3-5 minutes/ patent

Coordinates with ancillary department if neededfor patients requisitions.

3-5 minutes

Encodes requisitions of out-patients afterBusiness Center closes (4:00pm onwards)

3-5 minutes/ patient

Assists non-urgent/ emergent patients in fillingup ER-OPS Forms.


Assists patients for registration 3-5 minutes/ patient

Coordinates with HMO hotlines for approval ofrequests.

10-15 minutes

Prepares discharged patients charges (encodesto BIZBOX and issues charge slip).

3-5 minutes

Encodes patients data on hospital system(BIZBOX/ SOFT WORLD)


Prints Charges of HMO/ Cardholder andAdmitted patients.

30-45 minutes

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Activity Summary2

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