THE RESPONSIBILITIES OF BEGINNING NURSE'S

ROLE ON CLIENT CARE.

ENSURES A WORKING RELATIONSHIP WITH THE CLIENT AND/OR SUPPORT SYSTEM BASED ON
TRUST RESPECT AND SHARED DECISION MAKING.

ESTABLISHES RAPPORT WITH CLIENT AND/OR SUPPORT

SYSTEM ENSURING ADEQUATE INFORMATION ABOUT EACH
OTHER AS PARTNERS IN A WORKING RELATIONSHIP
1

Shares pertinent information about oneself as nurse-

partner.

Addresses with respect and trust client-partner’s

concerns/needs related to sharing information about
oneself to enhance the nurse-client working
relationship.

FORMULATES WITH THE CLIENT-PARTNER THE OBJECTIVES

2 AND EXPECTATIONS OF THE NURSECLIENT WORKING
RELATIONSHIP.

Explains nature and purpose of client-partner

working relationship.

Prepares with the client a list of objectives and

expectations.

MAINTAINS SHARED DECISION MAKING AND CLIENT’S

3
PARTICIPATORY CAPABILITY THROUGHOUT THE NURSE-
CLIENT WORKING RELATIONSHIP

Assesses client’s participatory capability.

Determines strategies to ensure shared decision making and client participation throughout the
working relationship.

Carries out appropriate strategies to ensure continued participation of the client.

ENHANCES CLIENT-PARTNER’S READINESS FOR

TAKING OVER/BEING IN-CHARGE WHEN OBJECTIVES
4
AND EXPECTATIONS OF THE WORKING RELATIONSHIP
HAVE BEEN ACHIEVED.

Assesses client-partner’s readiness for taking charge

of the condition or situation.

Uses strategies to prepare the client for being in-

charge/taking over when objectives/expectations
have been achieved or when the situation
necessitates termination of the nurse-client
relationship.

Supports client as he takes charge of maintaining

health or managing the condition/situation (e.g.
taking over self-care or implementation of prevention
and control measures).

. ASSESSES WITH THE CLIENT (INDIVIDUAL, FAMILY,

POPULATION GROUP, AND /OR COMMUNITY) ONES HEALTH
STATUS/COMPETENCE.

SPECIFIES CLIENT’S STATUS/CONDITIONS/ PROBLEMS TO BE

1 ADDRESSED IDENTIFYING REASONS (ETIOLOGY) FOR THE
EXISTENCE OF THE CONDITION OR PROBLEM.

Identifies the factors associated with the condition/s

or reasons for the existence of the problem.

States nursing diagnosis/nursing problem.

Seeks concurrence with the client regarding problems

identified.

DEVELOPS THE DATA GATHERING PLAN WITH THE CLIENT.

2
SPECIFYING METHODS AND TOOLS

Develops the data gathering plan with the client.

specifying methods and tools
 FORMULATES WITH THE CLIENT A PLAN OF CARE TO ADDRESS
3 THE HEALTH CONDITIONS, NEEDS, PROBLEMS AND ISSUES
BASED ON PRIORITIES.

Sets priorities among a list of conditions or problems.

Specifies goals, objectives and expected outcomes of

care maximizing client’s competencies.

Selects appropriate interventions/strategies

enhancing opportunities for health promotion,
wellness response, prevention of
problems/complications, and eliminating
gaps/deficiencies.

Uses methods and tools to maximize client/family

participation in planning appropriate
interventions/strategies.

Develops with the client an evaluation plan specifying

criteria/indicators, methods and tools.

Collaborates with the client and the inter-

professional health care team in developing the plan
of care.

Modifies plan of care according to one’s judgment,

skill, or knowledge as client’s needs change.

IMPLEMENTS SAFE AND QUALITY INTERVENTIONS WITH THE

CLIENT TO ADDRESS THE HEALTH NEEDS, PROBLEMS AND
ISSUES.

IMPLEMENTS STRATEGIES RELATED TO THE SAFE PREPARATION

1 AND ADMINISTRATION OF MEDICATIONS BASED ON
INSTITUTIONAL POLICIES AND PROTOCOL.

Prepares medications according to standard procedures.

Checks on the medications to be administered three times.

Avoids interruptions during the preparation and administration

of medication.

Performs the 2-patient identifier checks before administering the

medication.

Reviews appropriate laboratory results, assessment findings and

other pertinent information prior to administration of
medication.

Withholds the medication when appropriate.

Informs the physician of side effects and adverse reactions to

the medication.

Completes the adverse drug reaction (ADR) documentation

appropriately.

Collects data/statistics to manage and reduce risks related to

medication administration.

Modifies techniques of medication administration in a variety of

setting based on standards

APPLIES EVIDENCE-BASED PRACTICES ON PAIN PREVENTION

2 AND MANAGEMENT OF CLIENTS USING PHARMACOLOGIC AND
NONPHARMACOLOGIC MEASURES.

Selects appropriate assessment and intervention

tools and techniques based on literature review,
consultation with colleagues and other resources.

Carries out evidence-based practices with the client

on pain prevention and management using
pharmacologic and non-pharmacologic measures.

Uses a framework to structure the use of analgesia in

the pharmacologic management of pain (e.g. WHO
Pain Ladder which includes assesses symptoms
comprehensively, identifies common, expected and
unexpected symptoms, relieves symptoms through a
variety of strategies, evaluates interventions for
effectiveness of symptom relief, and revises the
symptom management plan as needed).
 IMPLEMENTS SAFE, ADEQUATE, EVIDENCE- BASED CARE OF
3 CLIENTS DURING THE PRE-, INTRA-, AND POSTDIAGNOSTIC
AND TREATMENT PROCEDURES.

Explains to the client the diagnostic and treatment procedure.

Prepares adequately the client prior to the procedure (e.g.

NPO, enema, informed consent).

Chooses evidence-based interventions pre-, intra- , and post

diagnostic and treatment procedures.

Performs evidence-based interventions pre-, intra- , and post

diagnostic and treatment procedures.’

Monitors for adverse reactions and complications post-

procedure.

Reports adverse reactions and complications post-procedure.

Reviews diagnostic and treatment procedure results using a

specific effective communication model (e.g. the SBAR format -
Situation, Background, Assessment, Recommendation).

Relays diagnostic procedure results to the physician.

Recommends further diagnostic procedures and/or treatment

options for adverse reactions and complications in
coordination with a senior member of the nursing team.

APPLIES APPROPRIATE AND EVIDENCE-BASED NURSING INTERVENTIONS FOR

PHYSIOLOGIC AND RELATED PSYCHOSOCIAL NEEDS OF PATIENTS/CLIENTS TO
PRESERVE PHYSIOLOGIC INTEGRITY AND PREVENT COMPLICATIONS OF
4

PROBLEMS OF OXYGENATION (VENTILATION, TRANSPORT, PERFUSION); FLUID

AND ELECTROLYTE IMBALANCE AND ACID-BASED IMBALANCES; NUTRITION AND
METABOLISM; GASTROINTESTINAL (INDIGESTION, DIGESTION, ABSORPTION,
ELIMINATION); URINARY FUNCTION; PERCEPTION, COORDINATION, AND ALTERED
SENSATION; INFLAMMATION, INFECTION, AND IMMUNE RESPONSES; CELLULAR
ABERRATION, ALTERED GENETIC CONDITIONS; AND REPRODUCTIVE PROBLEMS.

. Generated adequate assessment data according to level of

prescribed/needed care.

Uses appropriate assessment techniques with least discomfort to

patients.

Recognizes and prioritizes emerging problems in a timely

manner.

Provides substantial pathophysiologic reasoning for problems

and changing patient situations.

Integrates plans for immediate and subsequent patient care.

Provides for patient’s hygiene and comfort continuously.

Where peri-operative care is needed, incorporates appropriate

safety indicators,&interventions to reduce anxiety.

Demonstrates skill in performing appropriate basic and advance

nursing interventions and rehabilitation care.

Follows correct procedures and collaborates appropriately in the

administration of medications related IV fluids, blood, and blood
products.

Demonstrates caring and compassionate care, especially to

vulnerable patients.

Has the ability to anticipate changing patient situations.

Communicates with the health team constantly, as well as with

the family and his/her family.

Uses complimentary, alternative, and biobehavioral therapies

appropriately.

Maintains holistic perspective and spiritual care. 15. When end-

of-life care is needed, ensures appropriate presence of significant
others.

Exercises good intentions and safe care practices when

performing nursing interventions
 PROVIDES HEALTH EDUCATION USING SELECTED PLANNING
MODELS TO TARGETED CLIENTELE (INDIVIDUALS, FAMILY,
POPULATION GROUP OR COMMUNITY).

DETERMINES THE HEALTH EDUCATION PLANNING MODELS

1 APPROPRIATE TO TARGET CLIENTELE/EXPECTED OBJECTIVES
AND OUTCOMES.
Specifies the characteristics of each health education
planning model.

Selects appropriate health education planning model.

UTILIZES HEALTH EDUCATION PROCESS TO ACCOMPLISH THE PLAN TO MEET

2
IDENTIFIED CLIENT’S LEARNING NEEDS

Assesses the needs of the target population.

Prioritizes the learning needs/problems in

partnership with client partner.

Formulates appropriate goals and objectives.

Designs a comprehensive health education plan. 5.

Implements the health education plan utilizing
appropriate teaching strategies.

Evaluates the results of client’s learning experiences

using the evaluation parameters identified in the
health education plan

EVALUATES WITH THE CLIENT THE HEALTH STATUS/COMPETENCE AND /OR

3
PROCESS/EXPECTED OUTCOMES OF NURSE-CLIENT WORKING RELATIONSHIP.

Utilizes participatory approach in evaluating

outcomes of care.

Specifies nature and magnitude of change in terms of

client’s health status/competence/processes and
outcomes of nurse-client working relationship.

Monitors consistently client’s progress and response

to nursing and health interventions based on
standard protocols using appropriate methods and
tools, (e.g. critical pathway, nurse sensitive indicators,
quality indicators, client competency indicators,
hospital and community scorecard) in collaboration
and consultation with the client.

Revises nursing care plan based on outcomes and

standards considering optimization of available
resources.

DOCUMENTS CLIENT’S RESPONSES /NURSING CARE SERVICES

4 RENDERED AND PROCESSES/OUTCOMES OF THE NURSE CLIENT
WORKING RELATIONSHIP
Accomplishes appropriate documentation forms
using standard protocols.

Adopts appropriate methods and tools to ensure

accuracy, confidentiality, completeness and
timeliness of documentation.

Utilizes acceptable and appropriate terminology

according to standards.

Submitted by : Peter Charles R. Villalobos

BSN - 4A