CAPITOL MEDICAL CENTER COLLEGES, INC.

College of Nursing
#4 Sto. Domingo Avenue, Quezon City.

RELATED LEARNING EXPERIENCE

Leadership and Management
(Head Nursing)

PROBLEM SOLVING PROCESS

Clinical Area: Capitol Medical Center 5A Inclusive Dates/Shift: January 8, 2015 (6-2)
General Objective: To determine the existing problem in the area and to conduct necessarily actions to solve the situation.

Statement of Analysis Alternative Implementation Rationale Evaluation

Problem and Cues (Scientific and Course of Action
Situational)
Problem: Scientific:

The need to replace the
worn kardex with a new
one
Cues:
 Loose placement of
labels, including
names of the patient
and the physician
 Easily removed
data sheet
 A lot of time
consumed to scan the
sheets
 Medication card
doesn’t fit
A newly created
kardex has a rigid space to
be filled by the patients’
and physicians’ name, and
general information sheet.
This provides fewer
nuisances in having to
repeatedly return the easily
removed sheets. Also, it
provides less time to scan
the folio. Interchange is as
well prevented since there
is a less chance of
detachment and return of
labels.
Situational:
The kardex is worn
A.
Solicit for donations to buy
materials to be used in
making a new kardex
B.
Provide the staff nurses
with materials to be used
and let them create their
kardex
C.
Ask the group to contribute
for the materials and
cooperate in making the
kardex
 Plan C was used.  It was the most 1. Involved the staff in
feasible among the identifying the
identified courses. problems of the ward.
( / )Yes ( )No
 The group contributed  A contribution was
money to buy the needed to fund the
materials. project. 2. Generated suggestions
and recommendations
for the resolution of
 Recycled materials  Use of recycled problems.
were gathered and materials minimized ( / )Yes ( )No
used. the cost of the project
and enabled use of
resources wisely.
3. Assessed the problem.
 This was done to meet ( / )Yes ( )No
 A new kardex similar the goal and provide a
better kardex to be
to the old one was
utilized in the ward.
formed by the group.
4. Identified appropriate
strategies to obtain the

1
 out and has a loose place objective.
for the labels and data ( / )Yes ( )No
sheet, causing easily
detachment during scan. 5. Developed an
alternative course of
action.
The continuous need
( / )Yes ( )No
to put back the detached
labels is a nuisance to the 6. Implemented the plan
staff nurses who have of action.
almost no time to fix and ( / )Yes ( )No
check the labels.
7. Evaluated effectiveness
Constant removal may and efficiency of
result to confusion as to selected course of
where to return those, thus, action.
 Made use of
may result to inaccurate
available
data and information with resources wisely.
regard to the patient. ( / )Yes ( )No

Root cause:  Achieved goals

through the
Lack of time and selected action.
materials to create a new ( /)Yes ( )No
one.

Prepared by: Student Nurses

Noted by:

Clinical Instructor