Quitoriano, Liezel Cabigon

BSN 2B

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The nurse from College of Southern Maryland explained well the 6 rights in giving medication
administration while the 2nd nurse has 10 rights in giving medication administration and the 1 st
nurse focus in Medication Action Record, like contraindications, drug allergies and she informed
that if we see something wrong with the chart, we have to discontinue the medication. She
explained that we have to assess the patient first before giving vital signs and she compared the
medication that she has to her chart together with the dosage, expiration and yesterday's
medication. She specifically informed us about drug allergies and when to discontinue. She
checked for the 2nd time those medications and she compared it with her MAR, the milligrams,
the name and dosage but she touched the tip of the medication cup with her finger which she
shouldn't. The 2nd student nurse also explained that we have to check the physician's order,
check the label, and compare it with the MAR even before administering. She compared it again
with the MAR.. They both did a great job regarding MAR. It's just different styles. They both
performed antiseptic techniques like the 1st nurse used alcohol based sanitizer and the 2nd nurse
performed handwashing. I assumed that the 1st nurse provided privacy for the patient because
she knocked the door first before entering and while back she said that she has to assess first
for vital signs before giving medication and the patient is already in her sitting position which the
2nd nurse Shekina showed us the room number which is really not an identifier because
sometimes the switching of the rooms are common in the hospital setting and literally showed
that she provided privacy for the patient and showed us how she took the vital signs and she let
the patient to sit in a comfortable position. They both explained the purpose of medication and
how the drugs are used and how it works in their bodies. The 2 nd nurse asked the history of the
patient and if he's allergic to any medication. They both checked the 2 identifiers which are the
wristband. They used different techniques in giving the pills. The first nurse used a spoon on
picking up the pill and she let the patient take a break for a couple of minutes and she signed
the MAR after giving the medication and discard the items that should be discarded. The 2 nd
nurse didn’t leave the patient’s room until she’s sure that the patient had taken all his medication
and documented it with her signature on it.
Quitoriano, Liezel Cabigon

BSN 2B

LFD #3

Drug Administration

As a student, one of my competencies to become a professional nurse is medication

administration. Since medication error can kill, there is the need to be vigilant at all times in
dispensing under supervision. There are other things that needs to be considered such as
washing hands prior to administering, check the drug chart, the right patient, right drug, right
route, right amount/dosage, the history or background record of the patient, allergy or
intolerance, the right education provided to the patient, documenting as given, documenting
refusal and right evaluation. On the other hand, I need to have that self-awareness of which
patient is in the medication room and know how to talk. So as a student nurse this has become
my duty and something that I need to practice and become competent in carrying it out. Each
registered nurse is accountable for his/her practice. Accountability also goes for students, if at
any point I felt I was not competent enough to dispense a certain drug it would be my
responsibility in speaking up and letting the registered nurses know, so that I could shadow
them and have the opportunity to learn and help me in future practice and administration.
Quitoriano, Liezel Cabigon

BSN 2B

LFD #2 Bed Making

Bed making is one of the most important nursing techniques to prepare various types of beds
for patient’s or client’s to ensure comfort and useful position for a particular condition. The bed is
especially important for patients who are sick. The purpose of bed making is to help client’s feel
comfortable and to decrease pathogens in the client’s environment. Clean, dry and wrinkle-free
linens also help to reduce potential for skin breakdown and they are also important to help
control odor. A correctly made bed will help to reduce pressure sores or bed sores. A clean bed
is a way to help with infection control. We learned the supplies needed to make a bed in a
healthcare facility and that includes gloves, bottom sheet, rubber sheet, underpad, draw sheet,
top sheet, and a pillow case. In addition, we have to lower the bed’s side rails if required in a
care plan and lower or bend our knees to support our body mechanics. There are 2 common
types of bed, an occupied, and unoccupied. It is important for us to remember to not place
linens on the floor, not allow them to touch our uniforms, or shake them out. These actions may
spread pathogens in the room. The soiled linen must be placed into the soiled linen hamper. It is
also a method of infection control to reduce pathogens that can lead to illness.
Quitoriano, Liezel Cabigon

BSN 2B

LFD #1 VITAL SIGNS

Vital Signs are fundamental components of nursing care and indicate the body’s ability to
maintain blood flow, regulate temperature and regulate oxygenate the body tissue. Taking vital
signs are essential in revealing any sudden changes in the body, which could potentially
indicate clinical deterioration of the patient. As a 2 nd year student, I was assigned to take my
groupmate’s vital signs while my clinical instructor is observing us. Throughout the BP taking,
PR, RR, and temp was documented in our small notebook and everything was in a normal
range while ensuring a comfortable environment and communicating with my partner to build
trust and confidence in my ability to make an accurate assessment and judgment. I did not
explain to my patient that I was taking her respirations as looking at her chest made her feel
uncomfortable and increased her respirations. But before all of this, I silently recited a prayer,
introduced myself and explained what I am going to assess with her. I also make eye contact
while talking to my patient. Finally, when I finished and thanked her for her cooperation.
Moreover, the right patient, right place and right way of taking the vital signs are also part of
nursing skills.