Ipcrf Nurse

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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 JOFRED M. MARTINEZ, MAN, RN Name of Rater: AGUSTIN P. ALMERIA

Position: NURSE II Position: HEAD TEACHER I

Division: DEPARTMENT OF EDUCATION/DIVISION OF ANTIQUE Date of Review: APRIL 29, 2016

TO BE FILLED DURING PLANNING TO BE FILLED DURING EVALUATION

MFOs KRAs OBJECTIVES TIMELINE ACTUAL RESULTS RATING SCORE

Q E T Ave. 35% 5 5 1.575 5 5 4 4 3 4 35% 5 5 5 5 4 4 3 4 35% 4 4 1.663 3 4 35% 5 5 5 5 5 5 5 5 5 5 5 Weight per KRA PERFORMANCE INDICATORS (Quality, Efficiency, Timeliness) Documentation on the conduct of health lectures/talks provided to clientele 1. HEALTH PROGRAM SERVICES 1. a. Conducted health lectures talks to classes September 2015 to March 2016 Conducted and documented 20 health lectures/ talks to clienteles within the area of assignment

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

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

T – Conducted and documented 100% of the planned lectures to clientele in schools on or before the schedule indicated in the plan. Report on health status assessment of leaners 1. b. Conducted individual health inspection of 75% school children within the area of responsibility September 2015 to March 2016 75% of school children inspected before the end of March within the area of assignment.

Q - Annual screening procedures for school children conducted in 92% of the total school children within the assigned area.

E – Analyzed and submitted health status report of 75% of school children in all schools of the assigned area.

T – Conducted, analyzed and submitted health status report of 75% of school children in the assigned areas.

Documentation and report on deworming by school within the area of responsibility 1. HEALTH PROGRAM SERVICES 1. c. Conducted deworming to all school children of schools in the assigned area September 2015 to March 2016 1.c Conducted 100% deworming session to school children of schools in the assigned area

Q - 100% of children dewormed within the assigned area.

E – 100% coordination with the school heads/teachers/parents and children was observed and deworming pills were given to all students in all schools of the assigned area. 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

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

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

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

2. NUTRITION PROGRAM SERVICES

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

September 2015 to March

2016

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

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

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 2. NUTRITION PROGRAM SERVICES 2. b. Measured height and weight of school children and determined their nutritional status September 2015 to March 2016 2. b. 85% of school children weighed and nutritional status determined

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. SBFP Terminal Report and SBFP Monitoring and Evalution Form 2. c. Monitored implementation of school-based feeding program and related activities September 2015 to March 2016 2. c. 85% school-based feeding program and related activities monitored and evaluated

Q - 100% of school-based feeding program and related activities monitored and evaluated. 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.

T - 100% monitoring and evaluation of ichool-based feeding program and related activities within the period of performance appraisal. Certificate of

Appearance 2. d. Attended regular HNS Monthly Meeting and submitted reports September 2015 to March 2016 2. d. 85% of regular HNS Monthly Meeting attended and reports submitted

Q - 100% of HNS Monthly Meeting attended and reports submitted

E - 100% of HNS Monthly Meeting attended and reports submitted promptly.

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35% 5 5 5 5 5 5 3. PARTNERSHIPS 10% 5 5 0.467 5 5 4 4 4 4 5 5 5 5 4. SPECIAL SERVICES 20% 5 5 0.933333 5 5 4 4 4 4 5 5 5 5

To get the score, the rating is multiplied by the weight assigned. OVERALL RATING FOR ACCOMPLISHMENTS 4.6375

Rater: Ratee: Recommending Approval:

AGUSTIN P. ALMERIA JOFRED M. MARTINEZ EVELYN C. REMO

Head Teacher I Nurse II Chief, School Governance and Operation Division

Certificate of Appearance 2. NUTRITION PROGRAM SERVICES 2. d. Attended regular HNS Monthly Meeting and submitted reports September 2015 to March 2016 2. d. 85% of regular HNS Monthly Meeting attended and reports submitted

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 September 2015 to March 2016 2. e. Two invitations of nutrition related activities served

Q - Served as resource speaker in 100% of the total number of invitations to health related activities.

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

T - Served as resource speaker in 100% of the total number of invitations to health related activities within the period of performance appraisal. Certificate of recognition/ appearance 3. a. Attended meetings/ seminars and other school 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

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

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

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

3. b. Encouraged school heads for school-based feeding implementation thru self-help or partnership agreements for sustainable health and nutrition program September 2015 to March 2016 3. b. 85% of school implemented school heads for school-based 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. E - 100% coordination with the school heads/teachers/parents and children was observed during the implementation of school-based feeding thru self-help or partnership agreements for sustainable health and nutrition program.

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 3. c. Maintained and monitored EHCP implementation in schools September 2015 to March 2016 3. c. 85% of EHCP materials were distributed and utilized by schools

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

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

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

Certificate of

appearance 4. a. Served as first-aider to 85% of sports activities, scouting and other events within the area of responsibility September 2015 to March 2016 4. a. Served as first - aider to 100% of Sports activities, Scouting, and other events within the period of appraisal

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

E - Served and documented services as first-aider 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.

Documentation of first aider during disaster, emergencies and conflicts. 4. b. Provided assistance to 85% medical/dental missions and health teachings regarding disaster emergencies, calamities and conflicts September 2015 to March 2016 4. b. Provided assistance to 85% of learners and teachers in disaster preparedness and emergencies

Q - Provided assistance to 85% of learners and teachers in disaster preparedness and emergencies.

E - Provided assistance and documented services to 85% of learners and teachers in disaster preparedness and emergencies. T - Provided assistance to 85% of learners and teachers in disaster preparedness and emergencies within the period of appraisal attended. Treatment record and certificate of appearance 4. c. Conducted medical examination to athletes for WVRAA, Provincial Meet, and other tournament.

September 2015 to March

2016

85% of participating athletes were given medical examination.

Q - Conducted medical examination to 100% of athletes for WVRAA, Provincial Meet, and other tournament.

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

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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

Years in the DepEd 9 Months Year 1 Year 2 Both Years

* To increase level of competence in current position *Professionalism and Ethics (B-E) * To acquire new competencies in different functions

* Others, please specify

COMPETENCY ASSESSMENT AND DEVELOPMENT PLAN CODE

Employee Signature Date Supervisor's Signature Date Head of Office Signature Date JOFRED M. MARTINEZ APRIL 29, 2016 _{AGUSTIN P. ALMERIA} APRIL 29, 2016

Updated (initials) Date Updated (initials) Date Updated (Initials) Date Check applicable copy designated as shown: Employee's Copy Department Head's Copy Principal's Copy

No further development is desired or required for this year/s (Please check the box below)

Purpose: (√) To meet the Core Behavioral Competencies in: *Self Management (C & D) (√) To meet the Key Results Area in: *Oral Communication (B)

UNMET/TARGET COMPETENCY [1] PRIORITY FOR IDP [2] SPECIFIC BEHAVIORAL INDICATORS NOT DEMONSTRATED [3] DEVELOPMENT ACTIVITY [4] SUPPORT NEEDED [5] TRAINER/ PROVIDER [6] SCHEDULE OR COMPLETION DATE [7]

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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 Rating Adjectival Rating

Accomplishment of KRAs and Objectives

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 Name of Rater

Signature: Signature:

Date: 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 AGUSTIN P. ALMERIA

Nurse II Head Teacher I

RESOURCE NEEDED

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1. CORE BEHAVIORAL COMPETENCIES

SELF-MANAGEMENT

A. Sets personal goals and direction, needs and development.

B. Undertakes personal actions and behaviors that are clear and purposive and takes into

goals and values congruent to that of the organization.

C. Displays emotional maturity and enthusiasm for and is challenged by higher goals.

D. Prioritize work tasks and schedules (through gant charts, check list, etc.) to achieve goals.

E. Sets high quality, challenging, realistic goals for self and others.

PROFESSIONALISM AND ETHICS

A. Demonstrates the values and behavior enshrined in the Norms of Conduct and Ethical

Standards for public officials and employees (RA 6713)

B. Practices ethical and professional behavior and conduct taking into account the impact

of his/her actions and decisions.

C. Maintains a professional image; being trustworthy, regularity of attendance and

punctuality, good grooming and communication.

D. Makes personal sacrifices to meet the organization's needs.

E. Acts with a sense of urgency and responsibility to meet the organization's needs,

improve systems and help others improve their effectiveness.

RESULT FOCUS

A. Achieves results with optimal use of time and resources most of the time.

B. Avoids network, mistakes and wastage through effective work methods by placing

organizational needs before personal needs.

C. 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.

D. 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.

E. 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

A. Willingly does his/her share of responsibility.

B. Promotes collaboration and removes barriers to teamwork and goal accomplishment

across the organization.

C. Applies negotiation principles in arriving at win-win agreements.

D. Drives consensus and team ownership of decisions.

E. Works constructively and collaboratively with others and across organizations to

accomplishorganization goals and objectives.

SERVICE ORIENTATION

A. Can explain and articulate organizational directions, issues and problems.

B. Takes personal responsibility for dealing with and/or correcting customer service

issues and concerns.

C. Initiates activities that promotes advocacy for men and women empowerment.

D. Participates in updating of office vision, mission, mandates and strategies based on

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DepEd strategies and directions.

E. Develops and adopts service improvement programs through simplified procedures

that will further enhance service delivery.

INNOVATION

A. 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).

B. Demonstrates an ability to think "beyond the box". Continuously focuses on improving

personal productivity to create higher value and results.

and organization.

E. Uses ingenious methods to accomplish responsibilities. Demonstrates resourcefulness

and the ability to succeed with minimal resources.

2. CORE SKILLS

ORAL COMMUNICATION

A. Follows instructions accurately.

B. Expresses self-clearly, fluently and accurately.

C. Uses appropriate medium for the message.

D. Adjust communications style to others.

E. 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.

C. Promotes a creative climate and inspires co-workers to develop original ideas or solutions.

D. Translates creative thinking into tangible changes and solutions that improve the work unit

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CORE BEHAVIORAL COMPETENCIES TOTAL

CORE SKILLS TOTAL

GRAND TOTAL

5 - Role model

4 - Consistently demonstrates

3 - Most of the time demonstrates

2 - Sometimes demonstrates

1 - Rarely demonstrates

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1. CORE BEHAVIORAL COMPETENCIES

SELF-MANAGEMENT

RATING

A. Sets personal goals and direction, needs and development.

B. Undertakes personal actions and behaviors that are clear and purposive and takes into

goals and values congruent to that of the organization.

C. Displays emotional maturity and enthusiasm for and is challenged by higher goals.

D. Prioritize work tasks and schedules (through gant charts, check list, etc.) to achieve goals.

E. Sets high quality, challenging, realistic goals for self and others.

PROFESSIONALISM AND ETHICS

RATING

A. Demonstrates the values and behavior enshrined in the Norms of Conduct and Ethical

Standards for public officials and employees (RA 6713)

B. Practices ethical and professional behavior and conduct taking into account the impact

C. Maintains a professional image; being trustworthy, regularity of attendance and

punctuality, good grooming and communication.

D. Makes personal sacrifices to meet the organization's needs.

E. Acts with a sense of urgency and responsibility to meet the organization's needs,

improve systems and help others improve their effectiveness.

RESULT FOCUS

RATING

A. Achieves results with optimal use of time and resources most of the time.

B. Avoids network, mistakes and wastage through effective work methods by placing

organizational needs before personal needs.

C. 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.

D. 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.

E. 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

RATING

A. Willingly does his/her share of responsibility.

B. Promotes collaboration and removes barriers to teamwork and goal accomplishment

C. Applies negotiation principles in arriving at win-win agreements.

D. Drives consensus and team ownership of decisions.

E. Works constructively and collaboratively with others and across organizations to

accomplishorganization goals and objectives.

SERVICE ORIENTATION

RATING

A. Can explain and articulate organizational directions, issues and problems.

B. Takes personal responsibility for dealing with and/or correcting customer service

C. Initiates activities that promotes advocacy for men and women empowerment.

D. Participates in updating of office vision, mission, mandates and strategies based on

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