Republic of the Philippines

ISABELA STATE UNIVERSITY

Echague, Isabela

COLLEGE OF NURSING

Learning Journal
Name: ___MHICA B. PRESTOZA________ BSN 3-2
Year and Section: _________________
Area of Exposure: ___LPMHI -WARD____ Date of Exposure: ___MARCH 21/22, 2024_____
Clinical Instructor: ___ROSE ANN BOLOLATO, RN____________

Learning Objectives
Activities/Procedures Performed Learning Feedback Problems Encountered Recommendation
Ward

1
 Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela

COLLEGE OF NURSING

 Enhance communication  Administered medication In practice, the use of vital signs Difficulty in accurately assessing
skills with patients, through Subcutaneous has improved, ensuring accurate vital signs, especially in patients
families, and healthcare  Taking vital signs measurements and timely with complex medical conditions.
team members to recognition of changes in patient
status. Administering medications
facilitate effective care
subcutaneously has been
coordination.
challenging initially, but with
guidance, I’ve gained confidence in
proper technique, dosage
calculation, and patient education,
prioritizing safety and efficacy. In
refining my skills and in teaching
me a sense of responsibility for the
critical nursing work, feedback
from instructors has been
instrumental.

Learning Journal

2

BSN 3-2 B. PRESTOZA________
Name: ___MHICA
Area of Exposure: ___LPMHI – ER, ULTRASOUND DEPARTMENT, WARD, WARD
Clinical Instructor: ___ROSE ANN BOLOLATO, RN____________
Learning Objectives
4/4/24 ER
 Develop proficiency in
conducting patient
assessments, including vital
signs monitoring, health history
gathering, and physical
examinations.
 Acquire skills in administering
medications safely and
accurately, adhering to proper
dosage, routes, and
documentation protocols.
Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela
COLLEGE OF NURSING
Year and Section: _________________
Date of Exposure: APRIL 4/5/11/12, 2024
Activities/Procedures Learning Feedback Problems Encountered
Performed
 Priming  In order to provide a safe administration of  Familiarity with
 Prepare the correct fluids and volumes, it is necessary medical terminology
norepinephrine to have precise and attention to detail when and abbreviations used
medication preparing intravenous fluids. I've in charting
 Charting encountered difficulties in accurately
 Regulating calculating drip rates and adjusting flow rates
 Taking vital based on the patient's condition.
signs  In addition, it can be difficult to chart,
especially when it is necessary to document
all relevant information in order to provide
care to patients. I have been struggling to
prioritize which details to include in the chart,
and to ensure that my documentation is
clear, concise, and in line with legal and
ethical standards.
 Feedback from instructors and preceptors
has been invaluable in helping me improve
my skills in priming IV fluids and charting. I've
been able to improve my technique, set up
better time management strategies and
understand the requirements for
documentation thanks to Constructive
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Ultrasound Department
4/5/24
 Observing and assisting
ultrasound technicians
or radiologists during
scans to learn proper
technique and
interpretation.
 Gaining proficiency in
identifying normal
anatomy and
recognizing common
abnormalities or
pathologies on
ultrasound images.
Ward
4/11/24
 Enhance communication
skills with patients,
families, and healthcare
team members to facilitate
effective care coordination.
Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela
COLLEGE OF NURSING
criticism and feedback.

 Compute for  Working as a student nurse in the
AOG, EED, & ultrasound department provided me with
LMP of invaluable insights. Watching the
pregnant ultrasound technicians in action
patient. enhanced my understanding of imaging
 Assisting methods and patient care intricacies. This
patient in experience was essential in shaping my
conducting nursing education.
ultrasound
exam.

 Administered  Improving communication to build rapport
Ceftazidime IV was immensely helpful as Ma’am Apia said.
 Taking vital signs That will me to refine my skills in accurately
of patients assessing patients’ health status,
administering medications safely, and
establishing meaningful connections with
them.
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 Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela

COLLEGE OF NURSING

Ward 
04/12/24

 Develop proficiency in  Taking  I learned that Studying nursing major

conducting patient
assessments, including
vital signs monitoring,  Listen on
health history
gathering, and physical
examinations.
patient’s subjects has been crucial for every
Vital signs student nurses in assessing patients
effectively. Understanding anatomy,
Ma’am Apia physiology, and pathophysiology has
discussion allowed us to interpret signs and
on how to symptoms accurately. Pharmacology
apply knowledge helps us comprehend
Fundamenta medications and their potential effects on
ls, Health patients. Learning about nursing
Assessment, interventions equips each of SN with the
Pharmacolo skills to provide appropriate care tailored
gy, & MS in to individual needs. Overall, these
clinical subjects are the foundation of our ability
setting to assess patients comprehensively and
deliver high-quality nursing care.

 Taking
patient’s

5
 Republic of the Philippines
ISABELA STATE UNIVERSITY
Echague, Isabela

COLLEGE OF NURSING

Ward vital signs

 Interview
4/18/24 Today, during my clinical duty, I focused on taking
patient.
patients' vital signs, establishing nurse-patient
To establish rapport interactions, and conducting patient interviews. I
To enhance communication skills carefully monitored blood pressure, pulse, and
temperature, ensuring accuracy. Engaging with
patients, I aimed to create a comfortable
environment, fostering trust and open
communication. Interviewing patients allowed me to
gather crucial health information, enhancing my
understanding of their needs. This hands-on
experience is invaluable in developing my skills and
confidence as a nursing student.