VII.
Course in the Ward
Date Doctor’s Order Nursing
Responsibilities
March 2, 2021 Admit under the The admitting nurse
0920H service of Dr. Santos can settle the patient into
the bed, review any
upcoming procedures
and answer questions
before turning
the patient over to the
staff nurse in
charge of the room.
0925H Assessment:  nurse conducting an
Getting the assessment of a client’s
Demographic Data, demographic and
including height and biographic data. for
weight / Chief suggested questions and
complain of the statements that can use
patient. to collect this data in an
inclusive and caring
manner,
1000H Nurse will be asking Part of the assessment
question related to that nurse will includes
the health condition data collection by
and chief complain obtaining vital signs
of the patient. such as temperature,
respiratory rate, heart
rate, blood pressure, and
pain level using an age
or condition appropriate
pain scale. The
assessment identifies
current and future care
needs of the patient by
allowing the formation
of a nursing diagnosis.
The nurse recognizes
normal and abnormal
patient physiology and
helps prioritize
interventions and care.
1010H Dr. Santos tell the The nurse will assess the
nurses to do for the test, inserts one or two
patient the Internal lubricated, gloved
Examination and fingers of one hand into
Patient Reaction/
Evaluation
 The patient was
relief at being
admitted.
The patient is
comfortable while
getting the
demographic data, it
is helpful to begin
the interview by
asking whether the
patient is
experiencing any
problems.
The patient is asked
to describe any
symptoms in her
own words.
Additional
information about
the nature of the
problem can then be
obtained by asking
specific questions. It
is helpful to know
The patient should
not be feel painful,
but it may be
 Cervical smear test. the vagina and presses
on the lower abdomen uncomfortable.
with the other hand. This
is done to feel the size,
shape, and position of
the uterus and ovaries.
The vagina, cervix,
fallopian tubes, and
rectum are also checked.
The nurse also performs
the pap smear, Cleanse
the perineal area.
Secretions or excess
lubricant from the
vagina are removed and
cleansed. Provide a
sanitary pad. Slight
spotting may occur after
the pap smear.

1045H The next The Nurse gains

Examination for the information by The patient not feel
patient is Abdominal inspecting, auscultating, painful, it may feel a
and pelvic palpating, and little uncomfortable
examination percussing the abdomen. and embarrassed, but
During the pelvic exam that’s normal.
nurse will checks the
vulva and inside the
reproductive organs,
using speculum it’s an
instrument that gently
open the vagina.

1115H The last procedure is The implication of the The patient feels
the endometrial nurse in Endometrial painful in the
biopsy biopsy is performed to procedure, but there
detect endometrial are drugs to stop the
cancer or hyperplasia. pain caused by the
With the woman in the biopsy.
lithotomy position, the
cervix is cleaned with
iodine solution and the
biopsy specimen is taken
from the endometrial
 lining, using a trans
cervical approach and
either curettage or
vacuum aspiration.
1130H 10:10 AM Dr. Nurse is to advocate for The patient's ability
Santos Talked to the the best interests of the to understand the
patient to the patient and to maintain meaning of
possible diagnosis the patient's dignity information provided
and what treatment throughout treatment and by the physician
should be done. care. This may include
making suggestions in The patient's ability
the treatment plan of to determine how
patients, in collaboration facts are relevant to
with other health their situation
professionals.
The patient's ability
to use the
information provided
by the physician to
make decisions
regarding their care.

The patient should

have the ability to
clearly communicate
their choice of
treatment