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IRISH NICOLE DELA CRUZ

BSN- IV
Learning Feedback Diary
CDH Medical Ward
Wonderful Journey

The CDH-Medical Ward has been a big part of our Nursing life especially me, who had my
rotation there since I was a sophie. I can say that half of my nursing RLE was pure Medical Ward
based.
I can still remember when I was in my second year, my Clinical Instructor would always say
When youre a good nurse at the ward, you can be assigned anywhere. And now that Im
graduating, I know I have proved that what Sir Donald told us years ago was true and not just a
tittle tattle. In fact, my Nursing skills and cleverness wasnt learned and trained at the school or
at the other areas of our rotation but on the medical ward. There, you will encounter different
patients with different attitudes and personalities with different complaints in which as a Nurse,
you are entrusted to give your different interventions in different situations but you have to treat
them equally with the care that they deserve. Also, the medical ward was like the whole book of
Medical-Surgical Nursing in real life and you will taste your daily dose of ADPIE.
Assessment. You are assigned on a patient today, what are you going to do? Your clinical
instructor would just tell you to go to your patient. Do not go back unless I told you so. In this
phase, youre going to do your complete assessment, including the initial vital signs and morning
care. And oh, who would forget the nursing students favorite part? Yes, it is the rapport
building.
Diagnosis. You are REQUIRED (yes, you are) to identify the need of your patient and you
MUST complete a list of nursing diagnoses in which, your clinical instructor would ask you later
or will require you to submit what the chief complaint of your patients are or sometimes the
Nursing Care Plan, and oh, dont tell him that your patient doesnt have a complaint because you
might dont want to hear what hes going to tell you.
Planning. You are to plan for your own patient care. You have to prioritize the needs of your
patient and making a goal that you have to achieve at the end of your shift.
Implementations. It is when you can give your direct and indirect care. It may include assisting
the patient with his ADLs. It may also include counseling, and the care that you should give
while you are away from him.
Evaluation. The phase where you will evaluate your patient if the interventions that you made
were able to make the patient feel better or not. It is the time when you are able to assess if the
goals and the things you have planned were met or not. And this is the time where you will see if
your hardships have paid off.
There are a lot of things that you should do on an 8-hour shift. As a nurse, it was tiring but then
on the other hand, knowing that the things that youve done to make someone feel better is
priceless. It is not just about giving your care to other people because you are supposed to as a
nurse but it is the feeling of fulfillment and satisfaction that makes you keep motivated.
Bottomline? Nurses are really unique. They have this insatiable need to care for others, which is
both their greatest strength and their fatal flaw.

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