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INTRODUCTION
I. Tarlac Provincial Hospital
History
The Tarlac Provincial Hospital was established in 1923, in a
converted and remodelled building (Tarlac High School) about half a kilometer
away from the town proper, the first Provincial Hospital created under
Republic Act No. 2114 as amended by Act No. 3168. The 30 bed hospital
which functioned purely as a service hospital was formally inaugurated on
January 23, 1924 with Dr. Alfonso C. Concepcion, of Camiling, Tarlac, a
resident physician of Baguio Hospital was the first Chief of Hospital. In 1935,
two additional wings, the private pavilion and the surgical pavilion were
constructed. After eleven years of existence, the bed capacity was increased
to sixty five beds. With the admission of pay patients, the income of the
hospital increased. With provincial and municipal aids, and some donations,
the Institution was able to serve the people continuously, up to the out-break
of World War II.
During the occupation (Japanese), the Hospital was divided into three
units, to be closer to the people, since transportation was scarce. The First
Unit was set up in Camiling, Tarlac with Dr. Alfonso Concepcion as Head of
the Unit; the second unit was set up in Paniqui, Tarlac with Dr. Eleazar Rivera
as Officer – in – Charge.
These units remained in their respective stations until the American
Forces Liberated Tarlac, Tarlac on January 20, 1945. The Hospital resumed
its operations at the former Tarlac Provincial Hospital building, immediately
after the Americans left the building. Surplus equipment and medicines came
in handy when the Commonwealth Government authorized the Health
Department to draw supplies at the American Depot in San Fernando, La
Union.
X-Ray units, operating tables, etc. With the new equipment and
additional financial aid, the authorized bed capacity was further increased to
one hundred beds.
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Dr. Alfonso C. Concepcion, Chief of Hospital, after continuous service
from 1924 to 1955, retired. Dr. Trinidad C. Esguerra took over. With the
initiative of the Chief of Hospital, a new building at an approximated cost of a
million pesos gradually rose from the horizon of a 9.074 hectare piece of land,
By the time at would completed it could hold around, one hundred fifty beds
for its minimum bed capacity and expandable to three hundred beds. It was
designed after modem hospitals in the United States. In 1962, the new
building was completed with a “t” configuration. The North-South wing is a one
level concrete structure and is occupied by the Administrative Department,
Out-Patient department, and the dietary Services. The East West portion is a
three level structure which is occupied by the different clinical services. The
building is also provided with elevator shaft for future use. Located at the back
of the hospital are the Maintenance, Laundry, Linen and electrical generator.
From 1962 to the present, other buildings were constructed to augment the
needs of the hospital.
The Chief of Hospital and the different Department Heads are provided
with quarters within the hospital compound; likewise other hospital personnel
can avail themselves a dormitory.
The completion of the new building, and the implementation of modern
methods of hospital service will add more to the eligibility of the Tarlac
Provincial Hospital as a training, teaching and tertiary hospital. At the start of
fiscal year 1962-1963, it assumed the above status and was able to start
admitting resident physicians, affiliate nurses, midwives, x-ray and laboratory
students from affiliate schools in Pangasinan, Nueva Ecija and Tarlac.
In 1966 Dr. Trinidad C. Esguerra retired from the service and Dr.
Sotero B. Torralba, Jr. succeeded him as Chief of Hospital. Yearly additional
new scientific and technical equipment and instruments were given by the
National Government and the authorized bed capacity was increased from
one hundred fifty beds in 1974, to two hundred beds. In the same manner
additional buildings were constructed.
In 1969, the Power House, Maintenance Building and Laundry Area
were added.
The following year,1970, the Guard House & Waiting Shed were
constructed
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In 1974, the Extension of OB & Gyne; Intensive Care, Coronary Care
Unit and Official quarters were constructed.
In 1975, Male and Female Dormitory; Basketball & Volleyball Courts,
Badminton and Pelota Courts were added.
The following year, in 1976, COH Quarters and Official Cottage Male
and Female Dormitories were added.
In 1977, Nutrition and Rehabilitation Ward were added.
And in 1985,the Outpatient Department and Provincial Warehouse
were later constructed.
Extension of Hospital Wards; Construction of garbage house and
covered walk 1989; Extension of Conference Rooms, Medical Records,
Laboratory, Repair of fence and Construction of drainage.
In 1978, Dr. Sotero B. Torralba was transferred to Baguio General
Hospital and Dr. Briccio Y. Pobre became the Chief of Hospital.
In 1983, public health and hospital services were integrated. The
Provincial Health Office now is made up of a public health section and a
hospital health service component. The Tarlac Provincial Hospital became a
part of the Provincial Health Office, hospital tighter with the District and
Medicare Hospitals.
In 1988-1990, the Tarlac Provincial Hospital was one of the few
hospitals in the Philippines that was included in the hospital upgrading project
by the Japan International Cooperation Agency (JICA), as a result of which, it
was a recipient of more and new scientific and technical hospital equipment
and instruments.
In the last quarter of 1993 punlic health service and the hospitals in
the province including the Tarlac Provincial Hospital were oficialy devolved to
the Provincial Government of Tarlac and are now under the direct supervision
and control both administratively and financially by the Provincial Government
in compliance with Local Government Code of 1991 (R.A. 7160)
In 1995, the Center for Mother and Child Health Building was
constructed.
In 1994, Dr. Ricardo P. Ramos succeeded Dr. Manuel Yambao, who
retired. When he was appended Provincial Health officer II, Dr. Herminia
Castaneda became the Chief of Hospital. Dr. Ludwigo Santos, former Chief of
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the Concepcion District Hospital succeeded Dr. Castaneda upon for
retirement. When Dr. Santos resigned as Provincial Health Officer I and Chief
of Hospital, Dr. Solidad H. Veloso succeeded him as Chief of Tarlac Privincial
Hospital.
Upon the retirement of Dr. Veloso up to the present Dr. Ricardo
Ramos is the Chief of Hospital.
Vision
We envision the Tarlac Provincial Hospital as a medical center for the
delivery of excellent hospital and health care services, training, teaching and
research.
Mission
1. To provide accessible, affordable and adequate quality health
services.
2. To train and develop a competent, dedicated, humane,and
ethical professional health workers.
3. To develop a well dynamic network system with government and
non- government health organizations.
4. To provide to its clientele clean and green environment and
physical facilities by adopting measures to make the hospital well ventilated
with well maintained buildings, well equipped for basic services, safe and
clean and properly managed waste disposal.
II. Central Luzon Doctors’ Hospital
History
In the late 1950s a group of doctors realized the need for an
alternative private health care provider in the province of Tarlac. By the early
1960s, these doctors decided that a new and modern hospital should provide
better and more effective health care services and that they would built that
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hospital themselves. On February 2, 1962, the Central Luzon Doctors'
Hospital, or CLDH for short, was formally established.
The original incorporators of CLDH are Drs. Constante D.Quirino,
Fausto Pineda, Cesario Bondoc, Juan Talon, Benjamin S. Paz, Carlos
Kipping Jr., Romualdo R. Aclao, Alfredo Carlos, Alberto David, Esteban E.
Fabie Jr., Rodolfo de Guzman, Emiliano Magdangal, Benito M. Milla, Restituto
de Ocampo, and Pablito Tanedo.
Forty-eight (48) years from CLDH's foundation day, only Drs. Paz,
Bondoc, David and de Ocampo are left from the original group of fifteen who
envisioned a modern health care institution for Tarlac City, the province and
its surrounding communities. Of the three surviving incorporators, only Dr.
Paz, now the Hospital's President, continues to practice his medical
profession.
In April 4, 1964, the construction of the hospital's first building along
Hospital Drive in San Vicente started with the laying of the corner stone. The
then Secretary of Health Rodolfo T. Canos was the special guest. On
Christmas day of the same year, the first surgical operation was performed at
the then newly-constructed operating room of the fledgling hospital. In
January 1965, the formal inauguration of the hospital was held with the then
Tarlac Governor Ninoy Aquino as the guest speaker.
In 1976, CLDH embarked in general nursing education and
established the CLDH School of Nursing, which was later renamed Central
Luzon Doctors' Hospital Educational Institution. The school was built behind
the hospital facing Romulo Highway. In 1979, the school produced its first
nursing graduates. In 2004, the school campus was moved to San Pablo.
Today, the school is offering undergraduate and graduate courses in Nursing,
allied health services (Radiologic Technology, Medical Technology,
Pharmacy, Physical Therapy, Pulmonary Therapy, Midwifery, and Health
Care Services) and basic education (pre-school, elementary and high school).
During the mid-1990s, when the original hospital buildings were no longer
enough to accommodate the growing number of population and of patients
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seeking health care from the hospital, the construction of a new three-storey
building complex was started. This new building shall house most of the
health care service units, clinical wards, operating room, pharmacy, chapel
and administrative offices. However, due of the effects of the 1997 Asian
financial crisis, only two-phases from the original three-phase plan was
completed. Nevertheless, the project gave the hospital wider space to serve
the health care needs of the community as well as giving CLDH a new look.
In 1965, CLDH was a 25-bed capacity, primary hospital with less than
a hundred employees and a capitalization of less than a million pesos. Today,
the hospital is a 200-bed tertiary general hospital with a medical staff
numbering more than 200, employees numbering about 700, and assets that
have since multiplied more than a thousandfold since its incorporation in
1962.
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VISION
We will sustain our leadership in Central Luzon by maintaining a
dynamic and progressive professional and technical staff that will provide the
highest possible standard of medical and health care responsive to the needs
and expectations of the people we serve.
MISSION
We are a general hospital organized as a stock corporation to provide
to the residents of Central Luzon and its immediate communities Christ-like,
comprehensive, affordable and achievable quality health care.
We recognize that our patients are integrated persons with physical,
psychological, mental, social and spiritual needs and we respond to such
needs by way of holistic attention to their concerns.
We engage in medical research and educational processes that enable
us to render our services with the use of current acceptable, technology-
based and ethical medical practices.
We are committed to provide an equitable balance of benefits to our
clients, professional partners, employees, owner and the people of the
communities we serve.
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A. Delivery/ Head Nursing / Staffing
Delivery Exposure
Every family looks forward to the birth of a healthy newborn. It
is an exciting time with so much to enjoy. In some cases, though,
unexpected difficulties and challenges occur along the way.
Some newborns are considered high risk. This means that a
newborn has a greater chance of complications because of conditions
that occur during fetal development, pregnancy conditions of the
mother, or problems that may occur during labor and birth.
Some complications are unexpected and may occur without
warning. Other times, there are certain risk factors that make
problems more likely.
Fortunately, advances in technology have helped improve the
care of sick newborns. Under the care of specialized physicians and
other healthcare providers.
Head Nursing
Head nurses are the first line managers in providing care to the
patients. Therefore, they must be able to do the proper decision-
making and share their subordinates in this process for patient care.
Student Head Nursing is one of the activities in nursing
department that develops one’s capability and ability in managing
other people. It is when the senior nursing student functions as the
head among students. They are exposed to be an accountable and
responsible individual for several students in the clinical area while
establishing a harmonious relationship between each other. They act
to supervise their under student using their knowledge, skills, and
attitude.
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Student head nursing also enables the process of management
put into action through planning of activities for the inclusive dates of
assignment, organizing, staffing, directing the under students with
regards to the standard policies and procedure, and controlling the
things involved which may cause clinical errors in the area.
Through this, it molds student to be a good and effective leader
or manager in the near future. May it be in the hospital, community,
school, or in any institution.
Moreover, it encourages every student on how to provide
effective care to the patient using the management skills learned to
achieve a sound judgment.
Staffing
Staffing is the process of determining and providing the
acceptable number and mix of nursing personnel to produce a desired
level of care to meet the patient demand.
There are factors affecting staffing, such as the type, philosophy
and objectives of the hospital and the nursing the population served or
the kind of patient served whether pay or charity, the number of patient
and severity of illness. Availability and characteristic of the nursing staff
and administrative policies such as rotation, weekends and holiday off -
duties.
Also the standard of care desired which should be available and
clearly spelled out. Layout of the various nursing units and resources
available within the department such as adequate equipment, supplies
and materials, and equipment. Professional activities and priorities in
non patient activities like involvement in professional organization,
formal education development, participation in research and staff
development and teaching program or the extent of staff involvement
in teaching activities.
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Other is the method of grouping patient according the amount
and complexity of their nursing care requirement and the nursing time
and skill they require. Its divided into the four level, first level is self csre
or minimal care , second level is moderate care or intermediate care,
third level is total or complete intensive care and fourth is highly
specialized critical care.
Erlinda LagoniliaChief Nurse
Ricardo RamosMedical Director
Victorina RebolledoAssistant Chief Nurse
Celia GarciaSupervisor
Helen SabadoSenior Nurse DR
Staff Nurses (NICU)Karen PanganEileen LisconoAngelica Prado
Yolanda ApolinarSenior Nurse NICU
Alex GuinamosAide
Staff Nurses DRLourdes Garcia
Gina SungaMarecris Aquino
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I. Organizational Chart of Nursing Department
A. Delivery Room (Tarlac Provincial Hospital)
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HEAD NURSING
POSITION: Head Nurse
The Head Nurse performs first-line supervision of the performance of
functions of the staff nurses and nursing assistants.
Primary Duties and Responsibilities
The position holder shall undertake the following functions:
1. Performs job functions consistent with the corporate vision and mission
statements and the core values of the organization; ensures that subordinate
employees perform their respective functions in like manner.
2. Participates in the development, review, and update of systems, policies,
procedure and processes related to the provision of nursing care; ensures that
subordinate employees observe and comply with prescribed systems, policies,
procedures and processes.
3. Observes and guides nurses and aides in performing nursing procedures;
plans, supervises and evaluates all nursing activities in the nursing unit;
Checks if doctors’ orders are carried out properly and intelligently by the staff.
4. Conducts regular rounds to the patients to ensure that:
a. They are provided the necessary care
b. Medications are administered accurately
c. All therapeutic procedures are performed
d. Documentation is done properly
5. Identifies nursing problems in the unit and formulates and executes
appropriate action.
6. Participates in the orientation of new staff and nursing students.
7. Submits records of absences, overtime and tardiness of the staff and evaluates
their performances.
8. Prepares weekly schedule and daily assignments of the staff; conducts
monthly meeting with each unit to discuss problems of staff towards fellow
staff, doctors, patients and working area.
9. Identifies training needs of staff; initiates training or recommends to the
training department through channel.
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10. Ensures that all requirements in the unit are functioning and properly
maintained; inspects the stocks and equipment of each unit and reports
problem for proper maintenance.
11. Acts as duty officer-in-charge during the night shift; refers major issues and
problems to officers concerned but decides on basic problems and issues in
consideration of limitations imposed by the specification of authority.
12. Performs direct nursing care if need arises and unit is understaffed.
13. Prepares weekly planner on activities to be undertaken and prepares reports on
actual results, outputs and accomplishments based on plans at the end of the
week; consolidates accomplishment reports into monthly performance reports.
14. Submits to superior officers periodic reports on the operations and activities of
work unit with corresponding analysis and recommendations.
15. Participates in collegial planning for policies, procedures and systems,
problem solving, decision making and performance monitoring through
participation in standing and ad hoc committees, task forces, and project
teams.
16. Provides training and development interventions to subordinates in the form of
on-the-job training and mentoring or the facilitation of formal learning
sessions.
17. Supervises and controls planned and intervening activities of subordinate
employees concerning the performance of their job functions and completion
of task assignments in accordance with prescribed standards in the process
providing motivational approaches, appraisal, training and development,
coaching, and counseling, and disciplining.
18. Undertakes work activities in conformity with the institutional guidelines on
safety and infection control; participates in the Quality Assurance program.
19. Attends training programs and learning sessions for the enhancement of
professional, technical, and personal proficiencies.
20. Performs such other duties and responsibilities analogous, germane or related
to and/or implied from the above enumeration of duties and responsibilities.
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JOB REQUIREMENTS
1. Education Completion of a bachelor’s degree in nursing.
2. Having passed the government licensure examination is a mandatory
requirement for the practice of the profession.
3. Experience at least two years of related work experience.
4. Core Competencies: Persons being considered for appointment to the
position (mandatory job should exhibit the following mandatory job
dimensions at point dimensions) of entry:
Professional and Technical Proficiency
Planning and Organizing Skills
Leadership
Controlling Skills
Communication Skills (oral and written)
Interpersonal Sensitivity Skills
Attention to Details
Analytical Skills, Decisiveness, and Judgment
Stress Tolerance
5. In addition, candidates for the position should be computer literate and
capable of applying Microsoft office programs.
Special Competencies (desirable job dimensions)
It is advantageous for the prospective appointee to this position to exhibit the
following desirable job dimensions:
Creativity and Innovation
Industry and Perseverance
Initiative and Resourcefulness
Adaptability and Flexibility
STAFF NURSING
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POSITION: Staff Nurse
JOB DESCRIPTION
Job Summary The staff nurse is primarily responsible for the supervision of
nursing care to patients and the execution of medical
procedures as may directed by and provision of assistance to
medical consultants.
Primary Duties and Responsibilities
The position holder shall undertake the following functions:
1. Performs job functions consistent with the corporate vision and mission
statements and the core values of the organization.
2. Admits patients into the ward or specialized nursing units; assesses/diagnoses
problems and needs; implements appropriate nursing actions needed as guided
by established nursing care procedures.
3. Prepares for nursing care procedures by:
a. Explaining procedures to be undertaken to patients and/or member of
the family
b. Observing medical asepsis
c. Ensuring compliance with the 12 “rights” before giving medication
4. Identifies nursing need of patients and provides nursing care and procedures
including but not limited to:
a. Taking and recording vital signs
b. Inserting intra-venous fluids
c. Administering medication and/or blood transfusion and observing
patients’ reaction
d. Observed signs and symptoms and instituting basic remedial actions
e. Performing irrigations, catheterizations, and giving enemas.
f. Monitoring the operation and usage of health care equipment and
machinery; removing all contraptions and attachments to equipments
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when no longer needed by patient and as instructed by the medical
consultant.
g. Assisting patients on their movements, maintenance of proper
alignment of their body through good mechanics.
h. Undertaking/assisting patients in bathing and oral hygiene.
5. Participates in emergency call response team activities; performs CPR when
needed, assists in incubation.
6. Provides assistance to and coordinates with the attending physician by:
a. Assisting them when examining patients
b. Preparing patients for assisting physicians on the conduct of diagnostic
and therapeutic procedures.
c. Clarifying and implementing doctors’ orders related to patient care.
d. Relaying to them observations about the patient and soliciting
instructions on what action to take.
7. Undertakes the preparation of intravenous admixtures as directed.
8. Coordinates with healthcare team and other work units to secure supplies,
support services, and information needed for the performance of collaborative
nursing care.
9. Ensures the availability and usability of required equipment supplies related to
nursing care within the nursing unit.
10. Records the charging of medical supplies/materials and medication used by
the patients.
11. Evaluates results of nursing care extended to patients. Arrives at analysis and
recommendations and forwards these to the superior and to the medical
consultant.
12. Undertakes the completion of entries related to medication and treatment into
the patients’ charts following the standard charting system of the hospital.
13. Responds to patients’ complaints and provide immediate resolution on areas
that are within one’s specification of authority; refers unresolved complaints to
relevant officers and employees of the institution.
14. Assists patients and their families in their transactions with other units of the
hospital.
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15. Provides health education; interprets to the patients and his/her family their
role in ensuring successful therapy and rehabilitation while in the hospital and
after discharge.
16. Discharges patients upon advise/orders of the attending physician by:
a. Coordinating with the variousnrelated work units on the completion
and settlement of all accounts
b. Ensuring completion of clearance before actual discharge.
c. Prepares discharge plan and provides home medication instructions
and health care advice.
17. Prepares post-mortem care by;
a. Identifying the body through the name tag and consultation with the
relative
b. Removing all contraptions and attachments to equipment from the
cadaver.
c. Informing attending physician
d. Informed and coordinating with other related work units in relation to
the processing of clearance to remove body from the hospital
18. Assist in the undertaking of coaching and on the job mentoring for hospital
staff assigned to nursing services without professional/academic background
in health care.
19. Provides holistic support to patients by way of socio-emotional and
psychological encouragement to strengthen their resolve to get well.
20. Prepares weekly planner on activities to be undertaken and prepares reports
on actual results, outputs, and accomplishments based on plans at the end of
the week; consolidate accomplishment reports into monthly performance
reports.
21. Undertakes work activities in conformity with the institutional guidelines on
safety and infection control; participates in the quality assurance program
22. Attends training programs and learning sessions for the enhancement of
professional, technical, and professional proficiencies.
23. Performs such other duties and responsibilities analogous, germane or related
to and/or implied from the above enumeration of duties and responsibilities.
JOB SPECIFICATIONS
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Education Completion of a bachelor’s degree in nursing.
Having passed government licensure examination for the
practice of the profession
Experience At least one year of practical work experience.
Core Competencies Persons being considered for appointment to the position
(mandatory job should exhibit the following mandatory job dimensions at point
dimensions) of entry:
Professional and technical proficiency
Service orientation
Interpersonal sensitivity and social skills with particular
emphasis on compassion towards patients
Oral communication skills
Attention to details
Analytical skills, decisiveness, and judgment. Industry
and perseverance
Initiative and resourcefulness
Special Competencies (desirable job dimensions)
It is advantageous for the prospective appointee to this position
to exhibit the following desirable job dimensions:
Written communication skills
Energy
Stress tolerance
Flexibility
Creativity and innovation
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HEAD NURSING Rotational Plan
GROUP 5
Date: Shift Head NurseSeptember 17, 2010 7:00AM-3:00PM Rolly EstabilloSeptember 18, 2010 7:00AM-3:00PM Rodalyn Dela CruzSeptember 25, 2010 3:00PM-11:00PM Donna MasanqueSeptember 30, 2010 3:00PM-11:00PM Racquel BermudezOctober 1, 2010 3:00PM-11:00PM Jennifer MartinezOctober 2, 2010 3:00PM-11:00PM Vonn Czherna PinedaOctober 7, 2010 7:00AM-3:00PM Francis Romnick FaloOctober 8, 2010 7:00AM-3:00PM Oscar Jimenez
GROUP 6
DATE/SHIFT HEAD NURSING
June 24, 2010 7AM-3PM Kathleen Millo
June 25, 2010 7AM-3PM Angelee Ann Cachero
June 26, 2010 7AM-3PM Joey Albert David
July 01, 2010 3PM-11PM Hakira Kida
July 02, 2010 3PM-11PM Pearl Angeli Domingo
July 03, 2010 3PM-11PM Paul Quiazon
July 08, 2010 3PM-11PM Mark Angelo Felix
July 09, 2010 3PM-11PM Irwin Macapagal
July 10, 2010 3PM-10PM Kathleen Millo
July 15, 2010 7AM-3PM Joey Albert DavidJuly 16, 2010 7AM-3PM Paul QuiazonJuly 17, 2010 7AM-3PM Hakira Kida
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GROUP 7
Date Shift Name of Headnurse July 23, 2010 7:00AM-3:00PM Jenilyne M. Tiglao July 24, 2010 7:00AM-3:00PM Jed Cyril R. Salvador July 29, 2010 3:00PM-11:00PM Desiree Talavera July 30, 2010 3:00PM-11:00PM Rhandy G. RamosJuly 31, 2010 3:00PM-11:00PM Reuel Manlungat August 5, 2010 7:00AM-3:00PM Alvie M. LabandariaAugust 6, 2010 7:00AM-3:00PM Albert Tiburcio August 7, 2010 7:00AM-3:00PM Kristina Joan Nicdao August 12, 2010 3:00PM-11:00PM Jenilyne M. TiglaoAugust 13, 2010 3:00PM-11:00PM Jed Cyril R. Salvador
GROUP 8
Date/shift Shift HeadnurseAugust 20, 2010 7:00AM-3:00PM Redgielyn Dao- angAugust 26, 2010 3:00PM-11:00PM Enrico GacusanAugust 27, 2010 3:00PM-11:00PM Ever ChanyongcoAugust 28, 2010 3:00PM-11:00PM Noralyn MacaraegSept, 02, 2010 3:00PM-11:00PM Orlan Untalan
Septeber 03, 2010 3:00PM-11:00PM Laurence YuzonSeptember 04, 2010 3:00PM-11:00PM Behkim MandapSeptember 09, 2010 7:00AM-3:00PM Jacqueline RamosSeptember 10, 2010 7:00AM-3:00PM Jessica Manalo
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DAILY PLAN OF
ACTIVITIES
HEAD NURSINGFIRST WEEK
TIME ACTIVITIES
6:45-7:00 pm Checking of attendance and paraphernalia’s
7:00-7:45 pm Distribution of assigned patient, Review the Chart
7:45-10:00pm Morning care, Nurse patient interaction, giving of due medications, taking Vital signs and sample charting
10:00-11:00 pm BREAK TIME
11:00-12:30 pm Vital signs, plotting, giving due meds and initial charting
12:30-2:30 pm Giving due meds, V/S and closing of the charting
2:30-3:00pm Endorsement
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SECOND WEEK
TIME ACTIVITIES
2:45-3:00 pm Checking of attendance and paraphernalia’s
3:00-3:45 pm Distribution of assigned patient, Review the Chart
3:45-7:00pm Bed side care, giving of due medications, taking Vital signs and sample charting
7:00-8:00 pm BREAK TIME
8:00-9:00 pm Vital signs, plotting, give due meds and initial charting
9:00-10:30 pm Give due meds, V/S and closing of the charting, post conference
10:30-11:00pm Endorsement
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THIRD WEEK
TIME ACTIVITIES
2:30-3:00 pm Checking of attendance and paraphernalia’s
3:00-4:00 pm Distribution of assigned patient, Nurse patient interaction, initial and plotting of Vital signs.
4:00-5:00 pm Health teaching, rendering of care and giving of due medications
5:00-6:00 pm Checking of sample charting, giving of due medications.
6:00-7:00 pm DINNER BREAK
7:00-9:00 pm Charting, Nurse patient interaction, and giving of due medications.
9:00-10:00 pm Taking of vital signs, giving of due medications and checking IVF
10:00-10:30 pm Closing and Checking of the chart
10:30-11:00 pm Endorsement
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FOURTH WEEK
TIME ACTIVITIES
6:45-7:00 pm Checking of attendance and paraphernalia’s
7:00-7:45 pm Distribution of assigned patient, Review the Chart
7:45-10:00pm Morning care, Nurse patient interaction, giving of due medications, taking Vital signs and sample charting
10:00-11:00 pm BREAK TIME
11:00-12:30 pm Vital signs, plotting, giving due meds and initial charting
12:30-2:30 pm Giving due meds, V/S and closing of the charting
2:30-3:00pm Endorsement
STAFF NURSING
FIRST WEEK
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Time Activity
6:45AM-7:00AM Assembly Checking of Attendance and
Paraphernalia7:00AM-7:15AM Assigning of patients
Endorsement7:15AM-8:30AM NPI
Bedside care Initial Vital signs Preparation and giving due
medications Assist with AP rounds
8:30AM-9:30AM Discussion and quiz Checking of initial charting
9:30AM-10:15AM Vital Signs taking and recording of VS
Preparation and giving due medication
10:15AM-11:00AM Break
11:00AM-1:00PM Preparation and giving due medications
Initial charting Attend patient needs
1:00PM-2:30PM Vital signs taking Preparation and giving of due
medications. Plotting of vital signs Close charting
2:30PM-3:00PM Post conference
SECOND WEEK
Time Activity
2:45PM-3:00PM Assembly Checking of Attendance and
Paraphernalia3:00PM-3:15PM Assigning of patients
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Endorsement3:15PM-5:30PM NPI
Bedside care Initial Vital signs Preparation and giving due
medications5:30PM-6:15PM Vital Signs taking and recording
of VS Preparation and giving due
medication Checking of initial Charting
6:15PM-7:00PM Break
7:00PM-8:00PM Preparation and giving due medications
Initial charting Attend patient needs
8:00PM-9:30PM Vital signs taking Preparation and giving of due
medications. Plotting of vital signs Close charting
9:30PM-11:00PM Post conference Quiz
THIRD WEEK
Time Activity
2:45PM-3:00PM Assembly Checking of Attendance and
Paraphernalia3:00PM-3:15PM Assigning of patients
Endorsement
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3:15PM-5:30PM NPI Bedside care Initial Vital signs Preparation and giving due
medications5:30PM-6:35PM Vital Signs taking and recording
of VS Preparation and giving due
medication Checking of initial Charting
6:30PM-7:15PM Break
7:15PM-8:00PM Preparation and giving due medications
Initial charting Attend patient needs
8:00PM-9:30PM Vital signs taking Preparation and giving of due
medications. Plotting of vital signs Close charting
9:30PM-11:00PM Post conference Quiz
FOURTH WEEK
Time Activity
6:45AM-7:00AM Assembly Checking of Attendance and
Paraphernalia7:00AM-7:15AM Assigning of patients
Endorsement7:15AM-8:30AM NPI
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Bedside care Initial Vital signs Preparation and giving due
medications Assist with AP rounds
8:30AM-9:30AM Discussion and quiz Checking of initial charting
9:30AM-10:15AM Vital Signs taking and recording of VS
Preparation and giving due medication
10:15AM-11:00AM Break
11:00AM-1:00PM Preparation and giving due medications
Initial charting Attend patient needs
1:00PM-2:30PM Vital signs taking Preparation and giving of due
medications. Plotting of vital signs Close charting
2:30PM-3:00PM Post conference
DELIVERY ROOM
FIRST WEEK
TIME Activities
6:45-7:00AM Assembly
7:00-7:15AM Checking of attendance/ change clothes
7:15-10:00 Waiting the patient to deliver the new born
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Performing cord dressing to babies from
OR
Checking of intravenous fluid level and
giving medication as prescribed
NPI
10:00-10:45AM Break
10:45-2:45 Waiting the patient to deliver the new born
Performing cord dressing to babies from
OR
Checking of intravenous fluid level and
giving medication as prescribed
NPI
2:45-3:00 Change clothes
Dismissal
SECOND WEEK
TIME Activities
6:45-7:00AM Assembly
7:00-7:15AM Checking of attendance and paraphernalia`s
7:15-10:00 Assisting in actual delivery, in the delivery of
placenta and performing cord dressing
10:00-10:45AM Dinner Break
10:45-2:45 Continuation of intrapaltal procedures.
2:45-3:00 Change clothes
30
Dismissal
THIRD WEEK
TIME Activities
6:45-7:00AM Assembly
7:00-7:15AM Checking of attendance/ change clothes
7:15-10:00 Waiting the patient to deliver the new born
Performing cord dressing to babies from
OR
Checking of intravenous fluid level and
giving medication as prescribed
NPI
10:00-10:45AM Break
10:45-2:45 Waiting the patient to deliver the new born
Performing cord dressing to babies from
OR
Checking of intravenous fluid level and
giving medication as prescribed
NPI
2:45-3:00 Change clothes
Dismissal
FOURTH WEEK
TIME Activities
6:45-7:00AM Assembly
7:00-7:15AM Checking of attendance/ change clothes
7:15-10:00 Waiting the patient to deliver the new born
Performing cord dressing to babies from
OR
Checking of intravenous fluid level and
giving medication as prescribed
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NPI
10:00-10:45AM Break
10:45-2:45 Waiting the patient to deliver the new born
Performing cord dressing to babies from
OR
Checking of intravenous fluid level and
giving medication as prescribed
NPI
2:45-3:00 Change clothes
Dismissal
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Problem Solving
Process
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Learning Derived
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LEARNING DERIVED
GROUP 5
ROLLY ESTABILLO
Delivery room
It was our second exposure in the delivery room and I was not
expecting much on it, especially in my learning. On our first day, I was
a little nervous because we were not exposed to the Delivery Room for
quite a long time.
Being exposed at this area was a great chance for me; it gives me the
opportunity to improve my skills and knowledge that will help me to
become an effective nurse in the future. Through this exposure I have
learned a lot in terms of rendering care to the mother and also to the
new born. I have also learned how to establish relationship and rapport
to the patient for them to be able to relieve their anxiety and to gain
cooperation from them.
During our first weeks I had more understanding of the routines in the
Delivery Room and I think I refined my skills especially with newborn
care. Although there are new routines that were introduced to us, we
were able to cope up with these easily, especially with the new routine
in delivering the neonate, cord dressing and newborn care. I had more
understanding on how early mother-baby contact important.
This exposure also let me experience the new trends in caring for the
newborn like there is no suctioning if not needed, the new born is place
at the abdomen of mother, the cord will not cut until pulsation stop and
bathing is not perform for the first six hours unless if it is required.
Through this I was able to give care appropriate for the new born and
its mother.
Head Nursing
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Having been exposed to Surgery ward of Tarlac Provincial Hospital for
our head nursing exposure gave me a chance to apply the theories we
have learned in our leadership and management lecture. This
exposure also serves as training on how to become an effective leader
in the area by guiding my staff even through simple ways like helping
them in some procedures they are doing. I am also thankful because
this exposure allowed me to learn some things especially in the skills
and knowledge which I should have learned in my lower years.
Staff nursing
In the staffing exposure I have many things learned from our clinical
instructor, a lot of experience and knowledge he shared to us that help
us to be more competent on the nursing field. In the entire day of our
duty we have different cases and procedure we encountered. I can say
that my competencies were boosted in terms of giving care to my
patient through the guide of our clinical instructor. And I’m very thankful
that all I need to know in the nursing profession was taught to us, with
all the knowledge of our instructor that’s why we are very competent to
apply the work of a being a staff nurse.
DONNA MASANQUE
Staff Nursing
Our first exposure staffing at Tarlac Provincial Hospital at medicine
payward with our clinical instructor Mrs.Reyes together with my group
mates. In this exposure I experienced how to become a staff nurse.
I learned that the job of the staff nurse's is to provide nursing care to
those who need it. A staff nurse becomes responsible for the well-
being of the patient when he is under the nurse's watch. Providing
nursing care also involves the regular checkups or monitoring of the
patient's statistics and condition, and to report the same to the correct
people. Aside from that, staff nurses are also responsible for the
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provision of treatments to the patients. These treatments usually
require a certain schedule and should be completed to obtain any
effects. This implies that the responsibility of the staff nurse to regularly
provide treatment to the patients is very important and plays a key role
in the overall recovery of any patient. As the treatments are being
done, it is also important for the staff nurses to be able to explain it to
the patients in the right way. It follows, then, that a nurse should also
understand the treatments so they will be able to apply them properly.
Staff nurses, should immerse themselves in every aspect of nursing
care to be able to do their job the right way. Aside from providing
nursing care, staff nurses also have other responsibilities on the side.
Staff nurses usually work within a group or team. These groups are
responsible for the planning and implementation of nursing care
policies for the benefit of patients. It is the team's responsibility to
evaluate ongoing practices and implement changes as necessary, to
improve the nursing care provided by the clinic or hospital. These
teams are led by senior officers such as Senior Staff Nurses, who
supervises the overall performance of the staff nurses and of the team.
The responsibilities of staff nurse in giving right medicines to the
patient some techniques that our clinical instructor shares with us how
to make work easier. I learned a lot in this exposure because our
clinical instructor is approachable. I also enjoy this duty because we
share a lot of moments that we cannot forget in our life.
Head Nursing
The last exposure in our RLE NCM 105 head nursing with our clinical
instructor Mr.De Vivar at surgery payward. I experienced how the duty
of being a head nurse in the duty together with your staff’s nurse’s in
the ward. The hardworking of being a head nurse it’s a challenging role
because you need to be a alert and you have a presence of mind
everytime.
I learned that the job of Head Nurse is to fill a supervisory role in
hospitals, health-care facilities and nursing homes. The head nurse
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accompanies physicians on their rounds and ensures that nursing staff
under their supervision follow doctors' instructions. Registered nurses
advance in nursing to the level of a head nurse. A head nurse may still
perform many of the patient care duties of a nurse, but they also
manage the nursing staff.
The head nurse is responsible for creating the schedule for nurses and
staff. The position also requires the supervising nurse to make sure
that all nurses are properly trained to work in the hospital or health-care
setting. Head nurses assign duties to nurses according to qualifications
and skills. The supervising nurse monitors the work of other nurses to
ensure that work is completed and that all patients receive proper care.
Other duties include inspecting patient rooms to ensure that they are
clean and well stocked, as well as ensuring the accuracy of patient
records.
I enjoy this exposure I didn’t forget this duty. Thanks to our clinical
instructor that he share a lot of things to us.
Delivery Room
Our exposure in delivery room with our clinical instructor Mrs.Grace
Quijano was really enjoy because we experienced again for the second
time that we assigned in this special area we encounter how to give
birth for a new child the procedure and interventions.
I learned that the duty of a delivery room nurse is to perform
screenings and check-ups during pregnancy. They also assist in the
delivery room and provide immediate follow-up care. In order to
become a labor and delivery nurse, you will need a nursing degree, as
well as continuing education in this specialized field.
It’s a great feeling to us because we have a lot of things that we’ve
learned in this exposure.
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OSCAR JIMENEZ III
Delivery Room
In Delivery Room (DR) I learned that the new implementation of the
DOH of proper care of newborn baby and the rationale of it in our last
week of duty, and I learned also the labor of pregnancy and also to
how to clean the newborn and how to remove placenta and the
responsibilities of DR Nurse and it may varies in way of determined of
the position of the baby and applies the care of the pregnant women in
labor room. And also I learned how hard to give birth.
Staffing Area
Since first day of our duty, I learned a new technique of handling and
care of syringes and rationale and easy part of it, and of course it still
on our style if we like to adopt or not, and we also learned the
computation of contribution of staff and division and day off of each
staff and after the end of our exposure we learned also the
responsibilities of our job as nurses on the hospital even thou we are
still the student nurses.
Head Nursing
I learned ways of handling and supervising of staff and work of staff,
and distribution of the task and liabilities of what will happen, and I also
learned that is very important to supervise and rate of each staff you
given to them of task and priority in them and time management of
each task will be given to you. And the problem solving will be you to
solution and be the judge.
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JIVA MAHARAJA BUDOMO
Delivery Room
Delivery Room is such a meaningful RLE experience. I was able to
apply all the things I learned in our discussion in class. I learned how to
deal on different problems and situation related in labor and delivery.
Being flexible and patience is important characteristics that a DR nurse
should have. As we all know giving birth is hard in the part of the
mother that is why your presence and empathy is important to alleviate
the pain and fear experienced by the mother.
Staff Nursing
At first I thought that staffing is such a difficult task we cannot handle,
because we are just only student nurse who does not have enough
experience and knowledge in this hospital setting. We thought this is
such a difficult task, because we as a student nurse take charge of all
her staff with their corresponding responsibilities as well as their
patient’s condition. But we turned this difficult task as a challenge for
us.
RACQUEL BERMUDEZ
Delivery Room
This is our second exposure to this area. Delivery Room is one of the
areas that I had learned a lot of skills, and I apply those learning we
acquired from the school especially in our subject OB. On the first day
of our duty, I already forgot some procedures we made during our first
exposure, and I was trying to recall it, but then on our second day; I
was already able to recall those procedures, but some of the
procedures were changed during our second week because the
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department of health had ordered those changes for some reasons
such as early bonding of the mother and child.
I ‘am glad because we were able to exposed to this area for the second
time; because of our exposure to this area again we were able to know
and do those new procedures made.
Because of this exposure I thought something on my mind that skills
should be practiced so that we were not going to forget it; and
practicing will improve your skills. I can say that experience is still the
best teacher.
Staff Nursing
At first I thought that head nursing is such a difficult task we cannot
handle, because we are just only student nurses.
On part to this, we now know that head nursing is an easy as well as a
difficult task. According to the movie I’ve watch there was a saying
“with great power comes with great responsibility”. You can compare a
Head Nurse with this saying; they have a great power because they
handle all the staff in a ward as well as having great responsibility
because they are also responsible for the recovery of their patient. So
now, I know that Head Nursing is an easy as well as challenging task.
It is up to you on how you handle this task.
Head Nursing
In the staffing exposure I have many things learned from our clinical
instructor, a lot of experience and knowledge he shared to us that help
us to be more competent on the nursing field. In the entire day of our
duty we have different cases and procedure we encountered. I can say
that my competencies were boosted in terms of giving care to my
patient through the guide of our clinical instructor. And I’m very thankful
that all I need to know in the nursing profession was taught to us, with
all the knowledge of our instructor that’s why we are very competent to
apply the work of a being a staff nurse.
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As we go along, may all the knowledge skills and attitude we acquired
and teaches on our clinical instructor help us to be a good and better
staff nurse someday.
RODALYN DELA CRUZ
Delivery Room
Our exposure in the delivery room made me more aware on the
different situations and responsibilities that a nurse should deal with. It
was a knowledge gaining experience and it enhances my capabilities in
performing procedures in the delivery room. I was also able to
develope my skills on what to do in an emergency situation and how to
think quickly in order to perform well and provide the necessary
interventions that a patient need.
Staff Nursing
In these exposure, i was able to experienced dealing with a leader and
being a good subordinate in order to perform well in the area. It also
enhances my duties and responsibilities in the area were i need to do a
good job handling patient and giving necessary nursing care. Doing
task in the area is not an individual responsibility. There should be a
teamwork between the leader and its subordinates.
Head Nursing
Head nursing taught me how to manage my group well. I learned how
to plan our activities, organize the group, delegate the task evenly.
Additionally, I experienced to decide for the group during a critical
situation and prioritize the work . These also made my capabilities as a
leader to decide quickly in an emergency situation that a head nurse
should do. I also learned how to deal with my subordinates in other to
perform well in the hospital ad ward.
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FRANCIS ROMNICK FALO
Delivery Room
Delivery room is one of the special areas in the hospital. It is where
pregnant mothers deliver their babies. All normal deliveries were held
in this area, while all cesarean section mothers deliver their babies in
the Operating Room and after they deliver their baby in the operating
room their babies were brought to delivery room for cord care.
In this exposure there are a lot of things that I have learned like
assessing the mother during her labor, cord dressing the baby after the
delivery, delivering the placenta, doing actual delivery and giving fleet
enema to mothers. What I learned from our lecture of maternal and
child health nursing I have applied in this area. Even though this is our
second time to have our exposure in the delivery room I still have
learned a lot.
In the last two weeks of our duty there were new procedures when
delivering a baby that was provided by the Department of Health. At
first we were shock because again we have to learn the new ways on
the delivery room but we were able to adopt well at the procedures.
Staff Nursing
I can tell that I really enjoy my duty in this area because we have a
good clinical instructor and my relationship with my group mates was
already established. During this exposure it helps to widen my
knowledge about the different drugs that we are giving to the patient
and improved my skills in performing different procedures and also in
dealing to different patient.
Head Nursing
During this exposure, I learned to be more flexible in doing my duty as
a head nurse. I realized that being a head nurse is not simple because
I have to supervise my staff. And during this exposure my knowledge
become broadens in terms with the medication and the different cases
of my patient.
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JENNIFER MARTINEZ
Delivery room
Our second exposure is Delivery Room we had four weeks duty in this
area. In our first day we had an orientation, Ma’am Grace told us about
the new rules in Delivery Room like the separation of the instruments
used for the patient who is positive in Hepatitis. Then she distributed
our individual report.
I had experienced again the procedures that I’ve done in my past
exposure. In Line with this I enjoyed my exposure in Delivery Room
because I’ve learned a lot, developed my skills and enhanced my
knowledge.
Last two weeks in our duty we had changes because the Department
of Health ordered new procedures. Like not bathing the baby and after
the delivery of the baby allow the mother to have the baby on her top to
initiate bonding. I’m very thankful because I practice all the procedures
in this area and it will helps a lot in my profession.
Staff Nursing
We are now in NCM 105 our first exposure is Staffing at Tarlac
Provincial Hospital Medicine Payward together with our Clinical
Instructor Ma’am Tere Reyes. In almost four weeks duty I’ve learned a
lot especially to our Clinical Instructor she always remind to us if what
they do in staffing, she always check our work and taught us all the
procedures in area. And we all know that Staffing is we practice to
handling and being responsible to our patient,
I’m very thankful because I’ve learned a lot and many experienced I
encounter in this exposure like blood transfusion, how to proper handle
when aspirate the medicine in a vial or ampoule and many more. We
will keep that as a treasured knowledge that we can apply and shared
it to others as we go far further to our main goal in our lives our future
profession to be a registered nurse.
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Head Nursing
In our head nursing exposure, I learned a lot. I became a better nurse manager. I learned how to manage my time, personnel and resources through planning. Although were given limited time to experience becoming ahead nurse, I enjoyed.
VONN CHZERNA PINEDA
Delivery room
What I learned in this exposure made me a better student nurse and it
prepared me for my upcoming future work. Even though it is second
time for us to be exposed in this area, I still have learned a lot of things.
By the third week of our duty the Department of Health has new
procedures when it comes to delivery, so we have learned the new
procedures. I enjoyed this duty because I have completed my cases in
the delivery not only that I have learned the medications that are being
used in the delivery room. I also learned from the different reports
about different kinds of complications that pregnant women may
experience and the risk factors of it. I also imparted them my
knowledge with my report which is umbilical cord prolapse.
Staff Nursing
During our staff nursing exposure, I learned how to be more
responsible in all my actions as a student staff nurse. I become more
familiar with the medications and I am very thankful to my Clinical
Instructor
Head Nursing
I have been exposed to the different areas in the hospital. And I can
say that I really enjoy this exposure, because for once in my life as a
student nurse, I become a head nurse. I learned that being a head
nurse is not that simple, because you have to supervise your staff on
the things that they are doing. With this exposure, I became more
familiar with the drug that we administered to our patient with the help
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of our clinical instructor. This exposure also teaches me to become a
good leader to supervise my staff.
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GROUP 6
PAUL O. QUIAZON
HEADNURSING
The experiences I had encountered at the surgery are worthy and
very significant. Significant and worthy, in the sense that I had
learned and at the same time I enjoyed. Dealing with patients who
are postoperative is not an easy task. It requires a lot of skills and
courage to work according to your patient’s condition. From the
basic procedure that we’ve done, like gloving, giving health
teachings, perineal care, wound care, removing IFC, positioning the
patient, changing linen in a occupied or unoccupied bed,
withdrawing medicine in the ampule or vial, administering medicines
through IVP and doing ECG, charting, carrying out doctor’s order, I
can say that being a student nurse is very toxic but worthy… In the
numerous mistakes that I had done in the area, I admit that I am
wrong. I believe it is the true nature of mankind to learn from their
own mistakes. And a man, who has committed a mistake and
doesn't correct it, is committing another mistake. I would take this
opportunity to thank Sir Rolando Devivar to all the learning and
happy memories we had with him. Again, thank you Sir we will
never forget you.
STAFFING
In almost four weeks in the Surgery-pay ward, I can absolute utter
that it boots-up my knowledge and skills as a student nurse. From
here it sharpen-up my skills in doing and applying different nursing
procedure.
But the main lesson of this exposure for me is that you should not
devastate your time without knowing anything, or simply by going
home after eight hours of duty without any erudition. Because every
single minute/ second counts. On my perception, I’m just wasting
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my money, if I let that to happen. Just grab every opportunity to
learn…because it’s very regretful if you missed it.
DELIVERY ROOM
During my exposure at delivery room, I’ve experienced a lot of
challenging things, things I’m not used to of doing. But all of us as
I’ve noticed were happy because we had the chance to understand
further the actual labor and delivery, immediate new born care and
even meet indigent families not just that. We shared our helping
hand to provide them something not payable by money. Smiles
were enough as response to everything we considered as team
hard work that made possible by our Clinical Instructor’s warm
guiding professional attitude towards learning. She made us
independent and delegated a cycle of task on how to be a
professional nurse someday.
JOEY ALBERT DAVID
HEAD NURSING
In my exposure in Head Nursing, I must say that I really enjoyed
working there in the ward together with other staff in the ward and
to our clinical Instructor Mr. Rolando De Vivar. I have learned a lot
and I’m very thankful for those things that they shared to us.
All learning’s that I have encountered in three weeks made me a
better students nurse because I understand that public hospitals are
different from private hospitals. I really enjoyed also giving health
teachings especially when my client shows appreciation. My entire
client is friendly and very nice to me. Just a little bit hard for me to
say goodbye to them because I know I will never see them
anymore.
107
STAFFING
In our Staffing, Mrs. Reyes our clinical instructor was discussed
about regulation of her room policy. I encountered new learning’s
like ideal preparation of medication and Nasogastric feeding. I also
practice my active listening and identified my clients’ perceptions of
what is happening. Most of my clients showed their willingness and
perseverance to participate in my plan of care. I have also
encountered different values.
I had two patients one in the Pedia and other one is 60 years old
patient and it’s not easy for me to approach her because she was
afraid and nervous but I understand her physical condition.
Somehow it’s very tiring but very enjoyable because the time is fast
and only shows that we don’t waste our time sitting down all time
and doing nothing. I really do hope that in our next experience are
more exciting and more leanings to come
DELIVERY ROOM
Our exposure in delivery room was successful. I encountered new
learning’s when it comes in caring patients and how to care the new
born baby. This is my second time in delivery room but I’m glad to
say that I was learned a lot specially in second around. I realized
that the baby needs more caring because they have many changes
occur when he or she delivered in normal delivery. For example, the
cardiovascular system of the baby. Changes in the cardiovascular
system are necessary after birth because now the lungs must
oxygenate the blood that was formerly oxygenated by the placenta.
And you also compared the respiratory system of new birth thru
normal delivery and the other one in cesarean section.
So all learning’s that I have encountered in four weeks made me a
better students nurse. Somehow it’s very tiring but very enjoyable
because the time is fast and only shows that we don’t waste our
time sitting down all time and doing nothing.
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I really do hope that in our next experience are more exciting and
more leanings to come I really enjoyed also giving health teachings
especially when my client shows appreciation. My entire client is
friendly and very nice to me. Just a little bit hard for me to say
goodbye to them because I know I will never see them anymore.
KATHLEEN MILLO
STAFFING
In our exposure in staffing, Mrs. Reyes our Clinical Instructor, she
gave our task. My task is to give morning care to our patient, taking
vital signs and giving medication. During duty our clinical instructor
teach our group how to open the Ampules, how to administered
medication and how to changed the IV fluid. And after discussion,
when my group mate prepare for their medication our clinical
instructor was asking about dosage and how to compute their drug.
During our duty I realized that more people are suffering from any
kind of diseases like bleeding peptic ulcer disease. As I’ve read it is
a common disorder of a millions of people in the US and even the
Philippines.
For me, due to poor clients, unhealthy lifestyle and people who
abuse of caffeine, cigarette and alcohol are most people develop
different forms of ulcer. And as student nurse, it’s my task to give
some health teaching to our client to get more knowledge about it.
So in our exposure were successful and it is enjoyable even though
it’s tiring,
DELIVERY ROOM
It wasn’t my first time to divulging in a Delivery Room, It is always
an excellent experience to me as we assigned again in this area. In
the first place I already forgot the things we applied during our
exposure, things are not that familiar and there are some changes
during the delivery of the baby. In the following days, I was able to
109
familiarized and recall those procedures. As we assigned in delivery
room I’ve learned again in different ways such as assisting and
actual delivery of the baby, bathing a baby, cord dressing,
vaccination, delivered a baby, and on how to understand a mother
during labor. I enjoyed every single day from this exposure. This
learning will never be forgotten. Thanks’ to my Clinical Instructor
Mrs. Grace Quijano. =)
HAKIRA KIDA
HEAD NURSING
In my exposure in Medicine Pay ward as a Head Nurse (Head
Nursing) was meaningful and had gained knowledge on how to be
like a head nurse. At first it was not that easy but in time I enjoy
doing it. Because our Clinical Instructor was jolly and intelligent
person, he is easy to be with and very approachable.
STAFFING
I had learned in my exposure in Surgery Pay ward as staff (Staffing)
was to be confident and more productive and always have
presence of mind. I had a hard time when it comes in computation
of medications, but in time I have learned about it. Our Clinical
Instructor taught us many things, even if she’s strict when it comes
to everything it was okay because of that we had a lot.
DELIVERY ROOM
Being exposed in the delivery room was fun, unforgettable, and
meaningful experience. Because I was not just learned I also enjoy
my exposure in the delivery room. This was second exposure, that’s
why rules and protocols in the area are not new to me, I had
learned a lot like how the proper way of cutting the cord, bathing the
newborn, expelling the newborn and placenta . I had learned that
when you are a DR Nurse you should have always presence and
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alert mind and have perseverance. Because life of the mother and
the newborn is in our hands, and also know what to do and know
how to deal with the problems.
MARK ANGELO FELIX
DELIVERY ROOM
Delivery room is one of the most exciting areas in our RLE (Related
learning experience) duty because our patients are new born baby
and the mother. Handling and caring for new born is so hard and it
needs a bunch of knowledge, skills, patience and dedication to
profession and vocation. Babies are hard to handle because their
body and immune system are not totally developed that’s why they
were easily get infected. In our lecture in the school, they discussed
to us about new born care. They taught us the procedures how to
bath a baby, the sterile techniques, the right doze and right injection
site of vaccines we give, the APGAR scoring and other intervention.
We apply all of these things we have learned in our lecture in here,
in our exposure in delivery room at Tarlac Provincial Hospital.
PEARL ANGELI DOMINGO
DELIVERY ROOM
It was our second time to be exposed in delivery room at Tarlac
Provincial Hospital with our clinical instructor, Ma’am Grace
Quijano. Our first exposure in delivery room was during our NCM
102.
For the second time to have our duty at delivery room, I can say
that I am now more familiar with the instruments being used during
the delivery. I practiced well aseptic technique and more developed
my skill on cord dressing. All of us in the group were already
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familiar with the setting because it was our second time to be
exposed in the area. Now, I am already confident to administer
medication and do actual and assist procedure.
Thank you for Ma’am Grace because without her I won’t have these
learning.
MA. CRISTINA E. CAOAGDAN
HEAD NURSING
I learned to become a more effective leader. I learned to manage
my time and resources well. I refined mu skills as a nurse.
STAFF NURSING
In our staff nursing exposure, I was able to experience becoming a
staff nurse. I had the chance to experience and refine mu nursing
actions.
DELIVERY ROOM
This exposure was not our first time to be exposed at delivery room
since this is not my first time in delivery room I feel happy because
seeing a newly born baby is so unexplainable experienced specially
when I ‘am the one who performed the cord dressing, bathing the
baby of course, suctioning and performing placental delivery.
Again I learned a lot on this exposure and I know that being
exposed in this area are very knowledgeable to us as a student
nurses, I learned how to take care a newborn and to a mother I also
believed that every exposures is a learning
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ANGELEE ANN I. CACHERO
DELIVERY ROOM
Every exposure have different learning and skills performed this
one way how to develop and improved are capabilities in doing and
thinking such things as a student nurses, you may think or ask
you’re self what could be the possible purpose, benefits, problems,
experiences that you may acquire/or get from the exposure that
may improve more skills and knowledge.
Being assigned again in delivery room for the second time is still
enjoy and full of excitement, as a student nurse a duty in delivery
room is great because you are helping the mother to begin a new a
new life. We also shared our knowledge to the patient, and make
health teaching regarding the importance of proper hygiene.
And at the end of the exposure, I can say was that this event in my
life was a big help in my selected career not only to enhance my
knowledge and skills but also to keep my going on my selected
profession.
IRWIN MACAPAGAL
DELIVERY ROOM
I had learned a lot from you. Thank you ma’am. I will miss you
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GROUP 7
ALVIE M. LABANDARIA
HEADNURSING
A head nurse means a person who manages the staff nurse in a
unit. She can be considered a leader and a manger. She
supervised her staff nurses in rendering care to the patients and
ensuring that what they do meets the standard of care. A head
nurse is also a protector, counselor and an example for the staff
nurses in the area they handle.
During the exposure in Surgery Pay ward at TPH for almost a
month, I did experience almost all the roles of a head nurse. I
supervised, delegate tasked and manages my group mates. It was
a hard task for me because it requires patience, ability to get along
and adjust with other people’s personality. And to achieve our goal
it should be systematic and organize. As a head nurse we should
have enough knowledge not just on the care that fits each patient’s
case but also the medications, its actions and side-effects. The
experienced that I gain from this exposure teaches me to be more
flexible and pursue to learn many things. And now I realized that
nursing is dynamic and you should always be ready for the changes
for the good of yourself and the advantage for the unit.
STAFFING
In this area, I gained a lot of experiences that helped me to do my
work more efficient. This exposure gave me opportunities to be
more familiar with the procedures that I did already like
administration of meds in different routes. As a staff nurse you need
to manage your time in rendering care to your patient for you to be
able to work well and render to a quality care. And you should need
to know how to prioritize a patient who’s in need, also to know how
to handle the pressure around you.
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In this exposure it really helped me to realize that I am really near
on my chosen field of profession, that’s why I need to take this
opportunity as a chance give my best in everything that I do, so that
in the near future I can be a staff nurse who saves life and preserve
health.
DELIVERY ROOM
Delivery Room is one of my favorite areas, where in you
encountered different woman trying her best to give safety birth. In
this exposure, I’ve learned that it is not easy to conceive and give
birth. You should prepare yourself, not only for financial matter, but
also on how to be a good mom and on how to take good care of
your baby. I gained self confidence because I was able to help
patient in delivering her baby.
To my groupmates and to our Clinical Instructor Ma’am Grace thank
you for all the knowledge and experience that you’ve shared, the
laughter, enjoyment and cooperation that you brought to our group
and without this we cannot make our exposure more enjoyable and
successful.
JENILYNE M. TIGLAO
HEADNURSING
In head nursing exposure you will be able to be a leader, being a
leader is not an easy work, although I experienced being the head
nurse to the group. I learned how to deal with my subordinates’
different attitude and personalities to form a smooth relationship
with them. As head nurse you must know how to solve conflict
systematically in order for the group to be effective in our work.
Being a head nurse it taught me how to plan our activities for the
day, to organize our group and work properly, delegate the tasks
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evenly, and direct plan of care for our patients. This exposure,
taught me to be aware of each of my subordinates so that I could
supervise them with their assigned task and possible errors would
be minimize or prevented, because all the actions of your
subordinates will be under your care. Also as a head nurse, it was a
big responsibility to be handling a staff and a lot of a patient that
was under your care.
STAFFING
Being a staff nurse is not an easy job. She must have strong critical
thinking, decision-making, communications, and interpersonal skills
and you must need to manage your time in rendering care to your
patient for you to be able to work well and render a quality care.
And you should need to know how to prioritize a patient who’s in
need, also to know how to handle the pressure around you. I
experienced being a staff nurse during our exposure I was able to
experience to handle a three patient and for that I experienced that
it was difficult because there are a lot of things that you need to do
to your patient like the procedures that the patient need. And for
that experienced I learned that the work of a nurse was not that kind
of easy that the others think but it was a big responsibility that the
nurse need to do. It also taught me to build a good and smooth
relationship with other staff for a good outcome.
Thank you ma’am for sharing your knowledge, ideas, suggestions
that lead to successful outcome, without her we will not
accomplished the assigned task to us.
DELIVERY ROOM
Our last exposure was at the delivery room of Tarlac Provincial
Hospital was a great experience for all the student nurse, during our
exposure at the area I learn a lot of things that I will value for the
rest of my life. During our exposure I was given a chance to assist
and deliver the baby which enhanced my skills and knowledge that I
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can used in the future. Also during our exposure in this area I learn
to value life because I saw the pain that the mother experience
during the delivery of baby. And I salute all the mother who sacrifice
their lives for their children.
To all my groupmates and to my Clinical Instructors’ thank you for
all the knowledge and experiences that you imparted to everyone.
Thank you for all the support and the word of encouragement that
you’ve shared…God bless. .
DESIREE B. TALAVERA
HEAD NURSING
Head nursing is our first exposure in NCM 105, through this
exposure I was able to be a headnurse even for just one day, also I
was able to encounter lots of problem and as a head nurse for the
day it is a big problem for me but thank god and thank you to my
group mates I was able to overcome it all. In this Exposure I was
able to apply all that I learned in our Leadership and Management
lecture with Ma’am Glennar. At the end of our exposure in Head
nursing I realized how hard it is to be a headnurse and how it feels
to be a staffnurse.
STAFFING
Staffing is our third exposure for the semester, and I can say that it
is the most memorable and exciting exposure at the ward because
of our experience with our clinical instructor. The first time I met her,
her aura was really strong and I can feel that she was a very strict
CI and when she meet us during our orientation I had goose bumps
and I even wish that tomorrow a super typhoon come so that we will
not be having our duty, that’s my first impression to Ma’am Teresa
Reyes but as the saying says “First impression always not last”
because she turns out to be a very good and effective teacher, she
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taught us to be a independent nurse and she let us to believe in our
self and most of all she treated us as a professional nurse. She
taught us how to handle a very difficult situation like when a patient
is really toxic and you have to make a decision in a way you are not
violating any law or patients right. She always tell us that we need
to keep in our mind that our profession deals with life and not with
computers so we need to be careful in all our action.
DELIVERY ROOM
The first time I was exposed to delivery room, I was really scared
because it is my first time in the delivery room and delivered a baby
but now it is my second time I am confident and actually excited
because I learned a lot in my previous exposure in delivery room.
During our exposure in delivery room Ma’am Grace teaches us
about the new policy in delivering baby and cord dressing, and I am
thankful that before I graduate was able to go back to delivery room
and learned the new policies in delivery room. It was nice working
again with you Ma’am Grace and thank you for the new knowledge.
ALBERT TIBURCIO
HEAD NURSING
Head nursing is our 2nd exposure. In this area, I learned and applied
the functional nursing which is division of work, so that I work in one
spicific task in each day. In this exposure, I also learned about how
to become a head nurse in one day. Being a head nurse, I have
more responsibility like distribution of task, knowing the patient and
its condition, its drug, diet, checking of SOPIE, monitoring IV, etc.
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STAFFING
Staffing is our third exposure. I have learned and refresh my
knowledge about the basic procedures, medication, and charting.
During the entire duties, I learned about the negligence, malpractice
and accountability and responsibility.
DELIVERY ROOM
Delivery room is our last exposure in 105 and this is our second
time around. In this exposure, we apply our learning’s in past DR
exposure and also we do the new laws about the new born act.
There are new laws about the care of new born like there is no
suctioning if not needed, the new born is place at the abdomen of
mother, the cord will not cut until pulsation stop and bathing is not
perform unless if is required.
In actual deliveries, I learned and apply the technique of how to
deliver baby like the proper handling in the head up to the feet of
the baby. In assist, I applied also my learning’s in previous DR
exposure on delivering placenta and assisting the doctor on
suctioning.
REUEL MANLUNGAT
HEAD NURSING
Head nursing is our 2nd exposure. I learned for this exposure is that
you need to trust to your stuff nurse and guide them if there are
things that they do not know or a problem to the hospital that need
clarification for the wellness of the patient. And if you delegate a
task to your stuff, you need to take all the responsibility that going to
happen in the whole duty.
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STAFFING
Staffing is our 3rd exposure. I learned that being a stuff nurse you
need to be competent in all of the procedure to be done to your
patient and you need to manage your time in all of your patient to
provide care as our service to promote their safety and wellness to
our patient.
DELIVERY ROOM
This exposure is the last exposure that we have in NCM105, but
this exposure is just like completion to complete our cases in DR,
the learning that we gather in this exposure are full of love, comfort
and happiness. Why? Because the new practice that the hospital or
the government need to follow to all government hospital is that the
new born should be given to the mother after birth and the child
should fill or share the body heat of the mother so that the child well
fill the love, comfort to her mother after birth, I learned that from this
process or new procedure the child well grow with the comfort of
the child.
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GROUP 8
EVER CHANYONGCO
Delivery Room
Our exposure in the delivery room was not the same with other
area; it is a special area. There were times that the situation was
stressed and difficult due to medical condition of either the mother
or her newborn. I enhanced my therapeutic communication to
alleviate the anxiety of the patient. I became familiar with the
procedures or guidelines in the delivery room, from the mother’s
delivery up to newborn care. I enhanced my technical skills in
practices and caring for mother and her baby, and I also enhanced
my learning with regards to sterile techniques to prevent infection.
Head nurse
Being a leader is not an easy work, although I experienced being
the head nurse of the group only once. I learned how to deal with
my subordinates’ different attitude and personalities to form a
smooth relationship with them. Thus, a leader must be flexible.
Additionally, a head nurse must know how to solve conflict
systematically in order for the group to be effective in our work.
Staffing
Staffing is the process of determining and providing the acceptable
number and mix of nursing personnel to produce a desired level of
care to meet the patients’ demand. I have experienced being a staff
nurse. And i learned to accurately assess the patient’s condition
and needs, develop solid strategy to care for the patient, and work
with other health care team to keep on track towards patient’s
recovery. It also taught me to build a good and smooth relationship
with other staff for a good outcome.
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REDGIELYNN G. DAO-ANG
Delivery Room
Delivery room nurses have the joy of being a part of bringing one
new life after another into the world through the miracle of childbirth.
A delivery room nurse works with adults and newborns and in high-
pressure situations, such as high-risk pregnancies. Delivery nurses
help relieve stresses new mothers-to-be might experience.
Head Nurse
“A leader is one who knows the way, goes the way, and shows the
way.” Being a head nurse taught me how to plan our activities for
the day, organize our group and work properly, delegate the tasks
evenly, and direct plan of care for our patients. This exposure, head
nursing, taught me to be aware of each of my subordinates so that I
could supervise them with their assigned task and possible errors
would be minimize or prevented.
Staffing
This was our last exposure I was nervous because our area was at
the medicine ward. At our first day we had our orientation we
discuss some of lecture about staffing what are the things we do
and we expect to do at the area. When we were already at the area
we do the same routine like in the headnursing, rendered morning
care, we take their vital signs, we prepared and give the medication,
and we take care of the patient except that we have our own patient
and we do everything what necessary things to do to them. In this
area I learned the convenient and safest way to prepare the
medication of our patients. Our clinical instructor also teaches us
how to compute the medication of our patient even without the help
of a calculator not only that but also for the computation of
Intravenous fluid, she also teaches us again the proper way on how
to save an intravenous line cause it is economical especially in our
patient and significant others. I can say that I enjoy my entire
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exposure because patient was every kind in treating me and so I
was to them. I also enjoy the company of my groupmates .
ENRICO GACUSAN
Delivery Room
In The Delivery room we learned about the different procedures in
Delivery, their indications, and rationales. We were able to perform
on our own, but also with supervision from our Clinical instructor.
We felt great after doing such procedures and it boosts our self-
esteem and confidence
Head nurse
Being a head nurse you must know how to manage your time, how
to handle the patient and your staff properly, and you must
know how to designate all the task fairly and equally. The best
thing you must do as a head nurse is that you must focus on what
you are doing and give all the best as you can.
Staffing
Staff nurses usually work within a group or team. These groups are
responsible for the planning and implementation of nursing care
policies for the benefit of patients. It is the team's responsibility to
evaluate ongoing practices and implement changes as necessary,
to improve the nursing care provided by the clinic or hospital. yes,
being a staff nurse is tiring and challenging but it gave me a lot of
spices in my student nurse's years that made me gained knowledge
and unforgettable experiences.
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NORALYN R. MACARAEG
Delivery Room
In this exposure, I became more aware on the hardships of the
mother when they gave birth with their child, I saw and witness the
cries, shout grimace, and pain. As a student nurse, I was given the
opportunity to assist the mother in delivering her baby with the help
of the doctors and our C.I. I also experienced and learned the
proper way in rendering care on the newborn and the mother. Even
if this is our second time to be exposed in this area, I still feel the
excitement every time I heard the babies’ first cry and saw the head
of the baby in the passageway of the mother. It helps me to realize
how much passion a nurse should have in her work, it helps me to
do my work discreetly but fast because we’re dealing with LIFE. I
hope that what I learned from this exposure will help me to become
a good, responsible and competitive nurse in the near future.
Head nurse
In this exposure I have learned a lot of thing as a head nurse,
although I experience as a head nurse once I really learned a lot of
things especially to our C.I. And it teaches me how to plan our
activities for the day, delegate task, work properly and direct plan
care for our patients. This exposure I did experience almost all the
roles of a head nurse at first it was hard for me to handle all those
responsibilities as a head nurse in our group, but it helps me to
become more flexible and learned to manage my group mates.
And in terms of delegating task to your staff I need to take all the
responsibility that will be happen in the whole duty.
Staffing
I have learned that being a staff nurse is not easy job and you need
to be competent in all of the procedure that you will be do to your
patient. And I learned accurately on how to asses a patient
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condition and needs. Our C.I teaches as also on how to become
more independent, accountable and how to become more confident
in all procedures that we are going to do.
JESSICA MANALO
Delivery Room
I experience on how to deliver a newborn, perform cord dressing,
and to learned different techniques in caring a newborn. Delivery
room is the most challenging area that we learned a lot of nursing
strategies that help you to develop the nursing process that we can
apply in our nursing career.
Head nurse
I learned how to care different patients on how to handle and how to
be an effective nurse. I experience aspiring head nurse and being
staff nurse. I also learned different nursing techniques, strategies on
how to perform different procedures. As we perform different
procedures we must learned the importance of sterilization and the
safety of the patients.
Staffing
In this area, I gained a lot of experiences that helped me to do my
work more efficient and to do it discreetly. Eventhough we
experienced the task in the hospital as a student nurse on our early
years, it is not yet enough to fill our cravings to do more, to gain
more knowledge and skills. This exposure gave me opportunities to
be more familiar with the procedures that I did already like NGT
feeding, suctioning, administration of meds in different routes,
gavage and lavage. It really helped me to realize that I am really
near on my chosen field of profession , that’s why I need to take this
opportunity as a chance to master my craft and give my best shot in
everything that I do, so that in the near future I can be a staff nurse
who saves life and preserve health
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BEHKIM MANDAP
Delivery Room
In our Delivery room exposure several action and procedure are
remove and change some procedure regarding new born care
about time bounded and non time bounded when dealing a patient
in labor and new born baby. Being a student nurse we are fortunate
to experience the new trend in delivery room and new born care.
Head nurse
I’ve learn to utilize my time well when managing my staff and
experienced to handle people every shift, I’ve also enhance my
communication skills when dealing with patients, staff, group mates
and people around you. Being flexible is an important tool to be use
whenever we interact to other people ad establishing rapport is
good for us to gain their trust.
Staffing
Staffing exposure we’ve learn to manage our time well and also
tried being a good head nurse to our subordinates. Lot of things we
have encountered in our exposure and our clinical instructor always
guide us on a right path. We are thankful to have instructor that
always correct us in every little way. Flexibility is a part that you can
remove with this kind of job.
JACQUELINE RAMOS
Delivery Room
In this exposure I’ve learned a lot. I further learned the stages of
labor especially before the delivery of the baby. In this exposure I
was able to experience how to perform actual deliveries, assisting
during delivery and to perform placental separation and also during
episioraphy. I also experience to do newborn care especially in cord
dressing, suctioning and administering a vaccination. In this
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exposure I can say that TPH DR was a great area, in our stay in
this area we had a chance to see a baby who delivered as a big
baby or LGA and a footling.
Head nurse
I’ve learn to utilize my time well when managing my staff and
experienced to handle people every shift, I’ve also enhance my
communication skills when dealing with patients, staff, group mates
and people around you. Being flexible is an important tool to be use
whenever we interact to other people ad establishing rapport is
good for us to gain their trust.
Staffing
Staffing exposure we’ve learn to manage our time well and also
tried being a good head nurse to our subordinates. Lot of things we
have encountered in our exposure and our clinical instructor always
guide us on a right path. We are thankful to have instructor that
always correct us in every little way. Flexibility is a part that you can
remove with this kind of job.
Orlan Untalan
Delivery Room
Being a student nurse in the delivery room i learned, first the
essence of a mother and the hardship of bearing the pain of
delivery, i also learned to be responsible in taking care of a woman
before, during and after the phases of her labor. I enjoyed working
with my future colleagues even in high-pressured situations. I was
also able to communicate important information to the mother about
the proper childcare. We we're also trained in neonatal resuscitation
and how to manage newborns with critical conditions.
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Head nurse
A head nurse must be capable of weighing correctly the characters
whom she comes in contact, and making due allowance for a
particular weakness or peculiarity. From being a staff nurse a head
nurse should be able to absorb to herself lessons from same
shortcomings. a head nurse must also be an accountant in the
area. so being careful and observant is a necessity. in addition to
knowing all these, i also learned that i as a future head nurse must
have the art of imparting knowledge to others, making others as
skilled as myself.
LAURENCE YUZON
Delivery Room,Head nurse and Staffing
Related learning experiences in three areas of duties in
headnursing and staffing. In this different exposure I learned some
knowledge and techniques regarding the principles of being a nurse
in the area, being a headnurse was quite difficult because i handled
my classmate or you delegate task to them determine your
responsibility as a head nusre ,in this situation you had ,the idea
and knowledge if you hire as a nurse in the hospital will be use,
someday also you know on how to improve your self as a nurse
regarding about our profession ,likewise in sttafing some knowledge
about the different case of the patient we learned because some
discussion in the area was initiated by our clinical instructor.I n
delivery room this area was so exciting because we encountered
different types of position or presentation of babies upon delivery,
we learned some idea about newborn care and knowledge
including the medication on this exposure.
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