NCM 116 RLE

Care of Clients with Problems in Oxygenation, Cardiology, Gastrointestinal, Fluid and Electrolytes,
Infectious, Inflammatory and Immunologic Response, Cellular Aberrations, Acute and Chronic

3rd Rotation (Week 2, Day 2)

Name: Uy, Tara Kyle G. Block: F Date: March 30, 2021

Clinical Instructor: Anna Gatinao, RN MN USRN Area of Duty: Surgical Ward

General Objectives
At the end of 72 hours at Madonna and Child Hospital Surgical Ward, I will
be able to: Demonstrate appropriate evidence-based direct care to: Patient with
critical illness and injury, including life threatening trauma and multi-system organ
failure; Post-operative patients from cardiothoracic, vascular, gastrointestinal,
endocrine, orthopedic, neurosurgical, plastics and ENT procedures.

Specific Obje ctives

At the end of 8 hours at Madonna and Child Hospital Surgical Ward, I will
be able to:

a. Analyze and interpret clinical data accurately and act accordingly.

b. Demonstrate self-evaluation of patient care skills and medical and nursing
knowledge.
c. Engage in therapeutic relationships in professional care.
d. Identify the best practice patterns to facilitate care of the critically ill
patient from standard operating procedures and patient interactions.
e. Incorporate research and other evidence into clinical practice.
f. Observe and participate in the communication of information and support
to patients, relatives, and appropriate clinical staff, within the acute
surgical care setting.

BSN 3 SURGICAL WARD ROTATION Page 1|3

A.Y. 2020 – 2021
NCM 116 RLE
Care of Clients with Problems in Oxygenation, Cardiology, Gastrointestinal, Fluid and Electrolytes,
Infectious, Inflammatory and Immunologic Response, Cellular Aberrations, Acute and Chronic

3rd Rotation (Week 2, Day 2)

Name: Uy, Tara Kyle G. Block: F Date: March 30, 2021

Clinical Instructor: Anna Gatinao, RN MN USRN Area of Duty: Surgical Ward

Daily Plan of Activities

Time Frame Specific Activities

10:30 Start of virtual duty session
10:30-10:33 Attendance
10:33-10:35 Overview of requirements
10:35-11:15 Presentation of case analysis
11:15-11:25 Question and answer
11:25-11:30 Closing, reminders
11:30 End of virtual duty session

BSN 3 SURGICAL WARD ROTATION Page 2|3

A.Y. 2020 – 2021
NCM 116 RLE
Care of Clients with Problems in Oxygenation, Cardiology, Gastrointestinal, Fluid and Electrolytes,
Infectious, Inflammatory and Immunologic Response, Cellular Aberrations, Acute and Chronic

SAMPLE NURSES’ NOTES

PATIENT:
DATE & TIME: 3/30/2021 2PM-10PM shift
FOCUS: Impaired tissue integrity related to infection as evidenced by
swollen and purplish leg
TIME NURSES’ NOTES
2:00PM D: uncontrolled glucose levels, swollen and purplish
left lower extremity
A:
➢ Maintained hand hygiene when administering
wound care
➢ Provided isolation and monitored visitors
➢ Encouraged position changes q2h
➢ Taught about proper wound care, handwashing,
cleansing, medication administration
➢ Educated about nutrition and hydration
R: verbalized understanding, remained free from
signs of infection
---------------------------------------------------T.K.U, XUSN3

BSN 3 SURGICAL WARD ROTATION Page 3|3

A.Y. 2020 – 2021