Ipcr Accomplishment June To Dec 2020

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DOH-SPMS Form 2

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)


I, ********************** of the NURSING DIVISION, commit to deliver and agree to be rated on the attainment of the following targets in accordance with the
indicated measures for the period of JANUARY TO APRIL 2021.

Name of Employee: *********************

Approved By: Date:

*******************************
Name of Supervisor
5 - Outstanding
4 - Very
Satisfactory
3 - Satisfactory
2 - Unsatisfactory
1 – Poor
RATING
SUCCESS INDICATORS ACTUAL
OUTPUT Q E T A REMARKS
(Targets + Measures) ACCOMPLISHMENT
(1) (2) (3) (4)
I. STRATEGIC
1.1 Institutionalize ethical research To participate in the submission of
across the Organization Continuous Quality Improvement (CQI) of
Isolation Area (Steps 1-4)
To participate in the presentation of Nursing
Procedure Update in Covid-19 Isolation Unit
1.2 Responsible and Equitable health 100% of discharges will be given Patient
care Satisfaction Survey Questionnaire (PSQ)
with 85% retrieval rate and addresses
concern if any
100% implementation of “wow moments” in
Covid-19 Isolation Unit during tour of duty
1.3 Safe Nursing Practice No medication error will be reported online in
Covid1-19 Isolation Unit
No incidence of fall will be reported online in
Covid-19 Isolation Unit
No needle-stick injuries will be reported
online in Covid-19 Isolation Unit

II. CORE FUNCTION


2.1 Observes, records and reports Signs and symptoms assessed on patients in
patients’ symptoms, conditions, Covid-19 Isolation Unit will be referred to the
and progression of treatment and attending physician within 15 minutes and
therapy will be properly dealt with
2.2 Prepares patients for, and 80% of patients will be properly prepared for
assisted physicians with, and assisted during procedures
diagnostic and therapeutic
procedures for both normal and
specialized treatment cases
2.3 Administration of medication 100 % of available patients’ medications will
be administered within the acceptable time
frame (30 minutes before and after)
observing the 12 Rights of drug
administration
2.4 Monitors the inventory and 85% of the procured equipment and supplies
maintenance of supplies, equipment in the area will be checked for availability
and facilities and functionality
2.5 Documentation 85% of all nursing related activities at the
Isolation unit will be properly documented within
the shift.
2.6 Monitored and updated unit logbook Updated Emergency Medication logbook which
includes medication quantity; and its expiration
dates are documented and monitored.

3 SUPPORT FUNCTION
3.1 Attendance to meetings To attend 3 Hospital Assemblies
To attend 3 Nursing Service Assembly
Meetings with active participation
To attend 3 Unit Meetings with active
participation

3.2 Widen the scope of Health To attend at least 2 learning development


Professional Training interventions (LDI’s)
3.3 Attendance to Hospital Activities 100% attendance to hospital activities (e.g
Christmas Program)
3.4 Submission of Requirements To submit SALN, PDS, IPCR target and
accomplishments

Strategic (40%)
Core (50%)
Support (10%)
Comments and recommendations
for Development Purposes

Discussed with: Assessed by: Date Final Rating by: Date


I certify that I discussed my assessment of
the performance of the employee

*********************** ************************* ***************************


Employee Supervisor Next Higher Supervisor

Legend: Q – uality E –fficiency T – imeliness A - verage

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