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LIPA CITY COLLEGESCollege of Nursing

(G.A. Solis St., Lipa City, (0 !"#$%&$'# , .lipa)ity)olleges.net"S*++A Y PE -O +ANCE E AL*ATION AC/IE ING INT A&OPE ATI E CA E CO+PETENCY

In A))or an)e it1 P C 2oar of Nursing +e3oran u3 No. 04 Series 500'

Signature over Printed Name of Student: SI+2A/AN, 6EL+A AG6AN

INT A&OPE ATI E CA E CO+PETENCIES6ESI E6

ATING 4ST LE 5 N6 LE ! 6 LE

A E AGEATING

I. SA-E AN6 7*ALITY N* SING CA E (S7C"1. Utilizes the nursing process in the care of

OR clienta. Obtains comprehensive clients

information b chec!ing completeaccomplishment of the preoperativechec!list"clients chart

b. #dentifies priorit needs of the client at

the Operating Roomc. Provides needed nursing

interventions based on identifiedneeds

d. $onitors clients responses to surger 5%. Promotes safet and comfort of patients

inside the OR5

&. Performs the functions of the scrub nursea. Performs surgical scrub correctlb. 'ears sterile go(ns and gloves

asepticall5

c. Prepares surgical instruments)sponges) sutures and other suppliesin functional arrangement

5

d. *ands instruments) sponges) suturesand other needed materials accordingto surgeons preference

5

e. Performs surgical count accuratel 5+. Performs the functions of the circulatingnursea. ,nticipates the needs of the surgical

team

5

b. Sets up the OR room and needede-uipment

5

c. Receives client for surger " endorsesclient post operativel

5

d. ,ssists in s!in preparation anddraping of client

5

/. ,dministers medications and other healththerapeutics safel

5

II. +ANAGE+ENT O- ESO* CES, EN I ON+ENT AN6 E7*IP+ENT (+ E"1. Organizes (or! load to facilitate timel

patient 0are%. Utilizes ade-uate and appropriate

resources to support the OR team5

&. nsures functionalit of OR resources 5+. $aintains a safe environment at the OR

b observing the principles of asepsis5

III. /EALT/ E6*CATION (/E"1. #mplements appropriate health education

activities to client based on needsassessment

5

I . LEGAL ESPONSI2ILITIES (L "1. ,dheres to legal and institutional protocols

regarding informed consent5

. ET/ICO&+O AL ESPONSI2ILITIES (E+ "

1. Respects the rights of the OR client 5%. ,ccepts responsibilit and accountabilit

for o(n decisions and actions as an ORnurse

5

I. PE SONAL AN6 P O-ESSIONAL 6E ELOP+ENT (PP6"1. Performs OR functions according to

professional standards%. Possesses positive attitude to(ards

learning surgical and OR2related!no(ledge and s!ills

5

II. 7*ALITY I+P O E+ENT (7I"

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1. Participates in -ualit improvementactivities related to infection control andsuccessful OR operations

5

%. #dentifies and reports variances in sterilitand other OR activities

5

III. ESEA C/ ( "1. 3isseminates results of OR2related

research findings to clinical group andother members of the OR team as

appropriate

5

I8. ECO 6S +ANAGE+ENT ( +"1. $aintain accurate and updated

documentation of patient care4

8. CO++*NICATION (Co33"1. stablishes rapport (ith patients)

significant others and members of thehealth team

5

%. Uses appropriate information mechanismsto facilitate communication inside the ORand (ith other departments in the hospital

5

8I. COLLA2O ATION AN6 TEA+9O : (CT+"1. 0ollaborates plan of care (ith other

members of the health team5

TOTAL SCO E #$

0ertified 4rue and 0orrect:

+ILA 2. P*N;ALAN, N +AN C/ ISTY 6. SAN6O AL, N +ANClini)al Instru)tor Clini)al Instru)tor Li)ense Nu3 >%' Li)ense Nu3