TABLE OF CONTENT

DEDICATION………………………………………………………….2

ACKNOWLEDGEMENT……………………………………………….3

LIST OF ABBREVIATION…………………………………………….4

LIST OF PERSONEL……………………………………………………5

INTRODUCTION……………………………………………………….6

ORGANIGRAM…………………………………………………………7

ACTIVITIES DONE/SEEN……………………………………………...8
DRUG USUALLY USED……………………………………………….10
VACCINATION………………………………………………………….11
DIFFICULTIES…………………………………………………………...13
OBSERVATION………………………………………………………….13
SUGGESTION…………………………………………………………….13
CONCLUSION…………………………………………………………….14

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 DEDICATION

I dedicate my work to my lovely family

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 ACKNOWLEDGEMENT

This present work was done by the contribution of persons that I will like to address my
sincere thanks.

I THANKS

My parent, my father Mr NJITAM ROGER and my mother Mme NJITAM BEATRICE

To Mr MBUETANG HEUMBIA ARMAND, the director of ISPA

To our major Mme PELE PEKE GILDENS of GILEAD MEDICAL CENTRE for guiding us
through the internship

To all the personnel of GILEAD MEDICAL CENTRE for directing us

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 LIST OF ABBREVIATION

-IV: Intravenous

- IM: intramuscular

- S/C: subcutaneous

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 LIST OF PERSONNEL

DOCTORS:

- YAKADAM
- LAMANE

NURSES AND MIDWIFERY:

- THERENSIA
- HONORINE
- EPHISIAN
- PAUL

PHARMACY:

- RILINDIS
- BELINDA

LAB TECHNICIEN:

- BETH VINCENT

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 INTRODUCTION

Internship is a professional learning experience that offers meaningful, practical work related
to a student s field. As a nurse student an internship is critical and important for our good
training. Our internship was at Gilead Medical Centre and made 1 month from 21 November
to 22 December 2022. It was great opportunity for us to ‘’ toucher du doigt’’what is a nurse
job. The internship at Gilead Medical Centre despites it was not easy permit us to gained in
experiences

PRESENTATION OF THE INTERSHIP SITE

Our internship took place at Gilead Medical Centre, a Christian private health care which
offers many services such as ophthalmology, general consultation …. Its located at Carrefour
Obili opposite Pharmacy Principal which is beside IRIC

PHYSIOLOGY

The philosophy of the GILEAD MEDICAL CENTRE is before all to centered at

health, the sickness and the treatment to the sickness, in order to ameliorate or to treat every
sick person entering in the hospital.
The person been treated is considered as a biopsychosocial, but others come to call
them the person sick or the patient in short term. The vision of assistance to the person been
treated is focalised on the care given. We don’t only focalise on the sickness but also on the
biopsychosocial of the sick person.

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ORGANIGRAM

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 ACTIVITIES DONE/SEEN

ACTIVITIES SEEN:

- Wound dressing
- Circumcision
- Suture
- Vaccination
- Injection
- Delivery
- Passing drugs

ACTIVITIES DONE

-Welcome and orientate the patient

- take patient parameters: Blood pressure, pulse, weight and temperature
- cleaning the delivery room
- cleaning the forceps
- make a patient bed before hospitalize
- passing drug to a patient
A SPECIFIC CASE
DELIVERY:

Mrs X, a pregnant woman arrived in the hospital and said that she had waste water at
home. we took her parameters and the midwifery went with her in the delivery room for more
examination, after examination, the midwifery checked first of all if the baby was still alive
and also noticed that Mrs X has gone to all her neonatal visit and the last echography show
that the baby was well positioned so she could have done delivery in good condition. But the
woman was not ready to give birth as the cervix was open for 4cm. So the midwifery sent her
to the labour room and advise her to walk or layed on left. After one day of labour; Mrs X was
ready to give birth as the cervix was well open but the contraction was not good it was
coming and going back rapidly so the midwifery gave her oxytocin and after some time she
gave birth to a baby boy alive of about 3/75Kg, and the baby was dressed up and the mother

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cleaned after the midwifery removed a complete placenta and both were sent to the maternity
ward for observation and they left some days after.

MATERIAL USE IN THE DELIVERY ROOM:

- Glove
- Sterilised Gloves
- Cyteal
- Water
- Towel
- Scissors
- Olive oil
- Sanitary towel

PATHOLOGY FREQUENTLY MET:

- Malaria
- Fever
- Bacterial infection

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 DRUG USUALY USE

NAME OF THE INDICATION SIDE EFFECTS ROUTE

DRUG
ARTESUNATE Treat severe malaria Fever ; loss of appetite IV
CEFTRAXONE Treat infection such as Vomiting, diarrhoea IV
meningitis
VITAMIN B Promote energy levels, vomiting S/C
COMPLEX muscle bonne
SAT Treat infection against dizziness S/C
tetanus
DICOFLENAC Reduce pain Dizziness, pain at the IV
Infection side
ANALGIN Reduce fever, treatment Nausea, Vomiting, IV
of pain Diarrhea
LIDOCAIN Prevent pain from some Low blood pressure IV
procedure
METRONEDOSAL Treat bacteria infection Back pain , decrease of IM
the vision
TRAMADOL Treatment of suden or Abdominal cramp IM
long pain
VITAMIN K1 Treatment vitamin k Pain ,Swealing , IM
deficiency ,help to treat Dizziness
and prevent unusual
bleeding
RINGERS Rapidly restore Bluish color of the skin IV
circulating blood volum
AMPICILINE Treat bacteria infection Nausea, Vomiting, Cough IV
, diarrhea
CIMETEDINE Treat stomach ulcers Skin rush , Vomiting, IM
Diarrhoea
OFLOXACIN Treat bacteria Sleep problem , IV
infection :pneumonia, Vomiting, Chest pain
infection of the skin
SPASFON Symtomatic treatment Nausea, Vomiting, IM
of pain related to Constipation
functional disorders of
the gastrointestinal tract

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 VACCINATION
Here is a table who shows the PEV (Program Elargi de Vaccination/ Expanded
Program of Vaccination) and the route through which they are administered:

CONTAC AGE VACCIN ROUTE SICKNESS

T E ADMINISTRATI
ON

1ST contact At birth BCG Intradermal Tuberculosis polio

VPO 0 Oral

2nd contact 6 weeks HEP 1 IM HEPATITIS

VPO 1 ORAL POLIO
PNEUNO IM PNEUNOMOCOCC
1 US
ROTA 1 ORAL DIARHEA
PENTA 1 IM

3RD 10 HEP 2 IM HEPATITIS

CONTAC WEEKS VPO 2 ORAL POLIO

T PNEUNO IM PNEUNOMOCOCC
2 US
PENTA 2 IM
ROTA 2 ORAL DIARHEA

4TH 14 HEP 3 IM HEPATITIS

CONTAC WEEKS VPO 3 ORAL POLIO

T PNEUNO IM PNEUNOMOCCOC
3 US
IM
PENTA 3

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5TH 6,12,18 VIT A ORAL

CONTAC MONTH

T S

9 RR 1 SC MEASLES
MONTH VAA 1 SC YELLOW FEVER
S

6TH 15 RR2 SC MEASLES

CONTAC MONTH VIT A ORAL

T S

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 DIFFICULTIES

I was unable to pass an IM drugs to a patient and help suturing a wound

OBSERVATION
Lack of the material as some time when they use the Sphygmomanometer in
the theatre, other services are in pain.

SUGGESTION
The Director could think about buying at least 3 machines and more forceps so
that different services can work at the same time in case of emergency.

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 CONCLUSION

To sum up, our intern ship was tough at the beginning but was more easy and
simple at the end. The internship was benefice for me as it permits me to know and
more about the environment in the hospital and also teach me how to understand and
listen to a patient, how to make a treatment chart, to pass over. That was actually on of
the best experience

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