Archive for the ‘Clinical Rotations’ Category

Head Nursing RLE Reaction Paper…

Friday, July 3rd, 2009

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Most of us dreams of becoming the boss of the bosses, I mean, we always envision ourselves on the top. We want to fulfill the 5th stage in Maslow’s Hierarchy of Needs, which is the Self-Actualization stage less do we know that in attaining that, we have to deal with such great responsibilities.

Experiencing the shoes of Ospital ng Maynila-Medicine Ward’s Head Nurse for 3 days made me remember one line from my favorite movie, Spider-Man that says “With great power comes great responsibility…”

Before the RLE exposure, when I hear the word “Head Nursing” from my fellow batch mates, it is always coupled with the words “TOXIC, PAPER WORKS and TOXIC” and when I was the one on duty, I proved them right. You have to prepare for your activities and you need to monitor your staff nurses all the time. Honestly, I even forgot how it is to urinate because I was busy facilitating my staff nurses. You have to comply with the paper works and you need to evaluate your staff. You are the boss and the decision always comes from you it’s like you call the shot and you are the final say. If you look at the brighter side, being the boss gives you pleasure and you don’t need to do bedside care and other “dirty” nursing procedures however, decision making is a great deal and responsibility, once you made a mistake you can ruin one’s life.

With that, I learned that being a head nurse isn’t an easy job especially if you’re working in a Government Hospital in which, there are a lot of patients and most of the time, the ideal procedures are being set aside. If I were to be a head nurse now, 1 million stacks of rice which I will still need to harvest and cook isn’t even a bit enough. Being a head nurse for 3 days with 3 male staff nurses in my team is somewhat difficult because they males usually needs a little push to do their duties and responsibilities nevertheless, they are fun to be with because they don’t have negative side comments as to what I say.

In conclusion, I had a great experience as a head nurse and I may say that it really aided in my learning though some of my expectations and objectives were not met due to some undesired circumstances. This is my last duty as a student nurse. I am quite nostalgic with it because it may take a long time for me to be able to have my duty again as a REAL staff nurse— reality speaking.

I am coming out to the real world and with me are my memories, knowledge, skills and attitude from the four years that I have been studying my chosen career— that will serve as my sword and shield in my facing my future challenges.

Geriatric Nursing Reaction Paper…

Friday, July 3rd, 2009

Old age scares a lot of people— including me. Often, they associate it with disease, degeneration and death. Less do people know that old age comes with the word “WISDOM”

What is great about nursing is that you deal with life the moment you start to breathe, the moment it takes your breath away and the moment you halt to breathe. Nursing is in every stage of life and I am very glad that I have chosen this field.

When I first learned that our concept will be about Geriatric Nursing, I became doubtful of my dealing and communicating skills. Honestly, I am not that close to my grandparents and so I don’t have the slightest idea on how to deal with them. In addition, they are not that “old” as to compare with the geriatric population in the barangay we were assigned. Most people say that I am insensitive with the things that I say or do and so, I became afraid of hurting their feelings with the questions and reactions I give to them given the fact that we are in a different generation. However, as the interview goes, I felt at ease with them when they shared things I didn’t expect them to say and so, I was touched and I was glad that I did earned their trust.

There are few but significant learning that I have gained in this rotation, First, I learned that elders are easy to please. You can easily make them happy with the simple things you do for them one of which is to LISTEN. Second, I learned that everything would run smoothly, if you have built a strong rapport with the people you will work with. Third, I realized that being a student nurse isn’t just about complying with the requirements, it is about learning by doing things from the bottom of your heart in order to serve other people. Lastly, geriatrics are still part of the community, they have special needs that we need to attend to. They should be given importance because at one point in our lives, they contributed to the life we are living right now. I mean, who says geriatrics can’t do anything right due to their old age? They possess wisdom and that if we listen to them we can’t go wrong.

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This rotation is a proof in the saying “Save the best for last…” Given the fact that this will be our last community exposure in my whole college life, I believe the group had given its best to help the community and made them happy even just for a while. Let them forget about their worries and at the same time learn on how they can maximize their health status.

Learning is a two-way process. I believe in our group’s own little way have touched the lives of the community and definitely, they have touched ours. I will never forget this rotation.

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With this rotation, I am very thankful for everything that has happened because it aided my learning not only when it comes to knowledge but also with the skills and attitude required of a beginning nurse practitioner.

—-just posting some of my reflection paper during my duty days ’cause I don’t know what to do with them anymore…LOL!:] I was thinking that I would sell my files but I’d rather not. LOL!:]

JUNE 2009 Nursing Licensure Examination Room Assignments

Friday, May 29th, 2009

The room assignments  for June 2009 Nursing Licensure Examination is now posted at the PRC website. You can download it here.

It took me a long time to download it. Hahaha! Just be patient with it.

Good luck NURSES!:]]

Course Syllabus/Outline for Nursing Licensure Exam (NLE)

Tuesday, May 12th, 2009

In my review class today, our concept is about professional adjustment. Our reviewer told us that to be able to pass the board exam, the trick is to know the specialization of the Board of Nursing because from that, you will know on where to focus in the review. He showed us the pictures of the current Board of Nursing and their specializations at the same time, he discussed their qualifications and how they made it to their positions (one of the sub-topic in Professional Adjustment).

Our reviewer told us to visit the website of the Board of Nursing and download the course outline/syllabus of the Nursing Licensure Exam. Less do people know that there is such thing. As I visit the site, I noticed that from the thousands of people who will be taking the Nursing Board Exam, there are only 1000 hits in that particular downloadable file.

I would also like to share it with you and I hope that this will help you in passing the Nursing Board Exam and not only to pass but to top it.

Good Luck and God Bless!!!

Please click here for the downloadable file in MS Word format.

If it doesnt work, please click here.

Malapit na ang katapusan…

Friday, March 27th, 2009

Unti-unti ko nang nararamdaman ang katapusan…

Naunang naranasan ang last day sa apat na sulok ng isang classroom sa LB…

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Pangalawa ang katapusan ng pagduduty bilang student nars sa pasilidad ng Ospital ng Maynila…

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Ginugol ng maraming oras, pera, pawis, pagod, puyat at dugo sa paggawa ng isang thesis na ilang beses iyak ng dugo sa dami ng mali…

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Isama mo na ang pagtaasan ng kilay, tagisan ng talino at di paguunawaan sa grupo…

Sa wakas, natapos na din ang nakakatusta ng neurons na Nursing Research…

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Nalagpasan ang intracranial hemorrhage na defense at nagBT (Blood Transfusion) pagkatapos…

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Hindi nagtagal, sa dinamidami ng mga nagreklamo dahil sa dami ng minus sa pagchecheck ng scantron machine, matapos ang tatlong nakakataas ng ICP (Intracranial Pressure) na pagsusulit, natapos na din ang Nursing Audit…

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Madaming nalungkot, nabwisit, nadismaya at na-High Blood sa naging resulta nito…

Pero madami din ang parang naka-Amphetamine sa tuwa dahil naihulog na nila ang napakabigat na bola ng Victometer… Infairness, naka60% tayo don mga kapatid. Ang hirap kaya….

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Isama mo na din ang Pre-Board na kahit hindi kasama sa grades ay tiyak na magkakaroon ka ng Body Malaise…

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Natapos na ang final coaching… (kahit na nauna ang pre-board hehehe)

Isabay mo na ang huling party sa FEU Quadrangle na tinatawag na IN Send Off Party ’09…

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Maraming naka-metallic na damit, madaming flash ng camera, madaming maniningning na mga ngiti…

Pero sa loob loob ng bawat isa… “Hay, huli na ito… gagraduate na tayo…”

Sa loob loob ko… “Syet, UNEMPLOYED nako. hahahah!”

Nakakapangilabot…

Pero ang pinakanakakakilabot sa lahat ay ang….

HABA NG PILA SA IN-FACULTY ROOM…

Haaayyyy….

Hindi tuloy ako nasasabik sa graduation o pinning…

Ito na lang ang huling iniintindi ko…

at

Malamang kayo din…

Galingan natin mga kapatid…

Matatapos din to…

GOOD LUCK…:]]

My EPIC FAIL year-ender post PART II

Wednesday, December 31st, 2008

My 2008, a combination of my FIRSTS and ACCOMPLISHMENTS:

I started blogging again
and attending blogging events
I stayed single for the whole year
The birth of Littlenars.com
and also Sosickoftaxi.com
I got my new fone
I completed my OR Cases
and also my DR Cases
I have read 13 novels
I have partied to 6 different bars
I have been to 5 different places last summer vacation
I have solved the rubik’s cube
I have stayed awake for 29 straight hours (during duty)
I experienced 16 hours of straight duty and then the next day
I felt like a border in my own house
I started to go to malls by myself
I started to wear dress and mini shorts (LOL!)
I went to a Spa
I’ve witnessed on how to make a book
I’ve seen a heart, brain, intestine, uterus, gallbladder and appendix (and hemorrhoids too… LOL!)
I’ve scrubbed in and assisted for a major operation
and also for a minor operation like a real staff nurse
I’ve set-up a sterile field on my own (LOL!)
I’ve went to a wet market to buy for the ingredients of our food
then cook it with the help of my classmate
I’ve survived at sleeping without a bed and an electric fan for days
I’ve danced with the tune of Low and Soulja Boy
I’ve been punk’d by our reviewer (Sir Asuncion. LOL!)
I’ve been reviewing for the board exam (Nursing Audit)
I killed a dummy… LOL!
I learned how to do CPR (but I am not yet certified)
I have an encounter with mental patients

I became an official Red Cross Youth Collegiate Council member
I have kept 2 secrets then when it was brought up…
I became innocent when I knew it all along
I’ve visited a friend in a hospital
I’ve attended UP Fair and UST Paskuhan
I gained weight. pffft!
I felt I AM NOT YET READY TO GRADUATE
I got my long loved Parker mechanical pencil (courtesy of Lyne)
I started to love LRT line 1 (LOL!)
I “was” always late
I performed a declamation… (oh meeenn…)
I got new group mates
and sets of friends
I grew my hair long
and I got a new haircut (I hate it now.. I hate my hair arrggghhh…)
I learned Adobe Photoshop
I don’t watch T.V anymore (auuhhhh….:[)
I got my eyelash extension
and it’s gone now… LOL!
I haven’t completed the Simbang Gabi
I finally have my own cork board (to-do board)
I have taken care of patients in the I.C.U
I bought the Nike bag on my Christmas wish
I have started to do my pedicure…
I got the worst Atopic Dermatitis attack last summer
and it was solved by Virgin Coconut Oil (eeewww.. hahaha)
My 2 cousins are already in states
and we don’t have a New Year’s Reunion today (this sucks. arrrggghhh)
I got my _________ hahahaha! (secret!)
I met Judy Ann Santos… LOL!
I have not been thrifty this year (which I formerly am)
and I even declared Bankruptcy (LOL!)
“Bebe Gerl and Bebe Boy” expressions
and even “Traidor” (which my group only understands--- courtesy of Llanah)
I got myself into 4 exchange gifts… hahaha!
“Nakakaloka…”--- my word for the year
I’ve been addicted to Boys Night Out (Magic 89.9)
even loved Sam YG’s voice LOL!
“Per-for-mance” and “Ding ding ding ding… they’re watching” expressions at VINES
I learned to walk fast--- REAL fast
I started to attend St. Jude Novenas ---AGAIN.
My younger sister is NOW taller than me (huhuhu :[)
I have worn an N95 mask for a duty
I have been wearing FEU’s NEW traveling suit
and I almost lost mine (I interchanged it with my groupmate)

I have the MOST number of overnights this year

I passed my speech class (so controversial...LOL!)
My old “tambayan” closed already (sad…:[)
I started to like spicy foods…
Me and my family frequently go out to eat and chill (I looove it)
I started to give out my number to others
and not reply to them (bad me. hahah!)
I started my last semester at FEU (waaaahhh… can’t believe it)
and next year I am gonna be unemployed
(now that sucks. LOL!)

Oh well… it’s time to change calendar…
So long 2008…
Welcome 2009!!!
(and you better be a good one…:]])

Happy New Year Everyone!!!

P.S
New year message to be posted later.
Have to think of it again.
hehehe. BRB.

Status Symbols in FEU-Institute of Nursing (littlenars’ view)

Monday, December 29th, 2008

What are status symbols?

It is something that make you distinct from any other. It is like when you have it, you belong to that certain group. It is an identity for a certain group of people whether it is your profession, organization, school, etc…

In simpler term it’s what makes you say “Ahhh… ganito yan… ahhhh… ganito siya…” . One concrete example is “Ahh… emo yan!” hahaha!

B.S Nursing has this status symbol with them depending on their batch…

As far as I know, FEU-Institute of Nursing has its own also:

1. IN patch

When I was on my 1st year, we were on enrolled with OGEC (I forgot what it means, all I know is it’s a general curriculum implemented when I was in first year) so I am a nursing student but I don’t have the IN patch. I was jealous back then to my ates and kuyas who were 3rd-4th year. Then, when I was in 2nd year, I was wearing my AHSE patch and still jealous, now that I am on my level IV, I am proud to be wearing my IN patch. In FEU, it’s like you are not considered a “real” nursing student because of the patch. LOL!

Now, with the new curriculum, Level I are now wearing the IN patch and our batch was like “ANG DAYA” anyway, the still have to go through battery exam too (that’s fair enough).

Just an update, some change their patch so that they could violate some of the IN rules and not getting caught. LOL!

2. CHN Bag (Community Health Nursing Bag) AKA PHN bag and OB Bag (Tool Box during duties)

When I was in Level II, I am so excited on carrying this bag. In fact, when I start carrying this bag, my family and friends also started to call me “Little Nurse”. However, when I am carrying this bag, it comes with the word “TOXICITY” because that time, we were bombarded with the dreaded return demonstrations and community organizing activities (not to mention the big and long black umbrella we are required to bring to fight stray dogs.. pfft.). We are also obliged to carry it waist level.

Up until now, I bring my CHN bag during community duties and other field nursing exposures. The funny part there was during community, we place our baons inside it, which is a MORTAL sin. Bwahaha!

Our CHN bag is old-fashioned and I envy the CHN bag now where I can see the first and 2nd year students are now using. It’s like a buddy bag with an FEU logo and you don’t need to carry it waist level all the time.

When you go to 3rd year, you may notice that the bag students are carrying are not bags anymore, rather, it is a plastic transparent tool box which contains paraphernalia for hospital use. It’s cute and handy with different colors. I wish I had those but I haven’t (usually, this bag is for group use already…LOL!)

3. Clinical Uniform

In FEU, you are only allowed to where this uniform if you are already a 3rd year student and so it’s a BIG deal if you are wearing one. (Plus the fact that the lower years are looking at you with amazement. LOL!)

It’s not easy wearing an all white uniform, you need to bun your hair and wear your nursing cap but then again, not only you look good wearing this uniform (for years that I’ve been observing, guys who wear clinical uniforms have this” x-factor” as compared to just wearing their campus uniform…LOL!) but it gives you pleasure— “ANGAS” as I may say.

4. IN Lanyard (ID Tag)

What separates FEU-Institute of Nursing from FEU’s other courses is that we have our own lanyard. I believe this rooted from the FIFA Lanyards almost everyone was wearing a year ago. Then, came the “Unibersidad” Lanyards. (Actually, I bought one) and then now, lanyards from different colleges of each universities.

It is limited edition and mostly (as from what I observed), it is worn by Level III and IV students as well as the faculties of the Institute of Nursing.

5. Name Plate

When I was in 1st year, I am so excited to have my name plate because it gives you distinction that you are a nursing student. In FEU, the first time you will have your name plate is when you are in your 2nd year .But with the new curriculum, I don’t know if 1st years already have their nameplates (I bet none as from what I can see…)

You will only have to change colors of nameplates twice, during 2nd and 3rd year. You will use that until you graduate so you take good care of it.

The colors of the nameplate depends on the previous batch “MANA-MANA” as we would say. I have always wanted a nameplate, which is colored green as the background and gold for the text however, our batch got the Silver background and Blue text and during our 2nd year, we got the black background and silver text, which the present 2nd years are now using.

Just an update, now, I rarely use my nameplate. LOL!

The newest addition to it is the…

Nursing Audit Logbook (with 3-5-90 at the cover page)

Why? This means that you are a 4th year and studying for the board exam. Plus the fact that you designed your own as to how you are going to be inspired and motivated no matter how that is. LOL! Most of us just carry this because no bag could fit to it. pffft. LOL!

P.S I always bring with me my logbook though I am not reading it, it makes me feel I have rlready reviewed for my exams. LOL!

These are just based on my observations. No offense to others…

PEACE!!!

Going crazy over FEU-IN’s Uniforms

Monday, December 29th, 2008

Some of my friends ask me of what is my schedule at school… one word to describe it is “MAGULO” then I would forward them my schedule this coming January and then they will just say “MAGULO NGA”… I even printed a calendar with spaces so I could write my activities in it and won’t get lost. It is now posted at my “to-do” board.

With that, I am having troubles with my uniforms. I usually post the schedule of my uniforms at our refrigerator so that our laundry helper will not get confused as to what I am going to wear every day. I write the schedule per week depending on where I am assigned during duties.

My mom always gets toxic with my uniforms. (Yeah, I don’t do my uniforms… LOL!)

To give you a glimpse of THE FEU-Institute of Nursing uniforms… Here are they:

1. Campus Uniform- To be worn during lecture classes and whenever you are in the campus with whatever transaction you are going to make… (Yup, I am wearing this until now… my lola would tease me and say “hindi ka pa din ba graduate sa ganyang uniform?”)

Actually, there are new set of campus uniform in FEU (white blouse and moss green skirt) and our batch is the last to wear this old “highschool-ish” uniform as they would say.

2. Clinical Uniform- To be worn during hospital duties and hospital orientations ONLY. It is our all white uniform.

3. RLE Uniform- To be worn during health center duties and skills laboratory ONLY. It is a white uniform paired with black shoes and skin tone stockings.

4. Community Uniform- To be worn during field nursing example (occupational, school, geriatric, psychiatric nursing) and community set-up. (I wear this during e-learnings and group meetings…LOL!)

5. P.E Uniform- Obviously, to be worn during P.E Class ONLY (I am not wearing this already, I have taken all my P.E courses already) — at times I wear this when I go to school for transactions and group meetings. There is a new set of P.E uniforms already.

6. Scrub Suit (with Cap, Mask and Smock Gown)- to be worn during Operating Room and Delivery Room exposure. The newest is when we are assigned to VINES.

The Newest addition and the Most controversial of them all…

The Travelling Suit (which is Green)- we are obliged to wear this all the time when we are on our clinical uniform and remove it upon our arrival at the hospital we are assigned to.

Why controversial? Because as we all know, the original of this suit in the U-Belt is CEU. Every time we had a cross encounter with CEU students, they would really look at us from head to toe. LOL!

Aside from our title “Walking Table Cloths” we are now branded as “The Walking Cabbages” Funny right? LOL!

It’s OK. I know I’ll be missing these uniforms and I’ll just wear it with proud and dignity.

Hey! I am a Tamaraw Nurse…:]]

P.S
No wonder I am having a hard time organizing my uniforms right?:]

My last semester at FEU starts…

Saturday, November 29th, 2008

For the long hiatus at blogging, here are my rationales… (LOL!)

It was November 3, 2008 when I started my last semester as a college student (awww…). You may have noticed that I haven’t blogged the things that I should have blogged about for the reason(s) that:

• November 3, 2008 was the start of my duty at Medical Center Parañaque. My shift was from 1 PM to 11 PM; imagine the long travel from Monumento (Caloocan City) to Parañaque… My clinical instructor really let us home at exactly 11 PM (whew!). I was assigned at the ICU and Hemodialysis room.

I also had our “last” general orientation in the morning. The subjects, rules and regulations were discussed to us. Our professors were also introduced to us. The dean leave us an inspiring message to strive hard with our Nursing Audit (In-House Review as others would call it) in which our battle cry is 3-5-90! (I better get reviewing…LOL!)

• November 6, 2008 was the start of my Nursing Leadership and Management lecture (NCM 104), in which our time is from 7 AM to 5PM with only one professor… (you guess how’s that…LOL!)

• November 8, I had my first Nursing Audit (NCM 105) review with Mr. Emerson Aliswag. Our concept was about Communicable Diseases. We only had two (2) meetings with him, it was short but I really learned A LOOOOOT! He’s one heck of a reviewer. No dull moments and his strategies were superbly effective. *applause*

• November 10, 2008 was the start of my second clinical rotation at Legarda Elementary School. I experienced being a school nurse (well, not really because of conflicting schedule). Instead, we were bombarded with paper works such as project proposals, daily action plan and accomplishment reports. Actually, its not hard to do those, what’s hard is that we have plenty of data gaps and we we’re bound to assume (the mortal sin of NURSING). Nevertheless, our clinical instructor Ms. Edina Jacob was cool and so it was compensated…LOL!

• November 24, 2008 was the start of my third clinical rotation at C&E Publishing in Baesa, Quezon City. It is on-going until next week so hopefully, I will experience to be an Occupational Health Nurse. We had a trip at their work place and the book process was discussed to us. We were given the chance to observe how the book is being done and our task is to be vigilant and keen as to the health hazards present in their work.

• In between those days, my group and I are busy doing our thesis about the Effectiveness of Stress Relief Balls in reducing the test anxiety among students in a selected school of nursing. Actually, we’re planning to do our pilot study next week so, Good Luck to us. Here’s our research pictures… LOL!

coffee bean @ trinoma after doing research...

coffee bean @ trinoma after doing research...


monopoly @ my crib while doing research...

monopoly @ my crib while doing research...

starbucks midtown after national library...

starbucks midtown after national library...

I am only at school for just three (3) weeks but it felt like I am on the half of my semester. I still can’t believe that I am on my senior year and this is my last semester. I am now anxious as to what will happen next. At times, I feel the pressure but then again, it must not hinder me, instead, do what ever it is to meet my goal and make my family proud.

P.S

My extra-curriculars are still not included in those reasons but one thing’s for sure; it didn’t allow me to blog for a long time. How I miss blogging! However, the great part is, I am busy but I can still attend to blogger events. LOL

To my batchmates… Luciat Vex Lustra! Let your light shine! 3-5-90!!!

Killing time at OR and DR…

Monday, October 20th, 2008

What to do when you wait for Operating Room and Delivery Room Cases at the wee hours of the night—or morning should I say?

playing BLUFF

playing BLUFF

Roe, Playing Jackstone LOL!

Roe, PLaying Jackstone LOL!

playing pick-up sticks

playing pick-up sticks

after playing Hi Jack...

after playing Hi Jack...

I know, it’s illegal but what can we do right? We could sleep but some of us, including me can’t sleep properly…

Lyne, mastering her skills at sleeping... LOL!

Lyne, mastering her skills at sleeping... LOL!

as well as Llanah...=p

as well as Llanah...=p

For the third time, our group was assigned at Rizal Provincial Hospital only this time, we are at the OR/DR. During this rotation, (sad but true) was my first time at really performing the “handle”— the one who will catch the head of the baby and deliver the placenta. Though, I haven’t got the chance to catch the head because I don’t know what to do and the baby’s head was already out, I was the one who delivered the placenta. It was easy though the gush of blood stained by OR shoes and scrub suit. Waaaah!!! Nevertheless, it was a great experience. At least, I experienced that before I graduate…=p

with our clinical instructor

with our clinical instructor

Another thing was, our group experienced our first mortality. Though, it really wasn’t our fault and the hospital itself, the baby was delivered dead already. It’s a condition called Intrauterine Fetal Death wherein the baby died inside the mother’s womb. It’s really heart-breaking to see the baby violet-colored, cold, unresponsive. He was just covered with white cloth on his side, lying in his own arms. I want him revived but there’s no resuscitation done because he was already dead probably hours before his delivery. My other group mate even cried. It was really sad.

During my DR completion last summer, I was able to observe a baby being resuscitated for almost 15 minutes because I will do the cord care. My heart stop as well as my breathing because the baby has no reaction to stimuli. Good thing, with constant compression, hyperventilating and suctioning, the baby was revived. As soon as he was revived, my breathing resumed and my heart started to pump.

I don’t want to see a baby dying as much as possible. I want them to live. After killing the baby during our VINES exposure, I’ll definitely make it good!

P.S: Pleasssseee… don’t tell this to the authority… or else… we’ll bite you and kill you with our venom ’cause we’re a PAITON snake (one of my group mate’s surname)… LOL!

.....hisssssssss.....

.....hisssssssss.....