Ipcrf Nurse

Republic of the Philippines Department of Education Region VI - Western Visayas Division of Antique PASCUAL M. OSUYOS MOMORIAL HIGH SCHOOL Aras-asan, Tobias Fornier, Antique

INDIVIDUAL PERFOMANCE COMMITMENTY AND REVIEW FORM (IPCRF) Name of Employee Position: Division:

JOFRED M. MARTINEZ, MAN, RN NURSE II DEPARTMENT OF EDUCATION/DIVISION OF ANTIQUE

Name of Rater: Position: Date of Review:

TO BE FILLED DURING PLANNING MFOs

KRAs

Documentation on the conduct of health lectures/talks provided to clientele

Report on health status assessment of leaners

OBJECTIVES 1. a. Conducted health lectures talks to classes

1. HEALTH PROGRAM SERVICES

Documentation and report on deworming by school within the area of responsibility

TIMELINE

1. c. Conducted deworming to all school children of schools in the assigned area

TO BE FILLED DURING EVALUATION Weight per KRA

September 2015 to March 2016

1. b. Conducted September individual health 2015 to March inspection of 75% 2016 school children within the area of responsibility

AGUSTIN P. ALMERIA HEAD TEACHER I APRIL 29, 2016

35%

PERFORMANCE INDICATORS (Quality, Efficiency, Timeliness) Conducted and documented 20 health lectures/ talks to clienteles within the area of assignment

Q Q - Conducted 100% of the scheduled lectures/talks to classes identified within the assigned area of assignment.

E

5

T – Conducted and documented 100% of the planned lectures to clientele in schools on or before the schedule indicated in the plan. 75% of school Q - Annual screening procedures for school children inspected children conducted in 92% of the total school before the end of March within the area children within the assigned area. of assignment. E – Analyzed and submitted health status report of 75% of school children in all schools of the assigned area.

1. HEALTH PROGRAM 1. d. Treated/ referred September school children with 2015 to March SERVICES identified ailments 2016

35%

1. d. 75% and above of pupils with identified ailments were treated/ referred to improve health status

Q – 85% of pupils with identified ailments were treated utilizing acceptable treatment and medicinal plants.

2. a. Inspected the sanitation of lunch counters and food services

September 2015 to March 2016

2. NUTRITION PROGRAM SERVICES

2. a. 5-8 lunch counters and food services inspected within the assigned area

4

4

5

5

4

2. b. Measured height September and weight of school 2015 to March children and 2016 determined their nutritional status

SBFP Terminal Report and SBFP Monitoring and Evalution Form

2. c. Monitored September implementation of 2015 to March school-based feeding 2016 program and related activities

2. NUTRITION PROGRAM SERVICES Certificate of Appearance

2. b. 85% of school children weighed and nutritional status determined

2. c. 85% schoolbased feeding program and related activities monitored and evaluated

35% 2. d. Attended September regular HNS Monthly 2015 to March Meeting and 2016 submitted reports

Q - 100% of school children weighed and nutritional status determined. E - 100% coordination with the school heads/teachers/parents and children was observed during the determination of nutritional status. T - 100% of school children weighed and nutritional status determined on the scheduled date as planned. Q - 100% of school-based feeding program and related activities monitored and evaluated.

4

4

3

4

4

5

5

5

5

5

E - 100% coordination with the school heads/teachers/parents and children was observed during the monitoring and evaluation of school-based feeding program and related activities.

5

T - 100% monitoring and evaluation of ichoolbased feeding program and related activities within the period of performance appraisal. 2. d. 85% of regular Q - 100% of HNS Monthly Meeting attended and HNS Monthly Meeting reports submitted attended and reports submitted E - 100% of HNS Monthly Meeting attended and reports submitted promptly.

4

3

T – 85% of lunch counters and food services of the total number of schools within the assigned area inspected and monitored on the scheduled date as planned.

Terminal and nutritional status report of school children

5

5

E - 85% of lunch counters and food services of the total number of schools within the assigned area inspected and monitored.

35%

4

3

E – 85% of school children identified with ailments that require medical treatment were referred to RHU/physician in all schools of the assigned area.

Q - 85% of the identified lunch counters and food services of the total number of schools within the assigned area inspected and monitored.

5

1.575

T – Treatment and referral to 85% of school children conducted on the scheduled date as planned. Inspection/ evaluation report of lunch counters and food services

SCORE Ave.

5

T – Conducted deworming to 100% of school children as scheduled in the plan. Report on monitoring and evaluation of school health and nutrition related activities

T

5

E – Conducted and documented 100% of the planned lectures to clienteles in schools within the assigned area of assignment.

T – Conducted, analyzed and submitted health status report of 75% of school children in the assigned areas. 1.c Conducted 100% Q - 100% of children dewormed within the deworming session to assigned area. school children of schools in the E – 100% coordination with the school assigned area heads/teachers/parents and children was observed and deworming pills were given to all students in all schools of the assigned area.

September 2015 to March 2016

RATING

ACTUAL RESULTS

5

5

5 5

5

1.663

2. NUTRITION PROGRAM SERVICES Certificate of Appearance

35% 2. d. Attended September regular HNS Monthly 2015 to March Meeting and 2016 submitted reports

2. d. 85% of regular HNS Monthly Meeting attended and reports submitted 5 T - 100% of HNS Monthly Meeting attended and reports submitted within the period of performance appraisal.

Certificate of recognition/ appearance

2. e. Served as resource speaker in nutrition related activities

Certificate of recognition/ appearance

3. a. Attended meetings/ seminars and other school health related activities

September 2015 to March 2016

2. e. Two invitations of Q - Served as resource speaker in 100% of the nutrition related total number of invitations to health related activities served activities.

5

5

E - 100% of speakerships served and documented of the total number of invitations to health related activities.

September 2015 to March 2016

3. a. 85% of meetings/ seminars and other school health related activities within the period of appraisal attended

T - Served as resource speaker in 100% of the total number of invitations to health related activities within the period of performance appraisal. Q - Attended 100% meetings/seminars and other school health related activities within the period of appraisal attended.

5

5

5

E - 100% meetings/seminars and other school health related activities attended and documented.

5

T - 100% meetings/seminars and other school health related activities attended and documented within the period of appraisal attended.

3. PARTNERSHIPS

3. b. Encouraged September school heads for 2015 to March school-based feeding 2016 implementation thru self-help or partnership agreements for sustainable health and nutrition program

10%

3. b. 85% of school implemented school heads for schoolbased feeding thru self-help or partnership agreements for sustainable health and nutrition program

Q - 100% of schools implemented school-based feeding thru self-help or partnership agreements for sustainable health and nutrition program.

3. c. Maintained and September monitored EHCP 2015 to March implementation in 2016 schools

3. c. 85% of EHCP materials were distributed and utilized by schools

4

E - 100% coordination with the school heads/teachers/parents and children was observed during the implementation of schoolbased feeding thru self-help or partnership agreements for sustainable health and nutrition program.

Q - 100% of EHCP materials were distributed and utilized by schools.

4

Documentation of first aider during disaster, emergencies and conflicts.

Treatment record and certificate of appearance

4. a. Served as firstSeptember aider to 85% of 2015 to March sports activities, 2016 scouting and other events within the area of responsibility

4. b. Provided assistance to 85% medical/dental missions and health teachings regarding disaster 4. SPECIAL SERVICES emergencies, calamities and conflicts

4. a. Served as first aider to 100% of Sports activities, Scouting, and other events within the period of appraisal

5

September 2015 to March 2016

20%

5

85% of participating Q - Conducted medical examination to 100% of athletes were given athletes for WVRAA, Provincial Meet, and other medical examination. tournament. E - Conducted and documented medical examination to 100% of athletes for WVRAA, Provincial Meet, and other tournament.

5

4

4

Rater:

Ratee: AGUSTIN P. ALMERIA Head Teacher I

4

5

5

5

5

OVERALL RATING FOR ACCOMPLISHMENTS Recommending Approval:

JOFRED M. MARTINEZ Nurse II

0.933333

4

T - Conducted medical examination to 100% of athletes for WVRAA, Provincial Meet, and other tournament within the period of appraisal attended.

To get the score, the rating is multiplied by the weight assigned.

5

5

T - Provided assistance to 85% of learners and teachers in disaster preparedness and emergencies within the period of appraisal attended.

4. c. Conducted September medical examination 2015 to March to athletes for 2016 WVRAA, Provincial Meet, and other tournament.

5

5

E - Served and documented services as firstaider to 100% of sports activities, scouting and other events within the area of responsibility.

T - Served as first-aider to 100% of sports activities, scouting and other events within the period of appraisal attended. 4. b. Provided Q - Provided assistance to 85% of learners and assistance to 85% of teachers in disaster preparedness and learners and teachers emergencies. in disaster E - Provided assistance and documented preparedness and services to 85% of learners and teachers in emergencies disaster preparedness and emergencies.

0.467

5

E - 100% coordination with the school heads/teachers/parents and children was observed during the distribution and utilization of EHCP materials by schools.

Q - Served as first-aider to 100% of sports activities, scouting and other events within the area of responsibility.

4

4

T - 100% of EHCP materials were distributed and utilized by schools within the period of appraisal. Certificate of appearance

5

5

T - 100% of schools implemented school-based feeding thru self-help or partnership agreements for sustainable health and nutrition program within the period of appraisal attended. Certificate of recognition/ appearance

5

EVELYN C. REMO Chief, School Governance and Operation Division

4.6375

INDIVIDUAL DEVELOPMENT PLAN (IDP) Name: MARTINEZ, JOFRED M. Two-Year Period Current Position: NURSE II Division ANTIQUE Salary Grade: 15 Office PASCUAL M. OSUYOS MEMORIAL HIGH SCHOOL Years in Posiion: 9 Months No further development is desired or required for this year/s (Please check the box below) Years in the DepEd Year 1 Year 2 Both Years 9 Months Purpose: (√) To meet the Core Behavioral Competencies in: *Self Management (C & D) * To increase level of competence in current position *Professionalism and Ethics (B-E) * To acquire new competencies in different functions (√) To meet the Key Results Area in: *Oral Communication (B) * Others, please specify COMPETENCY ASSESSMENT AND DEVELOPMENT PLAN UNMET/TARGET COMPETENCY [1]

Employee Signature

JOFRED M. MARTINEZ Updated (initials)

PRIORITY FOR IDP [2]

Date

CODE

SPECIFIC BEHAVIORAL INDICATORS NOT DEMONSTRATED [3]

DEVELOPMENT ACTIVITY [4]

Supervisor's Signature

APRIL 29, 2016

Date

AGUSTIN P. ALMERIA

Date

Updated (initials)

Check applicable copy designated as shown:

Employee's Copy

SUPPORT NEEDED [5]

SCHEDULE OR COMPLETION DATE [7]

Head of Office Signature

Date

Updated (Initials)

Date

APRIL 29, 2016 Date

Department Head's Copy

TRAINER/ PROVIDER [6]

Principal's Copy

Republic of the Philippines Department of Education Region VI - Western Visayas Division of Antique PASCUAL M. OSUYOS MOMORIAL HIGH SCHOOL Aras-asan, Tobias Fornier, Antique PART III: SUMMARY OF RATING FOR DISCUSSION Final Performance Result Accomplishment of KRAs and Objectives

Rating

Adjectival Rating

RATER-RATEE AGREEMENT The signature below confirms that the employee and his/her superior have agreed on content of this appraisal form and performance rating. Name of Ratee Signature: Date:

Name of Rater Signature: Date: PART IV: DEVELOPMENT PLANS

STRENGTHS

DEVELOPMENT NEEDS

ACTION PLAN

TIMELINE

Professionalism and Ethics Result Focus Innovation Teamwork Computer Skills

JOFRED M. MARTINEZ, MAN, RN Nurse II

AGUSTIN P. ALMERIA Head Teacher I

RESOURCE NEEDED

1. CORE BEHAVIORAL COMPETE A. B. C. D. E. A. B. C. D. E.

A. B. C.

D. E.

A. B. C. D. E.

A. B. C. D.

SELF-MANAGEMENT Sets personal goals and direction, needs and development. Undertakes personal actions and behaviors that are clear and purposive and takes into goals and values congruent to that of the organization. Displays emotional maturity and enthusiasm for and is challenged by higher goals. Prioritize work tasks and schedules (through gant charts, check list, etc.) to achieve goals. Sets high quality, challenging, realistic goals for self and others. PROFESSIONALISM AND ETHICS Demonstrates the values and behavior enshrined in the Norms of Conduct and Ethical Standards for public officials and employees (RA 6713) Practices ethical and professional behavior and conduct taking into account the impact of his/her actions and decisions. Maintains a professional image; being trustworthy, regularity of attendance and punctuality, good grooming and communication. Makes personal sacrifices to meet the organization's needs. Acts with a sense of urgency and responsibility to meet the organization's needs, improve systems and help others improve their effectiveness. RESULT FOCUS Achieves results with optimal use of time and resources most of the time. Avoids network, mistakes and wastage through effective work methods by placing organizational needs before personal needs. Delivers error-free outputs most of the time by conforming to standard operating procedure very satisfactory quality of work in terms of usefulness/acceptability and completeness with no supervision required. Expresses a desire to do better and may express frustration at waste or inefficiency. May focus on new or more precise ways of meeting goals set. Makes specific changes in the system or in own work methods to improve performance. Examples may include doing something better, faster, at a lower cost, more effeciently; or improving quality, customer satisfaction, morale, without setting any specific goal. TEAMWORK Willingly does his/her share of responsibility. Promotes collaboration and removes barriers to teamwork and goal accomplishment across the organization. Applies negotiation principles in arriving at win-win agreements. Drives consensus and team ownership of decisions. Works constructively and collaboratively with others and across organizations to accomplishorganization goals and objectives. SERVICE ORIENTATION Can explain and articulate organizational directions, issues and problems. Takes personal responsibility for dealing with and/or correcting customer service issues and concerns. Initiates activities that promotes advocacy for men and women empowerment. Participates in updating of office vision, mission, mandates and strategies based on

DepEd strategies and directions. E. Develops and adopts service improvement programs through simplified procedures that will further enhance service delivery.

A. B. C. D. E.

INNOVATION Examines the root cause of problems and suggests effective solutions. Fosters new ideas, processes & suggests better ways to do things (cost and/or operational efficiency). Demonstrates an ability to think "beyond the box". Continuously focuses on improving personal productivity to create higher value and results. Promotes a creative climate and inspires co-workers to develop original ideas or solutions. Translates creative thinking into tangible changes and solutions that improve the work uni and organization. Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness and the ability to succeed with minimal resources.

2. CORE SKILLS ORAL COMMUNICATION A. B. C. D. E.

Follows instructions accurately. Expresses self-clearly, fluently and accurately. Uses appropriate medium for the message. Adjust communications style to others. Guides discussions between and among peers to meet an objective. WRITTEN COMMUNICATION A. Knows the different written business communication formats used in the DepEd B. Writes routine correspondence/communications, narrative and descriptive report based on readily available information data with minimal spelling or grammatical errors (e.g. memos, minutes, etc.) C. Secures information from required references (i.e., directories, schedules, notices, instructions) for specific purposes. D. Self-edits words, numbers, phonetic notation and content, if necessary. E. Demonstrates clarity, fluency, impact, conciseness and effectiveness in his/her written communications COMPUTER/ ICT SKILLS A. Prepares basis composition (e.g., letters, reports, spreadsheets and graphics presentation using Word Processing and Excel. B. Identifies different computer parts, turns to computer on/off, and work on a given task with acceptable speed and accuracy and connects computer peripherals (e.g., printers, modes, multimedia projectors, etc). C. Prepares simple presentation using Powerpoint. D. Utilizes technologies to: access information to enhance professional productivity, assists in conducting research and communicate through local and global professional network. E. Recommends appropriate and updated technology to enhance productivity and professional proctice.

CORE BEHAVIORAL COMPETENCIES TOTAL CORE SKILLS TOTAL GRAND TOTAL 5 4 3 2 1

-

Role model Consistently demonstrates Most of the time demonstrates Sometimes demonstrates Rarely demonstrates

Note: These ratings can be used for the development plans of the employee.

1. CORE BEHAVIORAL COMPETENCIES

SELF-MANAGEMENT on, needs and development. d behaviors that are clear and purposive and takes into that of the organization. d enthusiasm for and is challenged by higher goals. ules (through gant charts, check list, etc.) to achieve goals. ealistic goals for self and others. PROFESSIONALISM AND ETHICS ehavior enshrined in the Norms of Conduct and Ethical nd employees (RA 6713) nal behavior and conduct taking into account the impact

; being trustworthy, regularity of attendance and d communication. eet the organization's needs. nd responsibility to meet the organization's needs, ers improve their effectiveness. RESULT FOCUS se of time and resources most of the time. wastage through effective work methods by placing rsonal needs. t of the time by conforming to standard operating ality of work in terms of usefulness/acceptability and ion required. and may express frustration at waste or inefficiency. cise ways of meeting goals set. ystem or in own work methods to improve performance. omething better, faster, at a lower cost, more effeciently; satisfaction, morale, without setting any specific goal. TEAMWORK esponsibility. moves barriers to teamwork and goal accomplishment

n arriving at win-win agreements. nership of decisions. oratively with others and across organizations to and objectives. SERVICE ORIENTATION nizational directions, issues and problems. r dealing with and/or correcting customer service

s advocacy for men and women empowerment. e vision, mission, mandates and strategies based on

RATING

RATING

RATING

RATING

RATING

mprovement programs through simplified procedures ce delivery.

INNOVATION problems and suggests effective solutions. Fosters new better ways to do things (cost and/or operational efficiency). hink "beyond the box". Continuously focuses on improving te higher value and results. and inspires co-workers to develop original ideas or solutions. into tangible changes and solutions that improve the work unit

RATING

accomplish responsibilities. Demonstrates resourcefulness ith minimal resources.

2. CORE SKILLS ORAL COMMUNICATION

ly and accurately. r the message. e to others. and among peers to meet an objective. WRITTEN COMMUNICATION business communication formats used in the DepEd ce/communications, narrative and descriptive report based tion data with minimal spelling or grammatical errors

RATING

RATING

quired references (i.e., directories, schedules, notices,

honetic notation and content, if necessary. y, impact, conciseness and effectiveness in his/her

COMPUTER/ ICT SKILLS e.g., letters, reports, spreadsheets and graphics cessing and Excel. parts, turns to computer on/off, and work on a given task accuracy and connects computer peripherals (e.g., printers,

n using Powerpoint. ess information to enhance professional productivity, ch and communicate through local and global professional

nd updated technology to enhance productivity and

RATING

CORE BEHAVIORAL COMPETENCIES TOTAL CORE SKILLS TOTAL GRAND TOTAL

onstrates demonstrates

d for the development plans of the employee.

0.000 0.000 0.000

AVERAGE

0.000

AVERAGE

0.000

AVERAGE

0.000

AVERAGE

0.000

AVERAGE

0.000

0.000

AVERAGE

0.000

AVERAGE

0.000

AVERAGE

0.000

AVERAGE

0.000

0.000 0.000 0.000