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LORMA COLLEGES CON TEMPLATE

FDAR
RELATED LEARNING EXPERIENCE
ILOCOS TRAINING AND REGIONAL MEDICAL CENTER

NAME: ROTATION: AREA:


ORBINO, Frances Anne N. 4th Pediatric Ward

YEAR DATES: CLINICAL INSTRUCTOR:


LEVEL BSN II - V Jean Piaget GENE PAUL RESOCO
April 1,13,14,15,20
AND
SECTI
ON

NURSES' NOTES

PATIENT NAME: Ms. MC AGE: 17 yrs old HOSPITAL NO.:

PHYSICIAN: Dr. SEX: F WARD/ROOM: Pediatric Ward


BELARMINO
DATE/TIME FOCUS PROGRESS NOTES NURSE SIGNATURE
04/13/23
8-9am DATA
Health - “Ate, pwede po ba ko kumain ng maanghang? Masama po ba yun sa
teaching nagtatae?” as verbalized by the patient.
regarding
- Patient looks unaware and verbalizes not knowing much about LBM.
LBM
FAO

ACTION
- Establish rapport, introduce self and explain purpose
8:35 – 8:40 am FAO
- Identify the patient’s level of understanding about proper diet for LBM

FAO
8:40 – 8:45 am
- Communicated with the patient and asked her how much she knew
8:45 – 8:50 am about care after LBM. FAO

- Discussed the possible signs and symptoms that caused LBM.


8:50 – 9:00 am FAO
- Giving health teachings to patient together with her mother, such as
9:00 – 9:10 am proper sanitation of eating utensils and doing the proper washing FAO
technique.
- Recommended the patient to eat home-cooked meals rather than going
9:10 – 9:20 am out. FAO

- Encouraged to increase fluid intake


9:20 – 9:25 am FAO
- Regulated IVF and charted
9:25 – 9:30 am FAO
- Monitor V/S
9:30 – 9:35 am

- Administered 500g PO Metronidazole as per doctor’s order


9:35 – 9:40 am FAO

RESPONSE
After providing nursing interventions patient manifest understanding of
different techniques in caring for the current disease.
FRANCES ANNE N.
ORBINO STUDENT
NURSE

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