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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)
Length of Time toAccomplish per
nurse (minimum)
Checking of the completeness of the E-Cart andother supplies
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)
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
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Coordination with HMO approval hotlines (if withHMO)
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/ medicineGiving Medication (Nebulization) 3-5 minutes/ medicine
Giving Medication (IM, SQ) 3-5 minutes/ medicine
Skin Testing 3-5 minutes/ medicine
Starting Oxygenation 1-3 minutes
Foley Catheter insertion 15-20 minutes
Straight Catheterization 15-20 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 minutesAssisting/ 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 minutes
Charting 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 ancillarydepartment and
Ambu-bagging
Connecting patient to Cardiac Monitor and Pulse
OximeterCPR
Starting I.V. Access
Administration of Emergency drugs
Suctioning
Assisting resident during intubation
Assisting residents during cardioversion/defibrillation.
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postmortem.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 patientschart and prepare charge slip to be issued bythe ER encoder.
3-5 minutes
Ushers patient or accompanying person to theER information
2-3 minutes
Assists patient out of bed; assists patients inriding 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 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.
Activity(10:00pm-16:00pm)
Length of Time toAccomplish per
nurse (minimum)
Checking of the completeness of the E-Cart andother supplies
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)
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 15-20 minutes
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HMO) (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/ medicineGiving Medication (IM, SQ) 3-5 minutes/ medicine
Skin Testing 3-5 minutes/ medicine
Starting Oxygenation 1-3 minutes
Foley Catheter insertion 15-20 minutes
Straight Catheterization 15-20 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 minutes
Charting 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 ancillarydepartment andpostmortem.
Ambu-bagging
Connecting patient to Cardiac Monitor and PulseOximeter
CPRStarting I.V. Access
Administration of Emergency drugs
Suctioning
Assisting resident during intubation
Assisting residents during cardioversion/defibrillation.
Coordination with ancillary departments.
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Requisition of used medicines and supplies.
Aftercare of all equipment and apparatus used.
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
Discharging Patients
Prepares charges by transcribing on patientschart and prepare charge slip to be issued bythe ER encoder.
3-5 minutes
Ushers patient or accompanying person to theER information
2-3 minutes
Assists patient out of bed; assists patients inriding 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
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)
Requisition (pharmacy and ancillary servicesetc.)
3-5 minutes
Retrieving requisitions (medicines and supplies 5-10 minutes
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from the Pharmacy
Coordination with the Ancillary departments. 3-5 minutes
Coordination with HMO approval hotlines (if withHMO)
15-20 minutes(depending on caseand HMO protocol)
Preparation Medication 3-5 minutes/ medicineGiving 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
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
insertion 15-20 minutesCBG 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 Surgery residents during minorsurgical procedures.
15-20 minutes
Preparation of Dressing Set 3-5 minutes
Preparation of Minor Surgery Sets 3-5 minutes
Washing of used instruments 5-10 minutes
Charting 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
Discharging Patients
Prepares charges by transcribing on patientschart.
2-3 minutes
Ushers patient or accompanying person to theER information
2-3 minutes
Instructs patient or accompanying personregarding payment of charges (location ofcashiers)
3-5 minutes
Coordination with HMO for approval of servicesgiven
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)
Length of Time toAccomplish per nurse
(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.
Activity(12:00pm-8:00pm)
Length of Time toAccomplish per nurse
(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.
5-10 minutes perpatient
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.
Activity(2:00pm-10:00pm)
Length of Time toAccomplish per nurse
(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.
5-10 minutes perpatient
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.
5-10 minutes perpatient
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.
3-5 minutes/ patient
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)
3-5 minutes/ patient
Prints Charges of HMO/ Cardholder andAdmitted patients.
30-45 minutes
Prepared by: