HELLO, WELCOME TO PEDIA ROTATION :D

BRTTH- NICU Ext/SICU/PICU

● Schedule: Pre-duty(off)- DUTY(7am-7am)-From(off)

● Common cases
○ Prematurity
○ Hyaline Membrane Disease(RDS)
○ Neonatal Pneumonia
○ Meconium Aspiration Syndrome
○ Neonatal Sepsis
○ Neonatal Jaundice
○ Hydrocephalus, NTDs
○ Others: TTN, PPHN,
● Activities
○ V/S q1 -di man kasama BP unless sabihin ni doc
○ Extractionsss -ABG is da key
○ Suction
○ Hx and PE for new admissions
■ Goodluck sa adcon
■ Study kung pano magPE sa neonates esp how to elicit the neuro pe,
know what are normal and significant findings
○ Attend Adcon (7am, Mon-Fri) and Lectures/reporting
■ Kahit duty ka di yun dahilan para di umattend haha
○ Tigadala ng lab specimens and results sa laboratory
○ Pag may admission sa ER whether neonate or not, NICU clerks ang
mag-aadmit non and magpe-present sa adcon
○ Whether referral or not ang admission niyo, ALWAYS take the history and PE
kasi pag na-readmit ang patient at naghanap ang residents ng hx and PE
from the past admission tapos walang mahanap sa google classroom ninyo
pwede silang mag-demerit
○ Kaya ALWAYS upload a soft copy of your history and PE, whether na endorse
ang patient sa ad con or hindi
○ Magbabantay din kayo sa PICU pag may toxic patient dun.
● Paperworks
○ Medical abstracts
○ Discharge summary
○ AMS formssssssss
○ The “BANIG” (FRICHMOND)
● Tips/Advice
○ Study
■ Hx and PE (may book from UST na pinapabasa si Doc Malou)
■ Immunizations
■ Ballard scoring
■ Normal values ng vitals per age group
○ Bring own PPE: iso gown, cap, sterile shoes
○ Dapat laging online :D
 ○ Patulong kila ma'am nurses kung di maalam sa mga procedures etc. Willing
din sila magturo ng IV insertions at iba pang ganaps.
○ Lagi niyong ikutan yung babies tsaka check niyo kung humihinga pa ba sila
haha pitikin niyo lang yung paa to elicit a response.
○ Always check nasal cannula/ face mask, CPAP if working or properly placed
to prevent desaturation
○ For easier accomplishment of forms, have a list of all admitted patients with
their date of admission, DOB, Diagnosis, hospital number, antibiotics taken
and update per day (para di pabalik balik sa chart)
○ Book references: Nelson’s, Gomella’s Neonatology, Harriet lane’s Handbook

LCH- WARD
● Schedule: Pre-duty (7am-7pm)- DUTY (7pm-7am, of the next day)- From
(7am-12nn)
● Current RODs: Dr. Arvie Buncaras, Dr. Faye Brutas, Dr. Jenna Mabaquiao (MO IV)
● Common cases (Current cases as of Oct 31, 2021)
○ SEIZURES
○ Meningocele
○ Acute Lymphoblastic Leukemia
○ Hodgkin Lymphoma
○ Rheumatic Heart Disease
○ Severe Acute Malnutrition
○ Intestinal Parasitism
○ Dengue
○ Nephrotic Syndrome
○ Acute Gastroenteritis
○ Dehydration
○ CNSI/Psych
○ Suicide (not so common)
● Activities
○ V/S -mostly q4, pero kapag toxic yung patient q1 or q2.
○ Extractions- pwede nio na tulungan yung medtech pero minsan ayaw nya
magpatulong, hahaha
○ Hx and PE for new admissions
■ Goodluck sa adcon (WEEKDAYS, 7am, except holidays; minsan
meron din kpag weekends kung sipagin si doc Arvie)
■ Study kung pano magPE sa neonates, infants, child and adolescent
esp how to elicit the neuro pe, know what are normal and significant
findings
■ How to elicit the ancillary histories
○ Attend Adcon (7am, Mon-Fri) and Lectures/reporting
■ Kahit duty ka di yun dahilan para di umattend haha
○ Paper work: Clinical Abstract, Discharge summary, laboratory request, AMS
forms…
○ Progress Notes (SOAP format)- yung inadmit mo lang yung gagawan mo.
ikaw ang clerk in charge dun sa patient from admission to discharge
● Tips/Advice
○ Study
 ■ Hx and PE
■ Immunizations
■ Normal values ng vitals per age group
○ PPEs- hindi naman sya requirement pero nasa inyo na din kung gusto niyo
magsuot
○ Dapat laging online- Goodluck sa paghahanap ng magandang signal
○ Patulong kila ma'am nurses, PGI, ROD kung di maalam sa mga procedures
etc. Willing nman sila magturo
○ For easier accomplishment of forms, have a list of all admitted patients with
their date of admission, DOB, Diagnosis, hospital number, antibiotics taken
and update per day (para di pabalik balik sa chart)
○ Book references: Nelson’s,, Harriet lane’s Handbook

JBDAPH
● Schedule: Pre-duty (off)- DUTY (8am-5pm)- From (off)
● Pedia on Duty: Dr. Malou Reyes (On-call, BRTTH MO IV), Dr. Abela, Dr. Manlangit
Dr. Perez (The rest JBDAPH Pedia)
○ Inform nio pala sila na kayo ang duty for that day.
○ Dr Malou Reyes’ contact number: 09954003372
○ Note: baka po si doc jenna mabaquiao na ang mo iv on duty
● Need niyo pa rin po umattend ng ad con @ 7am hanggang sa matapos
● Good luck din sa paghahanap ng maayos na signal
● Common cases
○ NSD and CS (Ito lang yung for BRTTH kasi yung ibang pedia case may mga
pedia naman sila unless toxic yung patient, HUWAG kukuha ng patient na
hindi sinabi ng ROD mo which is Dr. Reyes)
● Activities
○ Assist in Catch during CS and NSD (kpag private labas tayo dun unless
sabihan ka)
○ UNLI BALLARD- Every morning check mo yung chart sa OB nurse station
(with pink tags) kung wala pa mga ballard kasi need mo yung accomplished
at i-plot sa likod at iadd sa diagnosis
○ Monitoring sa mga Toxic patients ng BRTTH
○ Vaccinations (BCG and Hep B) + Vitamin K (paturo nalang muna kayo sa
midwife kung 1st time niyo pero sa following days you’re on your own),
NewBorn Screening
○ Minsan pasusulatin na din kayo sa chart ng babies
○ If may patient na for probable CS, kunin niyo na po ang brief history for
endorsement kay doc Malou, and inform nio na yung pedia on duty though
sinabihan na din sila ng mga midwife. Always include yung gender ng baby
kung nagpa-UTZ si mother. I-complete niyo po ang hx since yan din ang
gagamitin kung mag-toxic ang newborn pagkaanak sa kanila and need
i-transfer sa BRTTH.
○ Aralin niyo din neonatal resuscitation. Pag neonates mas important ang
airway!
● Tips/Advice
○ Study
■ Hx and PE
 ■ Immunizations
■ Normal values ng vitals per age group (use Harriet Lane po as your
reference dito, not Nelson)
○ PPEs- needs a DR and LR
○ Extra Scrubs and sterile shoes para sa OR
○ Forms wala naman masyado
Tambay kayo sa nurse station para malamig or kung puro CS kayo sa anes
room
Chill lang po si Doc Malou. Pag nagkamali kayo, tatawanan niya lang kayo
hahaha. Yeah, super bait ni doc!
○ Kpag kaduty nio si Doc Malou expect for REVALIDA so aral kayo anything
about newborns (Hx to PE to Kdrama hahaha)
○ Aralin niyo po kung ano-ano yung normal and abnormal physical examination
findings sa newborn such as erythema toxicum, milia, etc.
○ Favorite oral revalida topic ni doc Malou: EINC in sequence po yan ha, history
and pe din ng neonates.
○ Book references: Nelson’s, Gomella’s Neonatology, Harriet lane’s Handbook

****Yung mga Templates to Follow na lng

***Yung reference for lab values ay per age group din. Ang gamit ng residents na ref dito ay
Fundamentals of Pediatrics: Competency-based. Gamitin niyo rin po to as reference sa mga
case presentation niyo sa diagnostics part para ma-correlate yung lab results ng patient niyo
sa case topic niyo.
** May reportings din per organ system sya. So need nio maghanap sa ward ng case nio.
For example renal tapos assigned topic sa inyo nephrotic nephritic, check nio muna sa ward
kung may patient kung wala ask kayo kay doc arvie or sa resident inchange ng hypothetical
case, start your report with the objectives, hx and pe, salient features, differential diagnosis,
initial impressions. Discussion then management (sa PGI n ito)

🧡
Enjoy niyo lang po ang Pedia! Nakakapagod siya sa dami ng ganap lalo na pag may mga
pabuhat na ka-duty pero maraming learnings at the end of the day. Good luck!