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BS NURSING RELATED LEARNING EXPERIENCES (RLE) JOURNAL

SECOND TRIMESTER, SY 2022-2023

Name: Marcus Jerard C. Ramos Student No.: 171-0108 Year/Block: 4-B____

Week No. : Date : 2/6-9/23 RLE Area Assigned: Sacred Heart Hospital OR &
Baliuag District Hospital LR/DR

Daily Activities Learning Outcomes

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.

The activities I did today were very


physically taxing, however I find it
worth it and especially refreshing since
the operating procedures piqued my
interest.

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

Refreshing our memory about the


different cases on the afternoon was
another very interesting highlight to our
day, it helped us learn a brief overview
about our cases and the corresponding
diagnosis that they have.

Second Day of duty Baliuag District


Hospital LR/DR
Throughout our first days of duty in
Today we did the following: BDH LR/DR we experienced a lot of new
things and protocols. Being able to
- drug study of mefenamic acid health teach patients and actually talk
- charting of pt to the mothers while they are anxiously
waiting during labor really made me
Feb 9, - vital signs monitoring feel like I was making a difference and 8
2023 actually helping. I was also able to take
- preparation of medication
part in my first D&C operation, I was
- D&C operation able to assist well and the OB and
nurses were very accommodating in
- post exam terms of helping me. Overall my
experiences in BDH LR/DR are still very
- watched videos about unang yakap
short and I look forward for more.
- endorsement of pt

Submitted by: Verified Correct by :

_______________________ ________ _____________________________________


Printed Name and Signature of Student Printed Name and Signature of Clinical Instructor

Date Submitted : ___________________


Noted by:

Approved by:
Maria Lourdes C.Policarpio, RN, MSN
Academic and Clinical Coordinator
ELIZABETH R. ROXAS, MSN,RN
Dean, CNAHS

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