DOH - SPMS Form 3

INDIVIDUAL PERFORMANCE COMMITMENT AND REVIEW (IPCR)

I, NHURHAN M. HADJI NOOR, LABORATORY AIDE II, of the Department of Pathology and Laboratories, agree to be rated on the attainment of the following accomplishments in accordance with the indicated measures for the period JANUARY to JUNE 30,
2023.

NHURHAN M. HADJI NOOR

LABORATORY AIDE II
Approved By: Date

SOHRIA A. SARUANG, MD, FPSMS 01/18/2023

BLOOD BANK HEAD

5 – Outstanding
4 – Very Satisfactory
3 – Satisfactory
2 - Unsatisfactory
1 - Poor

Actual Accomplishment Accomplishment Rate RATING

SUCCESS INDICATOR (Actual
Output
(Targets + Raw Data (if Accomplishment E T A Remarks
Actual Accompisment Q (1)
Measure) applicable) /Target x 100%) (2) (3) (4)
Strategic Functions (40%)
Ensure 100% attendance to PGS activities not later than N: 100
PGS Compliance Attended to PGS orientation last 100% 5.0000 5.0000 5.0000 5.0000
December 2023. D: 100
Ensure 100% attendance toPRIME-HRM activities not later 100
PRIME-HRM Compliance 100% 5.0000 5.0000 5.0000 5.0000
than December 2023 100
Average Rating (Strategic Functions) 5.0000
Core Functions (50%)
N:
Assigned month on july
MOBILE BLOOD DONATION In phlebotomy, extracted 300 blood donor's 16-30, 2022 to november
D: 16-31, 2022

N: Assigned month on july

16-30,2022, august 1-
Perform 5,000 ABO TYPING & HEMOGLOBIN test with
DONOR ASSESTMENT 15,2022, november 1-
less than 0.01 % error rate.
D: 31,2022 and december 1-
15,2022

N: Assigned month on july1-

Ensure 100% donor safety during blood donation
MONITORING DONOR'S SAFETY 30,2022 to december 1-
procedures without any complaints within the rating period
D: 31,2022
N: 100
100% cleaning of working area, prepares travel order every
CLEANLINESS/PREPARE SUPPLIES mobile blood donation and supply needed for the day
before and after shift. D: 100
 Average Rating (Core Functions) 4.4999
Support Functions (10%)
N: 100
Submitted 2IPCRs as required w/ no more than 2
Submit IPCR, SALN, PDS and other documentary
revision, within the prescribed
Documentary Requirements requirements as required with no more than 2 revision, 100% 4.0000 4.0000 4.0000 4.0000
deadline/accomplishment for july to december 2022
within the prescribed deadline. D: 100
and Target for january to june 2023.

Attendance to atleast 1 Formal/Non-Formal Training, N: 100

Capacity Building of staff Donor Phlebotomy Traning last May 25-29, 223 100% 4.0000 5.0000 5.0000 4.6666
seminar, Lecture etc. D: 100
Average Rating (Support Functions) 4.3333
RATING
Average
Final Rating per Function (Average Rating x
Function Percentage Distribution Rating per REMARKS
Percentage Distribution
Function
Strategic Functions 40% (0% if No Strategic Indicators)
Core Functions 50% (70% if No Strategic Indicators)
Support Functions 10% (30% if No Strategic Indicators)

Final Average Rating

Adjectival Rating VERY SATISFACTORY
Comments and Recommendation for Development Purposes:
Discussed With: Assessed by: Date Final Rating by: Conforme: Date
I certify that I discussed my assessment of the performance with the
employee
JULY 31, 2023 01/18/2023
NHURHAN M. HADJI NOOR SOHRIA A. SARUANG, MD, FPSMS ASLIA M. MAPANDI, MD, FPSMS, DPSP MOAMAR M. CASIM, MD, FPCS, FPSO-HNS
LABORATORY AIDE II BLOOD BANK HEAD Head, Department of Pathology and Laboratories Chairperson, Performance Management Team

Legend: 1- Quality 2 -Efficiency 3 - Timeliness 4 - Average