Archive for the ‘Clinical Rotations’ Category

Excerpts of my UPOU MAN November, December, January, February diary entries…

Friday, March 15th, 2013

What LittleNars did during blog hiatus…

Just to give you an update regarding my master of arts in nursing studies at University of the Philippines Open University…

This semester was a series of ups and downs… I want to give you some excerpts of my monthly diary since the start of the semester just to give you a glimpse of what I was doing the whole time I am not blogging…

November

Work is also demanding, our hospital census was also high and I always come home with exhaustion. I wasn’t able to follow the submission dates in my learning contract and I am a week late again for the journal review and patient symptomatology, it is a bit frustrating, I must hurry but I don’t want to submit work without quality, I am taking my time… one step at a time (but not so much.) I say, PUSH.

December

The semester is very short for the demands of the subject. I mean, how could you possibly submit requirements weekly, do your work, be a friend, a partner, daughter, sister and more all at the same time without fail… I must be a superhuman if so… Another week has passed and the work is piling up. December really is a “toxic” month especially that it is the holiday season. Still, I will not give up and will fight stress. May God give me the strength and wisdom to fulfill all these.

I must admit, I gave in to my social life and neglected my studies. This is also a week of me having thoughts and was on the verge of dropping out because it seems that I cannot cope up with the requirements, the works seems to be eating me alive when I think of it. I cannot sleep or concentrate very well. I think of school despite of those party times with friends and family

My classmates were also planning of dropping out and some dropped out already. I was very down and confused. As I reflected and thought of it, with the help of my mom’s advice, prayers to God and encouragement of my friends, I realized that it is not in my personality to give up easily. I am almost there… On the other note, I am also thinking of the money and time I will waste if I decided to drop this course and so… I did not and here I am now, cramming and bouncing back up again towards finishing my masters.

Christmas is just around the corner and I am still here swarming with readings and paper works. Nevertheless, I accept it because this is what I wanted and this is where I wanted to be.

January

It was like, I froze in doing what I needed to do. I was exhausted yet again. I was emotional at the start of the year with having a baggage to bring from year 2012. It was not a good start for me because I was really questioning myself to a point of regretting what I started, which is of course taking this masters degree. I mean, this feeling is expected especially when you are in a lot of pressure with all the aspect of your life and thinking that you are still young (23 years old) and you should be having fun instead of being serious about studying once again, I mean? I just got out of school. That mentality made me paralyzed and I hope the coming week would give me some motivation and hopefully find my eager and productive self once again.

On the other side, it seems to me that no matter what pressure and constant reminding of others and my own self, I seem to work slower and feel more demotivated. I don’t know what’s happening but I seriously want to finish this. I told myself to take one baby step at a time, as long as I am accomplishing something I am doing something to finish all these requirements.

I don’t know if you experienced it, but I am always in a dilemma of opening my laptop and staring at a blank word document for hours because I don’t know how to start and where to start with all the needed things to do. I am starting to get a feeling that every diary entry is a rant for the things to do rather the things to accomplish and I am sorry with that.

February

For all the requirements, I felt that two weeks is short. I hope we all can finish everything and I am already looking forward to that. Our meeting ended at 6:30PM, that was how long we discussed and brainstormed. It was draining because we have our own requirements to make and we also have to be as a team to be able to finish other requirements. I am worried but I promised myself that I will not end the last practicum experience without accomplishing everything.

The true beauty of this profession is seeing your patients get well after having been admitted for a long time that you thought they won’t surpass their health’s decline. When you see them appreciate you and commended you for your good and competent work, that is when you feel rewarded personally and professionally. We, nurses know for a fact that our profession doesn’t have a great pay but it’s the patient’s good feedback that counts the most.

This week is a busy week. I honestly don’t know if I can finish this all in 2 weeks and I only got 1 week left. I just got to trust God and myself in fulfilling this endeavour for all I know, everything that is gained through hard work has a good outcome if not now but in the near future.

Health is ever changing. It is very complex as the person, family or community we care for. We as nurses should also take part in continuing education endeavors. What I really appreciate in this practicum is to how I can identify the difference in our institution/hospital versus the culture at UP-PGH as well as the UPCN.

Old routine can be proven ineffective nowadays through related studies. Since we are in a private hospital, we should possess and implement excellent and ideal nursing care to our patients. We would like for patients to come back because of good nursing and medical management right? And not only for the facilities and machines.

I realized that it is not easy to be a teacher especially that you are dealing with the life and the future of the students. You need to be an expert in your own specialty and possess the right way of dealing with the students. You not only to be knowledgeable with the curriculum available but also knowledgeable to make one and implement one according to the standards. I also learned about self-discovery learning. I was so used to “spoon feeding” method of learning even though we were already in college. I just learned to acquire it when I enrolled at UPOU.

All my objectives were met and I am glad that duty days are over. We will all go back to our normal lives as an overworked and underpaid staff nurse. I will surely miss this and the company of my classmates… now friends! Let’s get this requirements finished PRONTO!

The above are fragments of my weekly diary entries as a requirement for the semester. They are not really meant to be related as it is shown in this blog post. Pardon for those who became confused.

I would like to thank Dean Araceli Balabagno, Professor Rita Ramos and Professor Ina Ragotero for all the knowledge, continuous follow-up and the opportunity of learning. We couldn’t have reached this point without you. I will forever be grateful.

Dear readers, sorry for so much drama. This was indeed a very emotional semester in my UPOU life.

What to expect during UP-PGH Clinical Practicum for UPOU-MAN

Sunday, November 4th, 2012

I have experienced 3 clinical practicums for the completion of my requirements during the previous semesters of my UPOU-MAN AHN study… That was for Adult Health Nursing, Cardiovascular Nursing and Oncology Nursing.

We had 3-4days clinical practicums for each courses and the area depends on the course you are taking. I had the privilege to do clinicals at Burn unit, Trauma Ward, Central ICU (CENICU) and the Cancer Institute.

To tell you honestly, its not the same as our undergrad duties wherein our clinical instructors will be with you 24/7. Since we are already professionals and “post grad students” we are expected to learn in our own pace. Do our required outputs, observe and whatnots independently. In short, there is no spoon feeding at UPOU.

Some instructors will allow you to do anything, some will just let you observe (which is boring for me). There is also a required skill to be performed like 10 ECG cases and interpretations (Adult Health majors) and Pap smear cases (for Maternal And Child Majors) those were just some…

So what do we bring during practicum?

The usuals, our clinical paraphernalias during the undergrad years, notebook, clean sheets of short bond paper for journal writing and other required output… Head Cap, gloves and face mask (just in case there will be procedures you need to do/experience)… Scrub suits and inside slippers/shoes for special areas. During my time, we were not required as to the color of our scrubs but recently, some groups were required to bring powder blue colored scrubs. Last but not the least, bring your UPOU ID and white smock gown (preferably with UPOU Logo and your name embroidered on the upper left side… Mine doesn’t have though. Haha)… Checklists/guide and other reference materials for data gathering and physical assessment for your case study is also a must…

For library works, I am sure you will have one, you can bring your laptop… cellphone cameras will come in handy for the books that are not allowed to bring out for photocopying…

Bring candies, water and small snacks you might not have long breaks. Cameras for documentation purposes… 🙂

Most common requirements to be submitted?

Daily objectives
Daily journals (Research article, related to your case study or research critique)
Daily nursing care plan
Diary to be submitted every day
Your accomplished output depending on your daily objectives (Patient history, physical assessment, teaching plan…)
Group works always have a seminar proposal output by the end of the practicum
Case presentation is expected at the end of the practicum though just a short draft of the case of your patient

The most dreaded part is the case portfolio wherein it is considered as your final output. It is a compilation of your case study and your whole clinical practicum experience for the semester… It is to be submitted 2 weeks after your clinical practicum. (Tip: Pick the earlier date for your practicum so you’ll have an ample time to complete your requirements…)

The best of all those clinical practicums is the chance to meet your virtual classmates and learn with them physically. You get the chance to bond with them and learn from their experiences too. As they always say, you will not survive UPOU without the help of your classmates not only academically, but also in motivating you to continue and finish the degree. It is the staying power that is important. To be able to surpass all the requirements, exams and the pressure this post graduate study brings.

I am now on my Intensive. The second to the last semester before comprehensive and thesis making… I, honestly cannot be where I am without the help of my classmates turned friends. Thanks guys!

Good luck for those who will have their clinical practicum! Cheers!

Littlenars Nurse Trainee is now a Volunteer Nurse… :]

Monday, April 26th, 2010

They say… in the field of Nursing, it is not enough that you have memorized all the theories and nursing procedures… it’s not enough to assume and imagine… it’s not enough to watch videos and look for pictures… You have to practice and apply everything that you have learned in the actual setting and having my Professional Nurse Training Program at Dr. Fe Del Mundo Medical Center enabled me to do so.

At Dr. Fe Del Mundo Medical Center, I have met a lot of people… I have expanded my network of friends and colleagues. Through them, I was able to hone my skills and realized that theory is very much different from the actual setting. I know I sound a little negative but that is reality. You will never learn just by books. You really have to go to a hospital and practice on how to be a NURSE.

In books, they don’t tell you on how to deal with patient’s questions, complaints, requests, violent behaviours etc but in the hospital, you will learn the style or shall I say the ART of Nursing… from the smallest details to the complicated ones.

Having my training for 3 months, I was able to appreciate everything that I have learned for 4 years at my nursing school. I gained confidence though at times I question myself… Anyway, before I start the drama, just read my previous blog posts here and here.

3 months is not enough but here comes Graduation… We have to bid goodbye to the hospital/ward routines… the staff nurses… MDs… Co-trainees… and my new found friends…

During our graduation, certificates were given and the top trainees of our batch will be promoted as Volunteer Nurses AKA Junior Staff Nurses (Wooaah?) and luckily out of 40 trainees (I think?) I was one of the chosen ones… LOL!

Congratulations FDM Batch 9 Trainees! God Bless Us All!

(and Good Luck to another chapter of LittleNars’ life as a Volunteer Nurse. Stay Tuned. :]])

Thank You Dr. Fe Del Mundo Medical Center for such an AWESOME experience! :]

P.S
Group Outing you’re up… (I miss you Team De Panes :])

March is Pedia Ward month :]

Monday, April 5th, 2010

Every end of the month, starts a new duty rotation…March means, Hello Pediatric Ward! :]

Pediatric ward was very much different from the Adult Ward though they both are a very busy area of the hospital. For an obvious reason that they cater different patients with different needs. Pedia Ward is the largest area in the hospital since it is the former, Children’s Medical Center. It consists of 3 wings, Floral, Middle and Medical Service wing. Plus, the fact that they also have, Pediatric Intensive Care Unit.

During my first week at Pedia Ward, I was having difficulty in adjusting because they have different manner in endorsing since they have 3 wings, they have several Pediatric Resident on Duty and very strict Input and Output monitoring. Good thing as weeks pass, I was able to establish homeostasis and I was able to go on my duty with ease and confidence.

Pedia Ward was my last rotation for my Professional Nurse Training Program at Dr. Fe Del Mundo Medical Center. I must savor each moment… What did I learn?

  • I learned to do suctioning on Mouth and ET tube
    I practiced calculating D/Q x S
    I was able to do Blood Transfusion with or without Infusion Pump (And I learned that Infusion Pump is the bomb. Haha Wish all the patients has it)
    I saw and was able to drain ileostomy for a 9 month old patient
    I learned that 5 year old kids are very strong (Inserting IV line)
    I was able to have duty at the Pediatric Intensive Care Unit
    I was able to familiarize myself with a syringe infusion pump (hopefully will have a chance to prepare medication and operate it)
    I learned that IV Fluids in Pediatrics are very positional. You have to check it every now and then cause if not, you’re delayed and then screwed.
    VS in Pedia can be very complicated. Urgggh. (The moment they see a person in white, they will start to cry. Thank You So Much.)
    Mothers can be very toxic than the patient itself :]
    In Pedia, you’ve gotta love collecting diapers and inspecting it for stool characteristics.—-Done that :]

Since Pedia is the busiest ward and my last rotation, I realized that I am a Benign Nurse coz whenever I have my off, the ward has a lot of patients then when I came back, most of the patients were already discharged.

Thank You Pedia Ward!:]

End of March meaning…. its GRADUATION TIME :]

February is Adult Ward Month :]

Monday, April 5th, 2010

Wooah? No blogpost for the month of March? I must be very busy… or not? You be the judge :]

February is the Adult Ward month. There, I have met the most makulet, kwela and friendly staff nurses and Volunteer nurses at Dr. Fe Del Mundo Medical Center (well, at least for me :]) I have learned a lot, I have met different cases of patients that tested my knowledge, skills and attitude (niiiice :]). There, I was able to meet doctors that are willing to teach us and answer us if we have questions regarding the care for our patients. Being a nurse trainee for two months already, build up my confidence in dealing with patients and conversing with other health care team and hospital workers. I gained a lot of friends and acquaintances. Recalling my adult ward experiences…

  • Ironic as it may seem but my first patient was a pediatric…
    I learned how to drain everything that is drainable— Jackson Pratt, T-Tube, etc… (LOL.)
    I learned how to troubleshoot a malfunctioning IV line.
    I learned how to use an Infusion Pump
    I was able to insert an IV Catheter (for my patient and not just for completion of cases etc.)
    I was able to come up with a strategy in entering the patient’s room (conserving time/energy/effort)
    I was able to do ECG to my patient (but not interpreting it. It’s just pure nosebleed. LOL)
    I was able to administer chemotherapeutic drugs (but not preparing it, it’s a doctor thing to do)
    I was able to have a duty at the Adult Intensive Care Unit, though the patient is not that critical
    I was able to witness and assist in a bone marrow aspiration procedure
    I was able to admit a patient
    My achievement so far, I was able to assist my patient to the lobby via wheelchair that is bigger than me without assistance (I was afraid I might put my patient in danger. Haha)

I cannot enumerate everything but to sum it all up, my 12-hour duty at Adult Ward is very worth it and if given the chance, I would love to have my duty there again. Thank You ADULT WARD :]

P.S
I think, I lose 2 pounds there. Haha! I love it. :]

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