EMILIO AGUINALDO COLLEGE

School of Nursing

March 5, 2022 (2:00pm – 10:00pm)

SCHEDULE OF ACTIVITIES

TIME ACTIVITIES
1:45-1:55PM Prayer
1:55-2:10PM Checked the grooming, Uniform and Paraphernalia’s
2:10-2:30PM Presentation of Activities
2:30-2:45PM Pre-Test
2:45 -3:30PM Endorsement
3:30-4:00PM Pre-conference

Assess patient’s condition

Check vital signs, IV rate and, I&O
3:30-4:45PM
Doing NCP&FDAR
Documenting patient condition
Rechecking the patient's chart for proper charting and carry out due
4:45-5:30PM meds. Kardex update after the Dr's rounds.

5:30-5:45PM Working Break Time

5:45-6:45PM Doing Journal with reflection and other requirements
6:45-7:45PM Diner Break
Vital signs taking and plotting
7:45-8:45PM
Preparing due medications

Giving Due meds. and taking I&O , plotting and charting. Rechecking
8:45-9:15PM of the patient's chart

9:15-9:30 PM Post test

9:30-10:00 PM Post-conference with the clinical instructor
Prepared by:

Ali Hassan, Amal A Noted by:

Student Staff Nurse Clinical Instructor

EMILIO AGUINALDO COLLEGE

School of Nursing
 NURSING CARE PLAN

NAME: ALI HASSAN, AMAL ABDI

DATE: 03/05/2022
Primary nursing group 2
Patient #2
NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE
yperthermia related to After 2 hours of nursing INDEPENDENT:
Inflammatory process intervention the patient  Monitor vital signs Notes progress &
econdary to process as temperature will return to changes of condition
s manifested by normal.  Notes progress&
creased temperature. changes of condition.
 Loosen or remove
excess clothing and
covers.  Exposing skin to room
air decreases hea
and increases
evaporative cooling.
 Provide a tepid bath
or sponge bath.
 A tepid sponge bath is
a non
pharmacological
measure to allow
evaporative cooling
Do not use alcohol as
it can cool the skin
rapidly and may
 Encourage cause shivering.
adequate fluid
intake.   If the client is aler
enough to swallow
provide cool liquids to
Dependent help lower the body
temperature. 

 Administered
Acetaminophen
500mg Tab q6  used to reduce a high
as doctor's order temperature.
 Maintain IV fluids
as 
ordered by
physician.  Prevents dehydration.

Collaborative
Monitor hematologic test
& other pertinent lab
 Monitor
hematologic test&  Indicates presence
other pertinent lab infection
dehydration.
 FD
AR

Date/Time Focus Progress

notes
03/05/2022 Acute Pain D:
Reports of sharp pain on the abdominal
Occurs in the upper center of the abdomen with a
pain scale of 7 out of 10

-Facial grimacing
-Guarding behavior
-Restless and irritable

A:
Administered as ordered by physician
Encouraged deep breathing exercises and
relaxation techniques
Advise the patient to avoid hot and spicy foods
Kept patient comfortable and safe

R:
Patient reports pain was relieved
 FDAR

Date/Time Focus Progress notes

03/05/2022 Hyperthermia D:

Temperature of 38 °C

Skin is flushed and warm to touch

A:

-Tepid Sponge Bath (TSB) done

-Administered Acetaminophen 500mg Tab q6 as doctor's order

-Encouraged adequate oral fluid intake

-Encouraged adequate rest

- instruct the patient to Loosen or remove excess clothing and

covers.

R
- Temperature decreased from 38to 37.3
----------------------------------------A. Nurse