Sie sind auf Seite 1von 4

I.

ACTIVITIES:

Having barely made it through our sixth month at the Rural Health Unit, I was amazed at how relieved I felt to return to the familiarity of daily activities in the facility. The group moved through each day with greater ease than I had anticipated. Every morning I started off early, taking on journeys that will help me understand that true knowledge comes only from experience. I can still vividly remember how busy we were during the first Tuesday of this month for the reason that every first Tuesday is devoted for diabetic patients. Good thing we were able to finish that off, thanks to the members of Batch 3 RNheals. Moreover, the elderlies were vaccinated against pneumonia. The group attends to injured patients by dressing and cleaning the wound, and gives TT and/or ATS injections whenever necessary. Others say that almost every single day in the facility is one and the same but in my opinion, no two days are alike. It is how you will make each day different than the previous.

II.

LEARNING / INSIGHTS:

My first impression of Magdalena was the absence of commercialism but I embraced myassignment in this town. With this assignment the group had the chance to observe a fetus in a transverse lie. The midwife reiterated ways to interpret the VVM labels. I learned that this gives a visual indication of whether the vaccine has been kept at a right temperature which is vital to preserve its potency. Furthermore, this training provides me with knowledge and experience that I can use for my family and the community. I like being in a profession that helps people and I hope that I will make a real difference in peoples lives every day.

III. ISSUES / CONCERNS: I remember a politician on television said, Good health and education is a way out of poverty. According to him this results in a greater sense of well-being and contributes to increased social and economic productivity. We all know that access is the major issue in rural health but as far as I can see the health department is doing its best to reach out to the whole community specially the poor.

III.

RECOMMENDATIONS:

With the concentration of poverty and low health status in rural areas, the health departmentshould develop a specific focus on rural health. I think it is time that the government creates additionalprograms for the benefit of the underprivileged. I..Activities: Center for Health Development and Provincial Health Office Orientation at BatangasCity>Discussions about the President Aquinos health agenda; the KP ( KalusugangPangkalahatan.>Emphasized the 4Ps (Pantawid Pamilyang Pilipino Program) towards uplifting thestatus of the poorest Filipino families.>Introduced the overview of the updated rules and regulations of Philhealth.> O r i e n t e d t o p e r f o r m p r o f i l i n g f o r c o n t i n u o u s h e a l t h c a r e t o N H T S ( N a t i o n a l Ho usehold Target System) Rural Health Unit- March 29-30M a r c h 2 9 > M e e t i n g w i t h t h e c h i e f n u r s e f o r a s s i g n m e n t o f b a r a n g a y t h a t b e l o n g s t o 4 P s beneficiaries. These are Barangay 9, San Juan, Duhatan and Patugo.>Establishing rapport to gain the trust of the patient.>Performing physical assessment relevant for patients case.>Execution of intramuscular injection of tetanus toxoid and anti-tetanus serum topatients who had punctured and lacerated wound cases.March 30 >Courtesy call with the municipal mayor and he assured to strengthen the mediumof the delivery health care to far flung areas like providing a vehicle for transportationin Patugo.II. Learning/Insights:

Oriented from the different facilities of the RHU. I learned one of the primary levels of health care which was provided by the RHU topatients like prevention of pneumonia through pneumococcal vaccination. Secondary level of prevention was also applied in the RHU like PPD( Purified ProteinDerivative) testing. In able to provide PPD testing it is needed to have at least 5children to avoid wastage of PPD. Learned a precaution of DMPA injection which is elevated blood pressure.III. Issues/Concerns: We cited that there were medications that were funded by the local government wereless than 6 months before its expiration date.IV. Recommendations: I recommend that whenever that there is a free time for the utility, they will make alist of the expiration date of the medications to prioritize the first in, first out so thatevery medications will count for the healthcare of the patients of Balayan.

I. Activities I had been in the hospital for this month. I had exposures in different cases of patients. I had a grasped on the basic policies and standards of the hospital. I also attended the seminar for Iligtas sa Tigdas ang Pinas. II. Learning/ Insights: March had been a busy month. It was a month of new experiences and fun working with people with great heart and passion to care for patients. Since I have a continuous practice of the profession after I passed the licensure examination, and affiliated with different hospitals afterwards, I had this realization about the influence of working environment which significantly affects the amount of nursing care rendered. Furthermore, I also noted the SOPs and implementation of the written policies is not truly observed as it is. I also came into realization that theory is really different in practice. At some point it is beneficial to recipients of care as well as for health care providers to be resourceful and to be innovative, but not curtailing the quality of patient care. I came to picture and understand better the reality of Philippine Health Care Delivery System. I want to effect some changes and I will start it with myself. III. Issues/ Concerns: Generally speaking, I see that some misunderstandings transpire in a working environment is due to staff burnout at some point. While they want to give the best out of what is only available, the facilities and nurse-patient ratio is really lacking. This is ironic since there are lots of newly registered nurses. It is good there is such a program like this RNheals. Hospitals have also volunteer nurses that temporarily solve this problem. But, they are already professionals supposedly due with compensations. IV. Recommendations: To improve health facilities of the hospitals, not only those visible in the eyes of the visitors & evaluators, but most importantly those that truly affects the patient care (eg. functional beds, IV stands, adequate hospital supplies). Moreover, to absorb hospital personnel that will cater to dynamic needs of the recipients of care. ACTIVITIESI. Assessment EstablishedRapport:Donethroughmakingthepatientsfeelcomfortableandbeingasapproachableaspossible. O b t a i n e d P a t i e n t H i s t o r y : T h r o u g h p a t i e n t i n t e r a c t i o n , a n d interviews with the use of open ended and close ended questionsthatleadtovitalinformationregardingthepatientscondition.

Performed Physical Assessment: For daily patient assessment, aminimum of five minutes per patients was allotted to do a head totoeassessmenttodeterminetheimmediateneedsofthepatients. Identified Subjective and Objective cues of the patient II. Planning Prioritized patient needs and problems with the use of AbrahamMaslowsHierarchyofNeeds. Formulated short term nursing care plans that were designed to fitthe8hourshift. III.Implementation Carried out the formulated nursing care plan and the physiciansorder efficiently Administeredprescribedmedicationsbearinginmindthe10rightsingivingtheMedications Bedside Care P r o v i d e d H e a l t h T e a c h i n g t o p a t i e n t s a n d e v a l u a t e d h e a l t h teachings through simple questions that matched their level of understanding including demonstration and return demonstrationof certain health teachings. Provided patients social, emotional, psychological and spiritualsupportwhilemaintainingnurse-patientrelationship. P r o v i d e d p a t i e n t s a c o m f o r t a b l e , s a f e a n d a t h e r a p e u t i c environment. IV.Evaluation Evaluated the effectiveness of rendered nursing care and nursingc a r e p l a n t h r o u g h a s s e s s m e n t o f p a t i e n t s s u b j e c t i v e a n d objective cues. Reported or notified immediate superiors for anyuntowardunusualitiesnotedfrompatients. I . A c t i v i t i e s The month of January jump-started with an informal orientation with MaamLetty Tan and Dr. Francilisa Tan, MD. The different services offered of the DOH as well theones available in the CHU were discussed. Of course the formal orientation came thereafter heldlast January 21-23. Key activities also include the formal presentation of the RN-HEALS Batch4 to our City Mayor Maloney Samaco and the EPI of Brgy. Asuncion scheduled last January 25.Aside from these important activities, I was also assigned to go on duty in the Barangay HealthStation of Asuncion where I was able to assist the midwife in prenatal care as well as dailyconsultations and the BHWs in home visits for postpartum-care and BP checking of bedriddenclients in the area. I I . L e a r n i n g / I n s i g h t s The 3 day orientation organized by the local DOH officials last 21 st -23 rd of January equipped us with the essential information regarding our duties as RNHEALS and thedifferent projects of the government such as DSWDs 4PsThe Pantawid Pamilyang PilipinoP r o g r a m a n d P h i l h e a l t h s s e r v i c e s . B e i n g a s s i g n e d t o B r g y . A s u n c i o n ( o n e o f t h e m o s t populated barangays in the city) together with a skilled and experienced midwife in the personof Maam Serdan, enabled me to practice my knowledge especially in dealing with differentconcerns of the people in the community. I am looking forward to gaining more knowledge andskills through this experience. Assisting vaccination, prenatal care, health teachings and homevisits were some of the learning I

gained. Being part of a health care team in the communityrequires flexibility, patience and of course, one must be people oriented and sociable. Issues/ Concerns So far, I dont have any i s s u e s o r c o n c e r n s r e g a r d i n g m y e x p o s u r e t o t h e community and my duty in the City Health Unit. I I I . R e c o m m e n d a t i o n The success of the different programs launched by the government may rely onthe sustenance and continuation of the services being offered by the DOH. And this necessitatesu s , n u r s e s , a s f r o n t l i n e r s t o c o m m i t o u r s e l v e s i n p e r f o r m i n g w h a t e v e r i s e x p e c t e d o f u s . Therefore, I recommend a smooth transition from the previous batch to the current one so thatwe may provide the same quality of service as theirs

Das könnte Ihnen auch gefallen