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	<title>www.littlenars.com &#124; Dianne Peña &#187; Nurse Trainee</title>
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	<link>http://www.littlenars.com</link>
	<description>Chronicles of a Filipina Student Nurse</description>
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		<title>I learned TLC :]</title>
		<link>http://www.littlenars.com/2010/05/18/i-learned-tlc/</link>
		<comments>http://www.littlenars.com/2010/05/18/i-learned-tlc/#comments</comments>
		<pubDate>Tue, 18 May 2010 06:45:44 +0000</pubDate>
		<dc:creator>Dianne Peña</dc:creator>
				<category><![CDATA[Nurse Trainee]]></category>
		<category><![CDATA[RN Life]]></category>
		<category><![CDATA[Student Nurse's Notes]]></category>
		<category><![CDATA[Volunteer Nurse]]></category>

		<guid isPermaLink="false">http://www.littlenars.com/?p=1106</guid>
		<description><![CDATA[Just an update&#8230; Will make this very short&#8230;
I have been a volunteer nurse for almost 2 months already and I am just gonna say, I am loving it. I am not allowed to tell you where I am assigned  but it is such an honor to be where I am now.

At first I was [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Just an update&#8230; Will make this very short&#8230;</p>
<p style="text-align: justify;">I have been a volunteer nurse for almost 2 months already and I am just gonna say, I am loving it. I am not allowed to tell you where I am assigned  but it is such an honor to be where I am now.</p>
<p style="text-align: justify;">
<p style="text-align: justify;">At first I was like, <em>“What will I going to learn there?”</em> but then, as I go on duty, I am learning not on the nursing procedures etc but on how to care for the patient, how to be emphatic, how to be therapeutic and practice those 3 letters that we always say…  TLC&#8212; <strong>Tender, Love and Care…</strong></p>
<p style="text-align: justify;">I will be assigned there for 3 months and then we’ll see where will I be assigned next.</p>
<p style="text-align: justify;">P.S<br />
Where I am now is very comfortable, I receive allowance <em>(Not all volunteer nurse in Dr. Fe Del Mundo Medical Center is receiving allowance)</em> and enjoying free food. LOL :]</p>
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		<item>
		<title>Littlenars Nurse Trainee is now a Volunteer Nurse&#8230; :]</title>
		<link>http://www.littlenars.com/2010/04/26/littlenars-nurse-trainee-is-now-a-volunteer-nurse/</link>
		<comments>http://www.littlenars.com/2010/04/26/littlenars-nurse-trainee-is-now-a-volunteer-nurse/#comments</comments>
		<pubDate>Mon, 26 Apr 2010 09:41:15 +0000</pubDate>
		<dc:creator>Dianne Peña</dc:creator>
				<category><![CDATA[Clinical Rotations]]></category>
		<category><![CDATA[Hospitals]]></category>
		<category><![CDATA[Nurse Trainee]]></category>
		<category><![CDATA[Student Nurse's Notes]]></category>

		<guid isPermaLink="false">http://www.littlenars.com/?p=1091</guid>
		<description><![CDATA[They say&#8230; in the field of Nursing, it is not enough that you have memorized all the theories and nursing procedures&#8230; it’s not enough to assume and imagine&#8230; it’s not enough to watch videos and look for pictures&#8230; You have to practice and apply everything that you have learned in the actual setting and having [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">They say&#8230; in the field of Nursing, it is not enough that you have memorized all the theories and nursing procedures&#8230; it’s not enough to assume and imagine&#8230; it’s not enough to watch videos and look for pictures&#8230; 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.</p>
<p style="text-align: justify;">At Dr. Fe Del Mundo  Medical Center, I have met a lot of people&#8230; 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.</p>
<p style="text-align: justify;">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&#8230; from the smallest details to the complicated ones.</p>
<p style="text-align: justify;">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&#8230; Anyway, before I start the drama, just read my previous blog posts <a href="http://www.littlenars.com/2010/04/05/march-is-pedia-ward-month/">here</a> and<a href="http://www.littlenars.com/2010/04/05/february-is-adult-ward-month/"> here</a>.</p>
<p style="text-align: center;"><a href="http://www.littlenars.com/wp-content/uploads/2010/04/25846_426948228451_659043451_5309872_5921571_n.jpg"><img class="size-medium wp-image-1092 aligncenter" title="25846_426948228451_659043451_5309872_5921571_n" src="http://www.littlenars.com/wp-content/uploads/2010/04/25846_426948228451_659043451_5309872_5921571_n-300x225.jpg" alt="" width="300" height="225" /></a></p>
<p style="text-align: justify;">3 months is not enough but here comes Graduation&#8230; We have to bid goodbye to the hospital/ward routines&#8230; the staff nurses&#8230; MDs&#8230; Co-trainees&#8230; and my new found friends&#8230;</p>
<p style="text-align: center;"><a href="http://www.littlenars.com/wp-content/uploads/2010/04/25846_426948778451_659043451_5309898_3983945_n.jpg"><img class="size-medium wp-image-1093 aligncenter" title="25846_426948778451_659043451_5309898_3983945_n" src="http://www.littlenars.com/wp-content/uploads/2010/04/25846_426948778451_659043451_5309898_3983945_n-300x225.jpg" alt="" width="300" height="225" /></a></p>
<p style="text-align: justify;">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&#8230; LOL!</p>
<p style="text-align: center;"><a href="http://diannerized.multiply.com/photos/album/321/NOD_Club_Serene#10"><img class="aligncenter" style="border: 0pt none;" src="http://images.diannerized.multiply.com/image/1/photos/321/500x500/10/DSC00095.JPG?et=l%2CBv5s3MQb720qwTgdlAhw&amp;nmid=327566768" border="0" alt="" width="350" height="263" /></a></p>
<p style="text-align: center;"><span style="text-decoration: underline;"><em><strong>Congratulations FDM Batch 9 Trainees! God Bless Us All!</strong></em></span></p>
<p style="text-align: center;">(and Good Luck to another chapter of LittleNars&#8217; life as a Volunteer Nurse. Stay Tuned. :]])</p>
<p style="text-align: center;"><em><strong>Thank You Dr. Fe Del Mundo Medical Center for such an AWESOME experience! :]</strong></em></p>
<p style="text-align: justify;">P.S<br />
Group Outing you’re up&#8230; (I miss you Team De Panes :])</p>
<p style="text-align: center;"><a href="http://www.littlenars.com/wp-content/uploads/2010/04/25846_426960298451_659043451_5310233_1575295_n.jpg"><img class="size-medium wp-image-1095 aligncenter" title="25846_426960298451_659043451_5310233_1575295_n" src="http://www.littlenars.com/wp-content/uploads/2010/04/25846_426960298451_659043451_5310233_1575295_n-300x225.jpg" alt="" width="300" height="225" /></a></p>
<p style="text-align: center;"><a href="http://www.littlenars.com/wp-content/uploads/2010/04/25846_426969063451_659043451_5310416_2456147_n.jpg"><img class="alignnone size-medium wp-image-1094" title="25846_426969063451_659043451_5310416_2456147_n" src="http://www.littlenars.com/wp-content/uploads/2010/04/25846_426969063451_659043451_5310416_2456147_n-300x225.jpg" alt="" width="300" height="225" /></a></p>
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		</item>
		<item>
		<title>March is Pedia Ward month :]</title>
		<link>http://www.littlenars.com/2010/04/05/march-is-pedia-ward-month/</link>
		<comments>http://www.littlenars.com/2010/04/05/march-is-pedia-ward-month/#comments</comments>
		<pubDate>Mon, 05 Apr 2010 11:57:21 +0000</pubDate>
		<dc:creator>Dianne Peña</dc:creator>
				<category><![CDATA[Clinical Rotations]]></category>
		<category><![CDATA[Nurse Trainee]]></category>
		<category><![CDATA[Student Nurse's Notes]]></category>

		<guid isPermaLink="false">http://www.littlenars.com/?p=1084</guid>
		<description><![CDATA[Every end of the month, starts a new duty rotation&#8230;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 [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Every end of the month, starts a new duty rotation&#8230;March means, Hello Pediatric Ward! :]</p>
<p style="text-align: center;"><a href="http://www.littlenars.com/wp-content/uploads/2010/04/280320102019.jpg"><img class="size-medium wp-image-1085 aligncenter" title="280320102019" src="http://www.littlenars.com/wp-content/uploads/2010/04/280320102019-300x225.jpg" alt="" width="300" height="225" /></a></p>
<p style="text-align: justify;">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.</p>
<p style="text-align: justify;">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.</p>
<p style="text-align: justify;">Pedia Ward was my last rotation for my Professional Nurse Training Program at Dr. Fe Del Mundo Medical Center. I must savor each moment&#8230; What did I learn?</p>
<ul>
<li><em>I learned to do suctioning on Mouth and ET tube<br />
I practiced calculating D/Q x S<br />
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)<br />
I saw and was able to drain ileostomy for a 9 month old patient<br />
I learned that 5 year old kids are very strong (Inserting IV line)<br />
I was able to have duty at the Pediatric Intensive Care Unit<br />
I was able to familiarize myself with a syringe infusion pump (hopefully will have a chance to prepare medication and operate it)<br />
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.<br />
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.)<br />
Mothers can be very toxic than the patient itself :]<br />
In Pedia, you’ve gotta love collecting diapers and inspecting it for stool characteristics.&#8212;-Done that :]</em></li>
</ul>
<p style="text-align: left;">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.</p>
<p style="text-align: center;">
<strong>Thank You Pedia Ward!:] </strong></p>
<p style="text-align: justify;">End of March meaning&#8230;. its GRADUATION TIME :]</p>
]]></content:encoded>
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		<item>
		<title>February is Adult Ward Month :]</title>
		<link>http://www.littlenars.com/2010/04/05/february-is-adult-ward-month/</link>
		<comments>http://www.littlenars.com/2010/04/05/february-is-adult-ward-month/#comments</comments>
		<pubDate>Mon, 05 Apr 2010 10:11:41 +0000</pubDate>
		<dc:creator>Dianne Peña</dc:creator>
				<category><![CDATA[Clinical Rotations]]></category>
		<category><![CDATA[Nurse Trainee]]></category>
		<category><![CDATA[Student Nurse's Notes]]></category>

		<guid isPermaLink="false">http://www.littlenars.com/?p=1079</guid>
		<description><![CDATA[Wooah? No blogpost for the month of March? I must be very busy&#8230; 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 [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Wooah? No blogpost for the month of March? I must be very busy&#8230; or not? You be the judge :]</p>
<p style="text-align: justify;">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&#8230;</p>
<ul>
<li><em>Ironic as it may seem but my first patient was a pediatric&#8230;<br />
I learned how to drain everything that is drainable&#8212; Jackson Pratt, T-Tube, etc&#8230; (LOL.)<br />
I learned how to troubleshoot a malfunctioning IV line.<br />
I learned how to use an Infusion Pump<br />
I was able to insert an IV Catheter (for my patient and not just for completion of cases etc.)<br />
I was able to come up with a strategy in entering the patient’s room (conserving time/energy/effort)<br />
I was able to do ECG to my patient (but not interpreting it. It’s just pure nosebleed. LOL)<br />
I was able to administer chemotherapeutic drugs (but not preparing it, it’s a doctor thing to do)<br />
I was able to have a duty at the Adult Intensive Care Unit, though the patient is not that critical<br />
I was able to witness and assist in a bone marrow aspiration procedure<br />
I was able to admit a patient<br />
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)</em></li>
</ul>
<p style="text-align: center;"><a href="http://www.littlenars.com/wp-content/uploads/2010/04/jhen0238.jpg"><img class="size-medium wp-image-1081 aligncenter" title="[j][h][e][n]0238" src="http://www.littlenars.com/wp-content/uploads/2010/04/jhen0238-225x300.jpg" alt="" width="225" height="300" /></a></p>
<p style="text-align: justify;">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>
<p style="text-align: center;"><a href="http://www.littlenars.com/wp-content/uploads/2010/04/120220101904.jpg"><img class="size-medium wp-image-1080 aligncenter" title="120220101904" src="http://www.littlenars.com/wp-content/uploads/2010/04/120220101904-300x225.jpg" alt="" width="300" height="225" /></a></p>
<p style="text-align: justify;">P.S<br />
I think, I lose 2 pounds there. Haha! I love it. :]</p>
]]></content:encoded>
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		<item>
		<title>Goodbye OB ward, Hello Adult ward&#8230;</title>
		<link>http://www.littlenars.com/2010/01/31/goodbye-ob-ward-hello-adult-ward/</link>
		<comments>http://www.littlenars.com/2010/01/31/goodbye-ob-ward-hello-adult-ward/#comments</comments>
		<pubDate>Sun, 31 Jan 2010 13:19:13 +0000</pubDate>
		<dc:creator>Dianne Peña</dc:creator>
				<category><![CDATA[Nurse Trainee]]></category>
		<category><![CDATA[Student Nurse's Notes]]></category>

		<guid isPermaLink="false">http://www.littlenars.com/?p=1042</guid>
		<description><![CDATA[Today marked the last day of my exposure to OB Ward. I will surely miss the staff nurses/volunteer nurses there. I learned a lot through them. I was able to handle patients with confidence (though, need more confidence still hihi). Too bad, we just had our duty for approximately 2 weeks. Just when I was [...]]]></description>
			<content:encoded><![CDATA[<p style="text-align: justify;">Today marked the last day of my exposure to OB Ward. I will surely miss the staff nurses/volunteer nurses there. I learned a lot through them. I was able to handle patients with confidence <em>(though, need more confidence still hihi</em>). Too bad, we just had our duty for approximately 2 weeks. Just when I was getting to love everything about the ward, we were rotated to another. Or may I say&#8230; just when the ward increased its census, we were rotated to another. <img src='http://www.littlenars.com/wp-includes/images/smilies/icon_razz.gif' alt=':P' class='wp-smiley' /> </p>
<p style="text-align: justify;">You will never forget your first exposure because it is your home&#8212;where you started. I will definitely DEFINITELY miss them.</p>
<p style="text-align: justify;">
This February, I am assigned to Adult Ward. New staff nurses/volunteer nurses and patients to deal with, new environment, new routine, new learning and experience. I hope they would also be nice to us. Also, new duty mates (<em>Yes, I will miss the company of Dennis and Ibay&#8212; Wala na akong kasabay umuwi&#8230;:\</em>).</p>
<p style="text-align: center;"><strong>So help me God :]</strong></p>
<p style="text-align: center;"><strong>Hello Adult ward :]</strong></p>
<p style="text-align: justify;">P.S<br />
The case presentation of our group was OK. Good thing we were the first to present because the other groups from other wards (Adult and Pedia) were really good. Their cases were really complex. LOL! We presented about Ectopic pregnancy since we handled OB cases.</p>
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		<slash:comments>2</slash:comments>
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