JOURNAL

I was so excited with our limited face to face classes because finally I’ll meet my

classmates, friends, clinical instructors and the school. It was a long time ago that we

never back to school. In the first class, Sir Gino taught us were it is already discussed

during when we had virtual classes such as on how to regulate and calibrate the IV fluids

with calculations, medication cards, the surgeons with the colors. Second day we had

oral exam of what we discussed yesterday. After that Sir Gino taught us about

Endotracheal tubing, on how to insert the mouth guard, how to use laryngoscope, how to

feed using the tube with asepto syringe and lastly with the machine. Afterwards we

performed about Intradermal and Intramuscular by pair. I was little bit nervous because it

was a long time ago that we never perform how to inject and we performed that during

we are first year college. It is really good in actual because we little bit enhance our skills

and knowledge. I am satisfy with our clinical instructor because he patiently understand

us and and it is little bit time we can perform it very well. Last week we started go on

duty on the hospital, I am excited with a little bit nervous because finally we will handle a

patient. I woke up by 4:00 AM and go to school by 5:30 AM and waiting for our clinical

instructor, after that he check our kits and uniform. Afterwards we go to the hospital.

From the beginning we prayed and asked permission to go on duty to the nurses station

and the staffs then we had endorsement for our patient individually. The first case of my

patient is with the chief of complaint of loss of appetite that day. when we go to the

patient’s room, our clinical instructors is with us and introduced us to our each patient. I
am little bit nervous because it was my first time to check the IV level and calculated the

cc/hr in actual patient. Then afterwards, my patient is nice to me and her guardian also,

so I felt okay and relaxed. By 8:00 AM I got her vital signs and everything is in the

normal range, except the temperature. Afterwards I started document and graph. I

looked her document and I saw there that in past few days she has a chief of complaint

of cough and shortness of breath. Every four hours I checked her vital signs. The

patient is oriented and able to do activities. Afterwards the patient decided to go home

and my patient is okay for discharge. I document on her FDAR is DAMA. I am happy that

time because finally I am done with my first duty. Second day I am little bit confident

because I knew already what will I do . I have a new patient and she has allergy or

urticarial rashes., I checked her IV level and second day we can administer medications

to our patient. I gave the medications to my patient by 8:00 AM and 10:00 AM. My new

patient is oriented and able to do activities. Afterwards of record and graphing, we did for

our own FDAR about to our patient. Our clinical instructor asked about the medications

and we got mistake, he taught us what is the actions of that drugs. I wasn’t have yet

Nursing Drugs Handbook so it was a little bit hard and some medications I am not

familiar. After of our duty it’s really tired and I want to sleep until the night. I am happy

again because we survived the day again. The Third Day of duty my patient is still the

same, she had still allergy. It was my bad day because I had incident report because of

my mistake. This is what happened. Around 7:30 AM I checked the medications cards

and one of the nurses told me to bring it the prescriptions to the patient’s room. Around

7:45 AM the drug was already in the nurse’s station and that was the time that I took the
vital signs. After that I went back again to my patient’s room to check the IV level. I was

about about to record the vital signs but one of the staff nurses told me that the drug was

already in medication room and I asked her what time I give it to the patient and she told

to give it by 8: 00 AM. It was already past 8AM , Around 8:10 AM so I thought of giving

medication to the patient already because it was late. I went back to the nurses station

to record and graph the vital signs. I was thinking that I should accomplish everything

before give it for checking. I realized that It was wrong and apologized to my clinical

instructors that I won’t do it again.

I am still happy because I survived the days of our duty but I had a mistake that I

won’t do it again and it is a lesson learned for me. I hope that my next rotation, I can’t

have incident report again and I’ll be presence on my mind always. I am lucky and

thankful that I had a patients which they are nice to me and they understand that I am a

student nurse and trusted me also. I realized that I need to be presence in mind,

because this is not a joke and we deal the patient. I understand already what they feel of

the nurses and doctors on duty and I am so proud to them also. I am still doubting with

my capacity but I still try my best to be better more and enhance my skills and

knowledge. I know that this a part of my journey and never be forgotten. I am thankful to

our clinical instructor, Sir Gino for being understanding person and do excellent way of

teaching to enhance our knowledge and also our skills. Once again, Thank you so much

Sir!