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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

http://www.cldhei.edu.ph/

http://www.cldhei.edu.ph/

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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



3:45-7:00pm Bed side care, giving of due medications, taking Vital signs and sample charting


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


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THIRD WEEK

TIME ACTIVITIES


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



7:45-10:00pm Morning care, Nurse patient interaction, giving of due medications, taking Vital signs and sample charting


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


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


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




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




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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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




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



OR



NPI

2:45-3:00 Change clothes

Dismissal

SECOND WEEK

TIME Activities


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.


30

Dismissal

THIRD WEEK

TIME Activities





OR



NPI

10:00-10:45AM Break



OR



NPI


Dismissal

FOURTH WEEK

TIME Activities





OR



31

NPI

10:00-10:45AM Break



OR



NPI


Dismissal

32

Problem Solving

Process

92

Learning Derived

93

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

94

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

95

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

96

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.

97

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.

98

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

99

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.

100

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.

101

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.

102

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.

103

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

104

of our clinical instructor. This exposure also teaches me to become a

good leader to supervise my staff.

105

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

106

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.

108

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

110

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

111

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

112

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

113

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.

4f 105 docu pt1

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