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RLE JOURNAL - Emmaus - Ramos
RLE JOURNAL - Emmaus - Ramos
Week No. : Date : 2/6-9/23 RLE Area Assigned: Sacred Heart Hospital OR &
Baliuag District Hospital LR/DR
Summary of your learning activities, topics Knowledge, Skills, Attitudes and Values acquired,
and nursing procedures discussed , observed, responsibilities and assignments accomplished
presented and demonstrated and other and submitted, other observations and reflections.
Date activities done.
Hours
Completed
Feb 6, First Day of duty Sacred Heart Today, I started off really excited to 8
2023 Hospital OR finally be assigned in the Operating
room area of our duty again. I assisted
Today we did the following: as a circulating nurse while my partner
- Orientation about Sacred assisted as a scrub nurse, we were both
Heart Hospital able to assist in the initial and final
- tour around the facilities counting of instruments. By the end we
- drug study 2 drugs, also got to learn about assisting
Diazepam & Ephedrine suturing.
- assist as circulating nurse in Learning how to after care instruments
2 cases is also very valuable to me since it it’s
- post op monitoring of one of the roles that a nurse attends to
patients in the operating ward. I was really
- assisted in extubating with shocked how different the setting was
supervision in this hospital compared to our
- after care of OR instruments previous hospital rotation. Everything
was up to standards and the equipment
and protocols being used were more
advanced.
Second Day of duty Sacred Heart Today is the first time I got to
Hospital OR experience being a Head nurse.
Thankfully I was able to do my tasks and
Today we did the following: delegate properly throughout the day. I
- head nurse for today also got to scrub in two procedures
- delegated cases to my today, I instantly felt the rush and felt a
nurses bit nervous. Our clinical instructor
- drug study of tramadol joined me throughout the whole
- scrubbed in two cases egd procedure. When we started the
colonoscopy, appendectomy procedure, I only felt nervous for the
- surgeon allowed me to cut first few minutes, but I was able to
the appendix with adjust quickly, the doctor and my
supervision clinical instructor even joked about it
- assisted in closing surgical since they both knew it was my first
Feb 7,
site with supervision time scrubbing in after a long break. As 8
2023
- after care of instruments the surgery went by, I started to get
into rhythm, and be calmer, the doctor
- post op monitor of pt and my CI were both very encouraging
and taught me techniques whenever
they had the chance. I learned how to
handle retractors, cut sutures, and
assist the doctor during the suturing
process, I even go the rare chance of
cutting an appendix. During my
experience today, I realized that it is
important to have a presence of mind
and the ability to multitask under a lot
of pressure, I also felt very lucky to have
these experiences.
Feb 8, First Day of duty Baliuag District Having the chance to manage a 8
2023 Hospital LR/DR newborn child still feels like an entirely
new experience for me. At the
Today we did the following: beginning I was very hesitant to touch
- orientation and tour of bdh the baby because I thought of them to
- drug study of oxytocin be very fragile but as I saw the pediatric
- charting of pt nurses handle them initially, I was able
- vital signs monitoring to dry the newborn thoroughly, dress
- preparation of medication and administer vaccinations. I was also
- skin testing amazed by how quick the procedure
- actual child delivery was finished, it felt very hectic the
- Cord clamping and dressing. moment the mother came into the
- injection of vaccination delivery room and it was over in
minutes.
- endorsement of pt
Approved by:
Maria Lourdes C.Policarpio, RN, MSN
Academic and Clinical Coordinator
ELIZABETH R. ROXAS, MSN,RN
Dean, CNAHS