DE GUZMAN, Yvonne Kaye S. BS Psych 3F
PSYCH 313 Assignment #2
Job Analysis Interview Form
Instructions: This form may be used by a job analyst in interviewing the incumbent and/or the
supervisor. The incumbent or respondent may complete this form instead of the interview. The
responses to the questions can be noted on this form with additional sheets, as needed. The
accuracy of the information provided here is critical since it will be used in several human
resource-related decisions. After the interview, the supervisor of the incumbent must review
the responses and sign this document.
Job Title: Registered Nurse Department: Oral and Maxillofacial Surgery Dept.
Supervisor: John Zaki Supervisor’s Title: Oral and Maxillofacial Surgeon
Work Schedule: AM-PM
Individual(s) providing information ____________________________________________
1. What is the main purpose of this job?
To be able to offer an expert level of patient care experience by assisting pre-operative, in-
surgery and post-operative care as well as manage lock inspections of all emergency carts
and defibrillators on a weekly/daily basis, as well as daily inspections of all instruments,
supplies, and specialty equipment utilized in surgical operating rooms in accordance with the
regulation set by Ministry of Health.
2. Job duties and responsibilities: List the activities performed by the incumbent in this
position and the frequency with which each activity is performed. Use another sheet if
necessary.
Activities Performed Frequency (daily, weekly, etc.)
a. Proper patient Identification Triage Daily
(BP, Body temperature, allergy, etc.)
b. Instrument Inventory/Inspection Daily
c. Assisting the Surgeon in performing Daily
OM surgery
d. Accurate documentation on each pt. file Daily
e. Health teachings to both patient and Daily
significant other
Note: It is helpful if you can obtain information on the percentage of time (within a week or
month) devoted by the incumbent devoted to each of these activities.
3. Has the incumbent seen the job description for this job?
Yes, the objectives, responsibilities, and duties are all stated to my work contract.
4. Does the incumbent perform duties and responsibilities that are not in the current job
description? If so, what are they?
No.
, DE GUZMAN, Yvonne Kaye S. BS Psych 3F
PSYCH 313 Assignment #2
5. Does the incumbent have to supervise anyone? If so, list the job titles of the employees
and the number of employees for each job title that the incumbent has to supervise. Use
additional sheets if necessary.
Not necessarily to supervise or manage the individuals or person but to teach and train
new employees (nurse and dental staffs in OMS department) in the company about
general guidelines and protocols.
6. List the machines or equipment that the incumbent has to operate.
• Comfrey machine
• Surgical machine
• Suction Machine
• Oz + Nitrons Oxide Machine
7. Does the incumbent have responsibility for budget or other company resource? If so,
please describe the type of resource of value of resource (e.g., size of budget)
No.
8. Indicate the educational requirements needed to effectively perform this job.
Graduate of Bachelor of Science in Nursing
9. What type of experience is required of a new employee to perform this job?
Dental work experience in Clinical or Hospital settings and proper training for the
actual job.
10. Describe the environmental conditions that the incumbent will encounter in performing
this job (heat, noise, odors, fumes, dirt, poor lighting, etc.)
Heat due to AC malfunction, poor lighting, uncooperative patients, late appointment
schedule, overtime, emergency patients.
11. How does the incumbent know that he or she is doing a great job? What performance
measures are used in this job?
Giving of appraisal, increment, incentives, pt. feedback, and doctor’s satisfaction of daily
procedure.
Prepared by: Date:
Rhodora Tolentino September 21, 2021
Source: Diamante, M. M., & Ledesma-Tan, G. (2007). Human resource management: Local and global
perspectives. Quezon City: C & E Publishing, Inc.
PSYCH 313 Assignment #2
Job Analysis Interview Form
Instructions: This form may be used by a job analyst in interviewing the incumbent and/or the
supervisor. The incumbent or respondent may complete this form instead of the interview. The
responses to the questions can be noted on this form with additional sheets, as needed. The
accuracy of the information provided here is critical since it will be used in several human
resource-related decisions. After the interview, the supervisor of the incumbent must review
the responses and sign this document.
Job Title: Registered Nurse Department: Oral and Maxillofacial Surgery Dept.
Supervisor: John Zaki Supervisor’s Title: Oral and Maxillofacial Surgeon
Work Schedule: AM-PM
Individual(s) providing information ____________________________________________
1. What is the main purpose of this job?
To be able to offer an expert level of patient care experience by assisting pre-operative, in-
surgery and post-operative care as well as manage lock inspections of all emergency carts
and defibrillators on a weekly/daily basis, as well as daily inspections of all instruments,
supplies, and specialty equipment utilized in surgical operating rooms in accordance with the
regulation set by Ministry of Health.
2. Job duties and responsibilities: List the activities performed by the incumbent in this
position and the frequency with which each activity is performed. Use another sheet if
necessary.
Activities Performed Frequency (daily, weekly, etc.)
a. Proper patient Identification Triage Daily
(BP, Body temperature, allergy, etc.)
b. Instrument Inventory/Inspection Daily
c. Assisting the Surgeon in performing Daily
OM surgery
d. Accurate documentation on each pt. file Daily
e. Health teachings to both patient and Daily
significant other
Note: It is helpful if you can obtain information on the percentage of time (within a week or
month) devoted by the incumbent devoted to each of these activities.
3. Has the incumbent seen the job description for this job?
Yes, the objectives, responsibilities, and duties are all stated to my work contract.
4. Does the incumbent perform duties and responsibilities that are not in the current job
description? If so, what are they?
No.
, DE GUZMAN, Yvonne Kaye S. BS Psych 3F
PSYCH 313 Assignment #2
5. Does the incumbent have to supervise anyone? If so, list the job titles of the employees
and the number of employees for each job title that the incumbent has to supervise. Use
additional sheets if necessary.
Not necessarily to supervise or manage the individuals or person but to teach and train
new employees (nurse and dental staffs in OMS department) in the company about
general guidelines and protocols.
6. List the machines or equipment that the incumbent has to operate.
• Comfrey machine
• Surgical machine
• Suction Machine
• Oz + Nitrons Oxide Machine
7. Does the incumbent have responsibility for budget or other company resource? If so,
please describe the type of resource of value of resource (e.g., size of budget)
No.
8. Indicate the educational requirements needed to effectively perform this job.
Graduate of Bachelor of Science in Nursing
9. What type of experience is required of a new employee to perform this job?
Dental work experience in Clinical or Hospital settings and proper training for the
actual job.
10. Describe the environmental conditions that the incumbent will encounter in performing
this job (heat, noise, odors, fumes, dirt, poor lighting, etc.)
Heat due to AC malfunction, poor lighting, uncooperative patients, late appointment
schedule, overtime, emergency patients.
11. How does the incumbent know that he or she is doing a great job? What performance
measures are used in this job?
Giving of appraisal, increment, incentives, pt. feedback, and doctor’s satisfaction of daily
procedure.
Prepared by: Date:
Rhodora Tolentino September 21, 2021
Source: Diamante, M. M., & Ledesma-Tan, G. (2007). Human resource management: Local and global
perspectives. Quezon City: C & E Publishing, Inc.
