OÑO VINZ ALYSSA MAE T.

BSN IV – A

1. Patient’s room number and name

It was my first clinical exposure since the pandemic on October 25 and 26, 2021. In the 7th floor

ward of UC-Med, I was assigned to room 723, Michael Alcazar.

2. Diagnosis

His final diagnosis is:

1. CVD Infarct, right internal and external capsule, hemorrhagic conversion

2. HCVD

3. Hyponatremia

3. Health status of your patient when you visit (include subjective data and objective data)

In my first contact with the patient, he has stable vital signs with a blood pressure of 120/70 mmHg, a

temperature of 35.6 degrees Celsius, a pulse rate of 77 bpm, respiratory rate of 22 CPM, and Oxygen

saturation of 99%. He was on the bed, inability to move the left side of the boy, awake, responsive, and

ongoing PNSS 1 L @60cc/hr infusing well at the right hand. Patient M lacks focus when asked

questions and may take a while to respond. This is due to his recent stroke which can cause poor

attention and decreased perception, according to Cleveland clinic. I asked patient M how he feels, and

he responded with a nod. He was not complaining and stating his difficulties. But when I asked the S.O.

he said his father struggles to communicate clearly and recognize people like their significant others. He

also cannot move his left side of the body but can move his right leg to stretch.
 4. Your Action

With the status of the patient, I am determined to help him recover. I encourage him to rest and take his

time to fully recover. I'll maintain a safe atmosphere by keeping the side rails up and storing all

potentially harmful goods in a secure location. Recognize that the patient's afflicted bodily part is still a

part of them. Reduce clutter and distractions in the area because too much visual or aural stimulation in

the environment can be unsafe and confusing. The patient can concentrate better if they are in a calm

and peaceful environment. Assist in preventing injuries caused by a lack of capacity to assess depth and

distance. Finally, give the prescribed medication to the patient.

5. What can you say about your hospital exposure amidst the pandemic and what have you

learn from your 2 days duty at 7th floor? (Include what you have observed during code

blue)

Amidst the pandemic, I am beyond happy that I get to have my clinical exposure back to prepare for the

real deal in the future. But I will be honest. This hospital duty is not the same as the clinical exposure we

have before. We used to be at the station all the time. Charting and writing nurse's notes. We were busy

interacting with patients without having to feel scared or threatened that we may catch this deadly virus.

This time it is different. We are only allowed to have limited exposure. But aside from that, I learned

that on the 7th floor, the nurses there were calm as an ocean especially when a code blue happens. When

a code blue happens, all the doctors and nurses come to the rescue. They all worked together as a team.

They are in a hurry but so calm. I admire them for that. I learned that it takes a lot of bravery, dedication,

skills, and communication to be a great healthcare professional. I kept thinking to myself that if I want to

become a nurse, I must develop patience, virtue, and compassion.