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Com-Spms Form No. 3 (Ipcr) : (Please Add Rows If Necessary)

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Kevin Miguel Rivera

This document outlines the targets and performance indicators for a Staff Nurse for the rating period. It includes 4 major final outputs: 1) patient care management; 2) regulatory services for health products, devices, equipment and facilities; 3) general administrative support services; and 4) support to operations. For each output, specific targets and success indicators are provided to measure quality, efficiency, timeliness, and average performance. Space is included for recording the nurse's actual accomplishments which will be used to determine an overall rating of outstanding, very satisfactory, satisfactory, unsatisfactory or poor.

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Com-Spms Form No. 3 (Ipcr) : (Please Add Rows If Necessary)

Uploaded by

Kevin Miguel Rivera
4K views3 pages
This document outlines the targets and performance indicators for a Staff Nurse for the rating period. It includes 4 major final outputs: 1) patient care management; 2) regulatory services for health products, devices, equipment and facilities; 3) general administrative support services; and 4) support to operations. For each output, specific targets and success indicators are provided to measure quality, efficiency, timeliness, and average performance. Space is included for recording the nurse's actual accomplishments which will be used to determine an overall rating of outstanding, very satisfactory, satisfactory, unsatisfactory or poor.

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Evaluation

Original Title

Staff Nurse 1.2.3

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This document outlines the targets and performance indicators for a Staff Nurse for the rating period. It includes 4 major final outputs: 1) patient care management; 2) regulatory services for health products, devices, equipment and facilities; 3) general administrative support services; and 4) support to operations. For each output, specific targets and success indicators are provided to measure quality, efficiency, timeliness, and average performance. Space is included for recording the nurse's actual accomplishments which will be used to determine an overall rating of outstanding, very satisfactory, satisfactory, unsatisfactory or poor.

Copyright:

© All Rights Reserved
Download as DOCX, PDF, TXT or read online from Scribd
Download as docx, pdf, or txt
4K views3 pages

Com-Spms Form No. 3 (Ipcr) : (Please Add Rows If Necessary)

Uploaded by

Kevin Miguel Rivera
This document outlines the targets and performance indicators for a Staff Nurse for the rating period. It includes 4 major final outputs: 1) patient care management; 2) regulatory services for health products, devices, equipment and facilities; 3) general administrative support services; and 4) support to operations. For each output, specific targets and success indicators are provided to measure quality, efficiency, timeliness, and average performance. Space is included for recording the nurse's actual accomplishments which will be used to determine an overall rating of outstanding, very satisfactory, satisfactory, unsatisfactory or poor.

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COM-SPMS FORM NO.

3 ( IPCR)
CITY OF MANILA -STRATEGIC PERFORMANCE MANAGEMENT SYSTEM (COM-SPMS) TEMPLATE
INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW IPCR)
I, _________________________________________ (Name,)
STAFF NURSE ( NURSE I, II , III )
(Position/Designation),
NURSING SERVICE , (Division)
_______________________________________________( Department), commit to deliver and agree to be rated on the attainment of the following targets in accordance with the indicated
measures for the period ______________________________to ___________________________, 20____.
Signature
Date of Signing (Beginning of the Rating Period):
________________________
APPROVED BY:

REVIEWED BY

Immediate Supervisor

Department Head

Date

Date
RATING SCALE
5 - Outstanding
4- Very Satisfactory
3 - Satisfactory
2 -Unsatisfactory
1- Poor

LEGEND
Q- Quality
E- Efficiency
T-Timeliness
A- Average

Major Final Output( MFO)

Success Indicators

( please add rows if necessary)

(Targets + Measures)

MFO 1.
Basic and Specialized Medical Services
Patient Care Management

100% of patients within:


For minimal to moderately ill: 15 to 30 minutes
For critically ill: 1 to 2 hours
100% of patients given quality nursing care within
the shift
100% of patients health condition and nursing
care
documented within the shift
100% of patients referral coordinated within the
shift

REMARKS

RATING
Actual Accomplishments
Q

MFO 2.
Regulatory Services for Health Products,
Devices, Equipment and Facilities

100% health teachings to patients provided within


the shift

100% of medical equipment and facilities handled


and maintained daily
100% of medicines administered to patients with
prescription and recorded to patients chart per
shift
100% of medicines and supplies used to patients
reflected in the availment form per shift
conducted daily inventory of medicines, supplies
and equipment.

MFO 3.
General Administrative Support Services
(GASS)
Record Management

Admitting & Discharge

Dietary Services

Philhealth Services

Housekeepig

MFO 4.
Support to Operations

100% completeness of patients chart ensured per


shift
100% of admitted and discharged patients
properly
recorded in the logbooks per shift
100% of patients diet list submitted daily
100% of newly admitted patients diet and changes
in patients diet informed per shift
100% of patients classification facilitated per shift
100% of clinical area cleaned and maintained per
shift
Conduct concurrent and terminal disinfection per
shift
100% of assistance provide to departments
under the City Government of Manila and other
agencies
Health Activities of the City
Socio-cultural Activities
Disaster management
Medical Mission

Working Committees of the Hospital


Management

FINAL AVERAGE RATING


ADJECTIVAL RATING
DISCUSSED WITH :

FINAL RATING BY:

ASSESSED BY :

Department Head

Immediate Supervisor
I certify that I discussed my assessment of the performance with the
employee .

Name & Signature of Ratee


Position :
Date :

Name & Signature of Rater


Position :
Date :

Name & Signature of Department Head


Position :
Date :

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