Labini, Dienizs BSN 3-E

1st Rotation NVH WARD

CI: Kimberly Palacpac

This is by far our first time experiencing online nursing duty. And I did
not know whether it would be a good thing for our learning. It is scary and feels
weird on our part. During the first few days, I was undoubtedly confuse as to
what to do first and most of the time, it gets tricky because given the fact that
we are at home, we cannot thoroughly focus and concentrate. It was also the
first time we are given such limitations of passing times. It was hard to adjust
especially having a week of relaxation before it.

We are introduced yet again to ward area, but this time, it was still a lot
different and confusing. Some of us do not have access to internet nor have the
necessary tools for accomplishing such requirements on time. It was a bit
frustrating, but because we do not have much of a choice at this point in time,
we have to deal with it and tolerate it all. The charting process was really, and
honestly confusing at first because unlike the face-to-face kind, we are actually
going to be the one filling it all up. It is hard to approach someone who can
clear your doubts too although the clinical instructors are indeed by our side
but if it were not a virtual kind of duty, I would have been able to possess a
clearer and more effectively obtained learning.

We also had sudden disruptions and difficulties towards the case that
was given to us. Furthermore, it was also hard keeping your eye on every
updates on time. But more of the difficulties that I have encountered were due
to the fact that we were not officially been introduced to any general seminars
regarding such matters. We do understand the conflict of this set up, thus, it
had given us more than what we have expected to solve ourselves. We were met
by our respective clinical instructor, indeed. But if we were in an actual hospital
setting, we would have understood all the learning points clearly and more
effectively. Those were my initial concerns.

But fortunately, we were able to overcome the said difficulties and

address them effectively. I did learn quite several learning techniques and had
my knowledge refreshed by this anyways. And I am grateful for it and for the
efforts that were given to us every single meeting had and inquiries we ask.
Labini, Dienizs BSN 3-E

2nd Rotation CHN Quimmaraian

CI: Epifania Purisima

We only had a few days, not even, before starting a new set of duty once again. New
learnings, new instructor, and new phase. However, during those days, I still am a bit baffled
and unorganized regarding my set up. This time, unlike having a case within a supposed hospital,
we actually had a community one. It's good to know that somehow, we still managed to engage
ourselves to such tasks. And honestly, compared to charting and timely monitoring, doing the
community was easier for me, and probably for the rest of us, students too.

Being under community health nursing, we were able to discuss many aspect of it. I
came to learn and understand clearer how we assess communities base on its status and those
people within it. Admittedly, it did included numbers here and there but with proper focus, it
would eventually come in handy. If I were to compare this task to those that we dealt with
within clinical areas in hospitals, I would say that it possess kind of a broader sense since it talks
about a whole community while hospital cases only revolves around a single patient. But despite
that, they still both needed the appropriate approaches and concentration.

Most of the time, I have based my outputs from the given CHN book to us. It was really
helpful. We also did various techniques in assessing the status of a certain community. Most of
it were arranged in tables, and we simultaneously took percentages of the given data. What I
found quite asking for a bit more effort was the part where we have to interpret everything we
have arrived at as an outcome. At first, it's a but confusing, I'm not gonna lie, but as we went
along with it, I could say that I have gotten the hang of it.

We also made brochures, which, may I add, requires creativity and on point ideas. I
could nail it when it comes to digging up ideas and concepts, however, I am a bit skeptical
regarding the creative part of it. But ultimately, I was still able to cone up with a good and
satisfactory outcome. It might have been different from the rest of our duties but I consider it
knowledgeable enough given our state of learning at the moment.
Labini, Dienizs BSN 3-E

3rd Rotation SUERO OR

CI: Maricris Florendo

At this point, I could say that having to change uniforms are a bit refreshing too. And
again, we had to deal with another surrounding (figuratively) that we must adjust from once
again. Having to deal with the operating room virtually is a bit intriguing. We do not have the
actual setting nor the actual instruments in front of us this time. And it was a bit disappointing.
However, we still managed to get pass this dilemma. We were all nervous when we have
received our first task. It was to make or create a video mostly revolving around particular
aseptic techniques done inside the operating room.

It was easy, just when you're watching how the process must be done. But when you get
to perform it yourself, it's tricky and sometimes tiring too because you get many mistakes and
have to retake it again. At the end of the day, I was able to pass it and to say the least, I was
contented to what I have made. After those episode of struggling to produce good video, we are
then introduced to patient charting but this time, there are additional important recordings that
are to be done. Confusing, I admit, but it was nothing we could not handle. Our clinical
instructor was attentive to our inquiries all the while which we were grateful for too. There were
only some parts of the charts and records that we found rather hard or difficult to understand.
Also, the forms were not entirely editable when we have received it, which took us a bit of time
to figure things out, and look for alternative solutions to these kind of minor problems we
encounter. In the end, we were able to come up with better solutions.

Ultimately, all we had to possess really, is a stable critical thinking ability to somehow
pinpoint and avoid having to lack the necessary attention towards our patient's status and
regarding the things that we have to consider for them to attain wellness and meet the goals
that we have set for them. When it came to filling up the nurses notes, it takes me the longest
time. This is due to the fact that we do not have that ultimate knowledge as to what exactly to
do or even what are the must do and must not when making one. It just that we do not have a
single particular technique that was introduced to us from the very beginning, although it was
said that we can base it to NANDA, but still, with the presence of those that was not based upon
it, it causes confusion to us and thus, took us a while to finish every single notes within it.

4th Rotation MVH WARD

CI: Richmond Cortez
Labini, Dienizs BSN 3-E

During this rotation, I could say that this was when I had to exert extra efforts because
our case had been an absolute difficult one. Compared to others, this is where I have been most
pressured at. We dealt with many drugs, many phases and many risky situations within the case.
It was not a bad thing, it was just really hectic and confusing. Our first day wasn't as pleasant as
we expect it to be. We were not able to establish communication with our clinical instructor on
time before the day of duty and had led to us having to deal with an on set quiz. That setting
aside, we also had discussions regarding different kind of wounds and medical terms. It was yet
again refreshing for our minds had somehow forgotten some of them and being discussed to us
again, we are truly grateful.
Furthermore, and maybe the most interesting part so far was how different the
approach of nurses notes were from it. Honestly, I was kind of doubting myself to accomplish it
because when it was being discussed to us, seeing how different the format was compared to
the previous once introduced to us at first. This format that was provided to us was a lot more
organized, and entirelt based upon the NANDA book. Although organized and a lot more
appropriate, it is more difficult at times and complicated too when the situations get a bit tricky.
Despite that difficulty we have encountered, our clinical instructor was able to fulfill the gap of
knowledge we possess. We do understood it quickly which was really fortunate because it is not
easy to focus virtually at all times.

What made us work double time was the fact that there were a lot of drugs given and
that we had to create a drug study of it all. It was a long process somehow but still something
we can pull off. Regarding the monitoring parts, it was also tricky and somehow confusing.
Carrying out physician's orders were sometimes unclear to our minds but I'm not saying there's
something wrong to it. It's just that sometimes, I do not entirely get it as fast as I should be. But
in the end, I still managed to do so.

All in all, the experience was rather overwhelming and exciting at the same time. I have
learned a lot, and all of them were very useful and weapon worthy when we get to perform
actual clinical duties in the future.

5th Rotation MVH OR

CI: Gerardo Joven

In all fairness, after four weeks of clinical virtual duties from four different areas, I have
been much more adjusted and confident in accomplishing my tasks. The past few weeks have
Labini, Dienizs BSN 3-E

provided me enough time to get use to this kind of set up and I am somehow thankful that I did.
During this fifth week, I could say that it was the most calm one that I had. Our instructor gave
us guidelines regarding the dos and donts in attenting this virtual duty, we salute that. The case
was then introduced to us as well. And given the fact that it was not our first time in the
operating room setting at all, we did not get too pressured by it then. It was actually an easy
task by then.

I guess, because of the daily check-up of the instructors and google meets, we were
used to it that when our current instructor had not from time to time, we found ourselves being
way too paranoid. That's quite normal, I believe. He kept tabs on us anyways, on reasonable
basis and we were truly thankful as well. Also, the way the csse were presented to us were
different from the rest of our previous duties. It was an immediate operation and I consider that
a good thing to tackle upon although it might have been better of an experience if we actually
witnessed it ourselves. The way we have handled the paperworks and data of the patient had
been handy and easy too. The onlt difficulty that I have encountered was the availability of
internet access in our area which during sudden unfortunate days, affects the entirety of my
outputs and works.

Ultimately, there was no major concern that was thrown my way at this point in time. I
was able to handle it just fine and it went smoothly, something that not only I have been
wanting to achieve. I have learned things here and there too, they were all helpful and have
covered up some of the holes within our curious minds. Our instructor was very considerate as
well, and he had peovidwd us plenty of understanding regarding our raised enquiries. Overall, it
was such a pleasant experience despite the distance we had, and I was truly hoping for it to be
in person the next time.