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Mam Nhelia.
Sunday, December 2, 2007
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my kids.. my treasure. priceless...
Nursing encompasses an art, a humanistic orientation, a feeling for the value of the individual, and an intuitive sense of ethics, and of the appropriateness of action taken.
About Me
- nHeLia
- The only person who is educated is the one who has learned how to learn and change.
I AM A NURSE
I walk through those doors with pride,
Who's life will i save today?
Someone is waiting for me,
Someone is alive today because of my duty.
Sometimes we cry cause we can't save them all,
God sometimes won't let us interfere when HE calls.
A baby's first breath when he looks at me,
The joy of my first delivery.
The tear i wipe a way with my own hands,
The life ending of a gentle old man.
The night seems so dark and the morning so bright.
Being a nurse you see life in a different light.
Who will i save tonight?
Who will hold my hand during their last breath with no fright?
Who will enter this world on my shift?
How many mothers will greet their babies with a kiss?
I don't know who these special people are
but i will meet them with every call
I will hold them tight and help the pain
I will hold them up when they feel faint.
I will be strong when i am needed
That is my job, I am a nurse..that is my duty.
Who's life will i save today?
Someone is waiting for me,
Someone is alive today because of my duty.
Sometimes we cry cause we can't save them all,
God sometimes won't let us interfere when HE calls.
A baby's first breath when he looks at me,
The joy of my first delivery.
The tear i wipe a way with my own hands,
The life ending of a gentle old man.
The night seems so dark and the morning so bright.
Being a nurse you see life in a different light.
Who will i save tonight?
Who will hold my hand during their last breath with no fright?
Who will enter this world on my shift?
How many mothers will greet their babies with a kiss?
I don't know who these special people are
but i will meet them with every call
I will hold them tight and help the pain
I will hold them up when they feel faint.
I will be strong when i am needed
That is my job, I am a nurse..that is my duty.
Precious Moments
my kids.. my treasure. priceless...
my family
Frequent Bloggers
future nurses of the philippines
20 comments:
Manuel B. Afiado
Block A BSN 2009
Group 1
LFD date: November 29-30, 2007
OBJECTIVES:
A. General: To re acquaint myself with the clinical-hospital setting.
B. Specific: to re learn the work, procedures, and protocols done within the hospital settings. After almost a year of absence, I need to get to my knowledge of the
Skills necessary to effectively carry out the work needed.
OBSERVATION / EVALUATION
A. Self: I felt like a fish out of water during the first day, considering that I have not been exposed in the clinical area for almost a year. I felt a little anxious of what I still can do and know. Luckily, on the first day we were not given clients, it was a relief because I was unsure how I can be effective on the first day, it felt like my first time to have a hospital duty once again, we were oriented on the protocols, procedures, and other relevant things we need to accomplish in the ward. I was happy I still remembered most of them. On the second day, we were already given patients, for me I think I was ok, I carried out most of the orders, had done what was expected by the clinical instructress, although I know I still know I need to work on my time management skills, I was not efficient as I was before.
B. Group mates: I think some of my groupmates have done what was expected of them satisfactorily, although I can say I have an advantage over my groupmates over the experiences and skills I already have because of my previous exposures I cant say I am better than them. Some were nervous I think because they still do not know how our clinical instructress does her work and how she likes us to work but I think they can get better when they get up to speed with her style of working in the clinical setting.
C. Clinical Instructress: She feels a little disturbed by some of my groupmates because she already oriented us on the protocols and has briefed us about her expectations within the clinical setting. But I think she understands that most of us need more time to get acquainted with her work style.
LEARNINGS:
The basics of clinical skills have been taught in the classroom, but theoretical knowledge is not enough to say that you are good, skills, like swords need to be put Under pressure and be cast in fire to be sharp and that is what we are doing is all about. We also need to understand the connections we are able to make when we begin to care about our clients, to understand what they go through, and that makes us more human rather than merely persons there to give medicines and carry out orders. It also makes us appreciate the kind of work we perform, of what we can be in the future, nurses that care
Manuel B. Afiado
BSN 2009 Group 1
Learning Feedback Diary
Quirino Provincial Hospital
OBJECTIVES:
GENERAL: To be familiarized more with the procedures and routines done within the hospital, as well as incorporate new concepts learned from the classroom to the actual duty area
SPECIFIC: To identify learning opportunities to be able to increase knowledge as well as skills on routine hospital procedures.
.
OBSERVATION / EVALUATION
A. Self: Its easy to say that you should leave your excess baggages at home when you come for duty.. But really its not so easy doing it, I was preoccupied with problems at home.. Although I was able to do what was required, I was not at my best, I was still physically tired and emotionally drained from what I had experienced the following days. Although I know my clinical instructress knows that I was preoccupied, more so sick, I had sore eyes... I’m thankful she took it easy on me.
B. Group mates: some of them still don’t seem to remember what was taught and oriented on the first week, maybe they feel that they still need more time to get familiarized, I sometimes feel they are afraid to ask and there comes the problem, because they can get prone to accidents. But by being guided by our CI, although most of them are a bit nervous, most have adjusted to the work and procedures done.
C. Clinical Instructor: there are some times that she may seem to lose her cool, but she gets composed and again diligently tells some erring students what to do. The great thing is she can defuse the tense atmosphere by finding humor in whatever it is that irritates her.
LEARNINGS:
An actual experience of the things learned theoretically, to the actual encounter with people who rely on you to give them care even for just mere hours, to really be able work under pressure, to set aside your problems and be straight faced in dealing with clients..That maybe is what they call grace under pressure and I think nurses do it best.
JUNETTE JOY A. ADA
BLOCK A BSN 2009
GROUP 1
LFD DATE: NOVEMBER 28-30
LFD #1
OBJECTIVES:
A. GENERAL: to be able to familiarize my self about the routines at the male ward.
B. SPECIFIC: to be able to enhance my ability about hospital works.
OBSERVATION:
A. SELF: I am very excited because it is my first time to have duty at male ward and a little bit nervous because i am not yet familiarize about the routines at the male ward.
B. GROUPMATES: They are very willing to share their knowledge with each other and their doing their best to do their duties as a student nurse.
CLINICAL INSTRUCTOR:
SHE KNOWS HOW TO DEAL WITH HER STUDENTS AND SHES VERY CONSIDERATE...
LEARNINGS:
I have learned the different routines at the male ward and enhance my ability about hospital works... and i hope that i will learn so much more about hospital settings during our exposure at the male ward.
JOY S. PINEDA
BLK-A BSN-'09
GROUP #1
LFD DATE: NOVEMBER 29-30, 2007
LFD #1
I.OBJECTIVES:
A. GENERAL: To know the different duties and resposibilities as a student nurse.
B. SPECIFIC: To determine what are the rules and regulation in male ward.
II.OBSERVATIONS:
A.SELF: I felt nervous during the first week of my duty, because it is my first time to handle a patient in male ward, but i have overcome it.
B.GROUPMATES: They are all resposible and very cooperative.
c. CLINICAL INSTRUCTOR: She is very intelligent instructor, and resposible.
III.LEARNINGS:
I had developed more my skill in getting the vital sign of patient and computing medicines. I had experienced how to prescribed such medicines, how to do or fill-up such request/laboratory requests and I experienced how to give medicines via IV push. I also learned how to do wound care.
JOY S. PINEDA
BLK-A BSN-'09
GROUP #1
LFD DATE: NOVEMBER 29-30, 2007
LFD #1
I.OBJECTIVES:
A. GENERAL: To know the different duties and resposibilities as a student nurse.
B. SPECIFIC: To determine what are the rules and regulation in male ward.
II.OBSERVATIONS:
A.SELF: I felt nervous during the first week of my duty, because it is my first time to handle a patient in male ward, but i have overcome it.
B.GROUPMATES: They are all resposible and very cooperative.
c. CLINICAL INSTRUCTOR: She is very intelligent instructor, and resposible.
III.LEARNINGS:
I had developed more my skill in getting the vital sign of patient and computing medicines. I had experienced how to prescribed such medicines, how to do or fill-up such request/laboratory requests and I experienced how to give medicines via IV push. I also learned how to do wound care.
Cely S. Ancheta
BSN 3A Batch 2009
Group 1
LFD Date: Nov.28-30, 2007
LFD #1
OBJECTIVES:
A. General: To familiarize myself about the procedures and routines done in the Male Ward of Quirino Provincial Hospital.
B. Specific: To equip myself about hospital procedures and protocols.
II. OBSERVATIONS:
A. Self: It's my first time to have a duty at Male ward of QPH. I am quite nervous because I know that procedures done in Male ward is more difficult than in Female and Pedia Ward where we first exposed. It's good that on the first day we were not able to handle a pt., we just had an orientation about the routines, procedures and protocols done in the ward. From the orientation, I was able to familiarized myself about the routines done in the ward.
B. C.I.: Ma'am Nhelia acquainted us about the routines in the ward during te first day. She's so smart and intelligent. She explained everything what we need to know in te ward.
C. Groupmates: We have a new set of groupmates this sem. Like me, some of them are not yet familiar about the routines in the ward because now, we're not only dealing with medical-surgical nursing but also pt. with communicable diseases. On the second day where we already have a pt., some of us committed mistakes because of nervousness.
III. LEARNINGS:
"Learn from your mistakes". This is what I learned for this week of duty. All of us commit mistakes, and this mistakes became our experienced. When we look this mistakes in positive way, the mistakes we committed will become learning. In nursing, committing mistake should be avoided because we're dealing with life. Once you commit mistake, your patient's life would be in danger or at risk.
Cely S. Ancheta
BSN 3A Batch 2009
Group 1
LFD Date: Dec. 6-8, 2007
LFD #2
OBJECTIVES:
A. General: To be able to know more about hospital procedures.
B. Specific: To render service to the sick by means of applying different nursing care procedures.
II. OBSERVATIONS:
A. Self: As part of our nursing care to pt. is the Nurse-Patient Interaction (NPI). Doing the NPI for me is easy because I am a teacher by profession, I used to deal different kinds of people at different age level - both student and parents when I am still teaching. It's hard implementing the interventions if the pt. is not cooperative so, in order to make an effective intervention, we should establish first rapport to our pt.
B. C.I.: She's always there guiding and helping us. I listened and accept every comments and advises of my C.I., this served as my guide in rendering care to my pt. She knows better than I am so every suggestion or criticism she made is I know that it's for my own good, for my development and improvement of my skills.
C. Groupmates: We're sharing ideas about things that contribute to our knowledge. Little knowledge is dangerous so sometimes we are consulting each other if what we are doing is right or wrong and they are very willing to share what they know, they also give advise on what or which is better to a certain procedure. I appreaciate our groupmate sir Manny - he's approachable and helpful to us. I'm glad he belongs to our group.
III. LEARNINGS:
Familiarization in the ward is very important in performing duty well. It's our second week of duty and we are quite adjusted to the ward. When you're adjusted to the procedures in te ward, doing such procedures will become routine. Just remember protocols and procedures done ion the ward and you won't get lost.
Cely S. Ancheta
BSN 3A Batch 2009
Group 1
LFD Date: Dec. 13-15, 2007
LFD #3
OBJECTIVES:
A. General: To be able to provide care to my patient.
B. Specific: To be able to do some nursing procedures to my client that contribute to their treatment.
II. OBSERVATIONS:
A. Self: This is my last week of duty and I'm glad because I learned a lot during my exposure in the ward. My skills was developed and enhanced during my stay here. I could say that I am more knowledgeable now than before.
B. C.I.: What can I say to my C. I.? Thank you very muc Ma'am Nhelia because I learned a lot from you. First impression is always wrong. I thought before that she is strict but I think the right term would be disciplinarian. She taught us how to behave and act as a professional for we will be a future nurses someday. Whatever teachings and lessons I leearned from you will always be on my mind and heart.
C. Groupmates: Sometimes, misunderstanding arises in our group. But through patience and communication, things were able to fix.
III. LEARNINGS:
Being a nurse or student nurse is not easy. One must need patience, understanding, alertness and be responsible to your own pt. Anything happened to patient due to negligence is accountable to the nurse on duty including us -student nurses. So a nurse must be watchful in rendering care to patient especially in giving medications.
:?
LFD
Eugenio Cruz Dig
Block A BSN 2009
Group 4
LFD date: January 10-11, 2008
OBJECTIVES:
A): GENERAL: To be able to learn more knowledge, to improve my skill ant to familiarized with the routine in the male ward.
B): Specific: To enhance my skills with regard to hospital setting.
To to know more about ways to improve SOAPIE making.
OSERVATION:
A): Self: I'ved done my part to be a responsible student nurse, I'ved done good with my groupmats and to my CI. And i didn't felt any kind of nervousness because i loved my work.
B): Groupmates: They are nice to be with, we help each other, we work as one.
They'ved done also their part, they done their job well.
C): Clinical Instructor: Our CI is strict but are nice to her student, she always help her student.
She is so knowledgeable. And i'm happy to be her as my CI. Thank you ma'am.
LEARNINGS:
> With my three days staying or having a duty in the male ward, I'ved learned a lot from my CI. I'ved learned to be a responsible nurse(student nurse), not only the way i act but also the way i carry myself, meaning wearing the correct uniform. And i also learned to do the charting correctly and neatly. I had developed more my skills in getting the vital sign of patient and computing medicines.
Mark Jay M. Daquioag
Block A BSN 2009
Group 4
LFD date: January 10-11, 2008
OBJECTIVES:
A. General: To be able to accomplish all the daily nursing routine that will be assign to me.
B. Specific: To be able to gain more knowledge and improve my skills regarding hospital settings.
OBSERVATION
A. Self: As i observed, I, myself is nervous because according to the group that was already handled by our C.I., she is very strict and toxic.
B. Groupmates: They are all eager to start our duty. Maybe because they want to go home early. But i know that they are also nervous. And even, they did their task right and with patience.
C. Clinical Instructor: during our shift, i observed that our C.I. is not that to strict. She is approachable and very effective instructor. She is very informative at all times.
LEARNINGS: I've gathered some information regarding formulating a proper and correct SOAPIE where it is included in our daily routine. I've learned and practiced on how to do my task easier and faster. Being prepared always is important in the area. Some learnings was not new to me because i have a lot of experiences and learnings during my past duties.
Mary anne rose domingo
Block A BSN 2009
Group 4
LFD Date. January 10-13, 2008
General objectives
To get more knowledge about health and illness of the hospital and able to apply it in the future.
Special Objectives
To experience more and become alert physically, mentally, and emotionally.
Observation
Self
In every rotation that I have experience. I’ve learn a lot how to became alert in terms of giving medication to my patient. I experience also to become more friendly into my patient and I learned how to become patience when they are moody. Every duty I gain more confident to be able to my responsibility as a student nurse. Time management is very important for me. We don’t need to become confuse if there is an error or mistake. Because that is the way for you to learned.
Group mates
We helping each other particularly when we are in duty. Sharing some ideas, knowledge. If one we are tired and we feel toxic. We encourage to become chill or relax. We treating each other as a brother and sister and we give respect to each other.
Clinical Instructor
To my respective and intelligent clinical instructor Mrs. Nhelia Perez. I want to thank for the sharing the knowledge, ideas, and some advises. I appreciate all the things that she do .particularly in our batch. Thank you for being there. To teach and to learned us
Learning
We should always show our sincerity in the task that was assigned to us. Because good things are waiting to happen. Improving my self to communicate different patient, different observation. I really enjoy in the ward. Toxic but make me strong and you must always alert in giving medicine.
Michelle B. Buenaobra
BSN 2009 Block A
Group 4
LFD date: January 10 - 12, 2008
OBJECTIVES:
A. General: To enhance our knowledge, skills and attitude in the clinical area.
B. Specific: To apply all the skills we've learned in the SLE like computing medication, carrying out orders, regulation of IVF, etc.
OBSERVATIONS:
A. Self: On the first day to handle patient I felt nervous because it is our first time to expose ourselves again to the ward because our last rotation was in the OR and it is very different in the ward. Although I'm slight toxic that because I don't know I'm doing because it is my first time to handle a CVA patient and the patient was under coma. Last Jan. 12 I'm surprised because my patient last time was already dead. So I handled new patient that day. I handled a Hypertensive patient and I'm thankful because I've handledmy patient well and carried out orders correctly.
B. Groupmates: They were also nervous I think during our first day and also during the second day we've handled our patient most especially one of our groupmate, she was the last one to do her SOAPIE chart and she's the cause of our delay.
C. Ma'am Nhelia is strict but her strictness is ab effective way to handle her students. She's intelligent and a keen observer she's observing all the actions of her students.
LEARNINGS:
On our first day we've oriented with the routines in the male ward and also the routines of ma'am Nhelia and the do's and don'ts during the duty hours. And I find that Ma'am Nhelia is very organized in the Area.
Although the theories was injected to us before we are going to be exposed to the area it is so different and hard to apply because there are differences between the theories we've learned to that on the hospital setting. On our duty I've learned to be patience enough to andle patients and how to apply what we've leaned in the SLE.
Baruel, Randy A.
Block A BSN 2009
Group 4
LFD
Quirino Provincial Hospital
I. Objectives:
A. General: To enhance and apply skills acquired in lecture to become a competent nurse in the near future.
B. Specific: Render necessary care to patients infirmed at Quirino Provincial Hospital.
II. Observation:
A. Self: During our duty, I felt like I'm catching everybody's attention, paricularly the patient's guardians. They tend to approach me as if I'm already a nurse like addressing me with sir, and maybe in confussion, they even call me "doc" sometimes.
B. Groupmates: Some of them are really not in shape during our first three days of duty. They do forget some of their responsibilities as a student nurse and always end up fatigued after the shift. They do so because everytime they have a procedure in line, they always happen to forget or left some of their paraphernalias which is very much needed in the procedure they are supposed to do making it very tiring for them as they return back and forth just to fetch their paraphernalias.
C. Clinical Instructor: Ma'am Nhelia oriented us before hand which in our part is very helpful to be able to familiarized with the routines in the male ward. So to you ma'am, thank you very much and we appreciate your patience to us although we do make your life a little bit messy, sometimes.
III. Learnings:
In the recent week of our rotation, I have never imagined my self to be a useful person until the time I was assigned in the female surgical ward. It was a blessing then that I had a patient's family who welcomes me with a warm heart. In return, I promised myself that I will do evrything under my power to give the care needed by my patient like helping the staff nurse during the changing of dressing and cleansing the surgical site, and even at the worst case scenario where we removed the baby's drain. I made sure that erything I had learned from our school is put to good use.
LEARNING FEEDBACK DIARY
I. OBJECTIVES:
a. General Objectives- to be able to render service and give health teachings or additional knowledge to patients of surgical and medical cases.
b. Specific Objective- to enhance my knowledge and skills in caring for a patient in male ward.
II. OBSERVATIONS:
a. Self- it was my first time to have my duty at male ward so I was so very attentive when our clinical instructor is giving the daily routines and instructions to do. I was hard in making SOAPIE so I was practicing to make SOAPIE when there is free time in times of duty.
b. Groupmates- like me, all of my groupmates are very attentive when our clinical instructor is dictating the daily routines and giving instructions. Some also of my groupmates are hard in making SOAPIE that is why sometimes were too late in endorsing our patients with the next duty.
c. Clinical Instructor- our CI is very much strict in terms of uniform and paraphernalia, in giving medications and everything that we will do to our patients, she instructed us to ask permission from her. She is good in initiating us on how to deal with patients.
III. LEARNINGS:
In that 3 consecutive days of duties, I learned a strategy from my CI, like preparing all the medications that are the same with the time in taking vital signs, so that after taking the vital signs of the patient we can already give the medications, so it is not time consuming. I learned also to make laboratory request and operating room request because my patient in that time was for “E” debridement so need to be done at operating room, and the following day after the debridement of my patient, I assisted in bathing and changing wound dressing of my patient.
Gaspar A. Bucahi
BSN III-A/Grp.II
Lorena Mamauag
Block A BSN 2009
Group 4
LFD Date:January 10-11,2008
Objectives:
A.General: To be familiarized about the routine at male ward.
B.Specific: To know what are the common medicine to be given at male ward.
OBservation/ Evaluation
A.I felt excited and little bit nervous because this is may first time to under Ma'am Nhelia Perez and male ward.
B.Groupmates:They felt nervous and felt exited. Some of them are confused what they are doing,but there is a cooperation.
C.Clinical Instructor:They say that she is strict and terror but it is the way learn the student and properly guided.
Learnings
In the area I leaned you must have a presence of mind and ative to accomplish some procedure to be done.
LFD
CATHELYN V. CORONAN
BSN3A group 4
I. OBJECTIVE
GENERAL OBJECTIVE: To acquaint my knowledge regarding routines done in the area.
SPECIFIC OBJECXTIVE: To render care with our own patient.
II. OBSERVATIONS
a.) SELF: After my staying in O.R ,I've been starting to worry and felt nervous for my next rotation which is in the male ward wherein most cases were surgical patients both male and female at any age.
b.) GROUPMATES
Most of my groupmates were also tensed like me especially during our first day of exposure but aside of that, as one group we have bonding and cooperation to one another.
c.)C.I:
Our clinical instructor i nice yet she's very strict especilly in the area regarding on checking ofour complete uniforms and parafernlias, in preparing and giving of medication and in writing on our patient's chart.She wanted us always be aware and alert regarding daily routines done in the area and she wanted also each one of us to become responsible enough in doind nursing care.
LEARNINGS
During the first day of my exposure in the area, we did not yet handled patient because our clinical instructor oriented us regarding on daily routines so that we become familiarized.She discussed also how to make a case abtsract which is one of our requirements.Through her discussion, I larned on how to do 11 gordons functional pattern which is one part ofthe study.
On the second day, each one of us given and asigned one patient but we're only responsible in doing vital signs, how to carry out doctors order from latest to previus, how to prescribe for the twentyfour hours stock of the patient, in giving medications and on how to make a sample SOAPIE chart.
On the third day,Maam Chit handled us, all of us again worried and tensed because according to some of our classmates she is more strict rather than maam Nhelia which is not true because they have only different strategies in handling the students. On this day, I learned on how to make a home meds.prescription, how to settled the bill of my patient, in removing of IV fluid and through observation, i learned on how to do blood transfussio.
Rowena D. Gallego
BSN 3A GROUP IV
Nhelia B. Perez
I. OBJECTIVE:
GENERAL:
To develop more our knowledge and skills about. nursing care
To enhance our ability to perform the task or responsibility of a health care provider.
SPECIFIC:
To render service to other people without asking anything in return
II. OBSERVATION
SELF:
I there fore observed that in every procedure, I should know what I’m doing in order to avoid malpractice and to be an effective future nurse.
GROUPMATES:
We are all 13 in the group excluding our C.I. My co group mates are well cooperative. We performed teamwork of the group by helping one another especially in toxic times. We also shared our knowledge that we know.
CLINICAL INTRUCTOR:
Our clinical instructor is ma’am NHELIA B. PEREZ. She is very responsible. She guided us every procedure that we should do. She is very strict especially in giving medication and charting but it is alright in order for us to be learned. I really appreciate and admire you a lot ma’am. Nothing compares u!!!
III.LEARNINGS:
During the first to third day of our duty at QPH, male ward, I learned something. I learned the correct order on how to carry out doctors’ order, how to make SOAPIE, how to prepare medication, and how to be an effective future nurses someday.
LFD
Cathelyn V. Coronan
BSN 3A male ward
I.OBJECTIVE
a.)GENERAL OBJECTIVE:
To gain more knowledge by doing some health care services done in our respective patient.
b.) SPECIFIC OBJECTIVE:
To render health care services to iur respective patient.
OBSERVATIONS
A.) SELF:
On my two weeks of etaying in male ward I'm still on adjusting regarding daily routines done in the area,in coordinating with the staff nurses,with my clinical instructor and to my groupmates.
A.) GROUPMATES:
My groupmates were cooperative,helping each other even in a simple things like opening or breaking of an ampule medicine.Sharing jokes even some were " toxic doing thier charting" we respect toeach other by galling one by one as maam.
S.) C.I
Our glinical instructor is spproachable, willing to teach us anything,in assisting us in giving medicatios,she wants everybody to become responsible in rendering helth csre services,to be always and alert and aware what we were doing,We learn a lot from you maam!
LEARNINGS
During my two weeks of staying in male ward, I have learned a lot in rendering prper nursing health care such as giving medications using the five rights,in some nursing procedures,and to become alert and always aware what I am doing, in writting with my patie'ns chart with correct data or informations because as long as you created error there is a corresponding demerits.
One thing more that I leaned is to become familiarized with the data of the patien before referring to a physician so that as long as they will ask a question you can answere it correctly.
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