COVER PAGE

Pamantasan ng Lungsod ng Marikina

2 Brazil St., Greenheights Subd., Concepcion Uno, Marikina City
College of Health Sciences

NCM 113 RLE - ACTIVITY REPORT

Executive Summary

TITLE OF ACTIVITY NCM 113 Community Health Nursing RLE: Barangay Health
Center Immersion

GROUP NUMBER

DATE

VENUE Barangay Malanday Health Center, Marikina City

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I. PARTICIPANTS
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TOTAL
NAME OF DESIGNATION OFFICE NUMBER OF
PARTICIPANT PARTICIPANTS

1. e.g. PL Mar Clinical e.g. Pamantsan ng

Instructor; Student Nurse; Lungsod ng Marinina;
Health Center Barangay Malanday
Doctor/Nurse/Midwife/BHW Health Center

2.
3.
# of Participants
4.
5.
6.

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 The activity was attended by ___ participants <total number of participants>
composed of ____ <breakdown of number of profile of attendes> ____ Clinical
Instructor, ___ Level III Student Nurses from Pamantasan ng Lungsod ng
Marinina, ___ Doctor, ___ Nurse, ____ Midwife, ____Barangay Health Worker
from Barangay Malanday Health Center of Marikin City.

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II. BACKGROUND OF ACTIVITY
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GENERAL OBJECTIVE:

1. To incorporate Universal Health Care (RA 11223) in the Community Health

Nursing 2 (NCM 113) related learning activities.

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SPECIFIC OBJECTIVES:

(Write only what is applicable to your group. Please consult your Clinical
Instructor for the additional objectives that is relevant to what you did at the
Health Center. Check the DOH Programs related to your activity whether it is
National Immunization Program, Prenatal Checkup or Care of the Elderly, etc.
Make the objectives specific to your activity.)

1. To provide the Level III Student nurses actual experience in the

implementation of activities at the Primary level / LGU Health Center.
2. To teach the Level III Student nurses the recording and reporting forms that
are utilized at the Health Center.
3. Add objective
4. Add objective

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III. HIGHLIGHTS <Narrative of the activities conducted>

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IV. ISSUES / CONCERNS & RECOMMENDATIONS

ISSUES / CONCERNS RECOMMENDATIONS

Narrative of issues, concerns and recommendations encountered during the

activity.
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V. PHOTO DOCUMENTATION <insert photos>

Prepared by: <Name and Signature of All the Members>

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NAME OF STUDENT NURSE NAME OF STUDENT NURSE
Level III Nursing Student Level III Nursing Student

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NAME OF STUDENT NURSE NAME OF STUDENT NURSE
Level III Nursing Student Level III Nursing Student

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NAME OF STUDENT NURSE NAME OF STUDENT NURSE
Level III Nursing Student Level III Nursing Student

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NAME OF STUDENT NURSE NAME OF STUDENT NURSE
Level III Nursing Student Level III Nursing Student

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Noted by:

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NAME OF CLINICAL INSTRUCTOR
NCM 113 Clinical Instructor

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MA. KATRINA R. ORBISTA, RN, MPH
NCM 113 Subject Coordinator

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