WEEK AND DATE ACTIVITIES LEARNING/ACHIEVEMENTS
APRIL 11, 2023 W1D1 *ORIENTATION *
*HOSPITAL *I have found out that NCDH is
ROUNDS WITH composed of different medical
THE HEAD NURSE and administrative department
with their own specialist or head.
*During the rounds, we come to
meet up with our fellow SMSAT
Immersion Students who are in
their 2nd week.
*DISPENSING *In dispensing medicine, I have
MEDICINE learned and achieved to provide
the right medicines of desired
quality are delivered correctly
to the right patient with the
right dose, strength, frequency,
dosage form and quantity,
together with clear instructions,
both written and verbal and
with appropriate packaging
suitable for maintaining the
quality of the medicine.
*RESPONSING *I have provided exceptional
WITH THE
ISSUES/CHALLENGES FACED RESOLUTION
*Since there are others with *Through
us, it means that the task is collaboration, I may be
divided and there is a chance able to work well in a
that we will not be able to do team, contributing
anything because of our ideas and cooperating
number. with others to achieve
common goal.
* I had trouble finding *There’s no harm in
several medications, and I asking, so we ask
often became confused by Ma’am Fitz to guide us
their many forms—whether and learn from her.
they were in the form of
capsules, liquids, or
injections—because I was
unfamiliar with them.
* The task is made harder by
the doctor's unreadable
prescription handwriting.
*Since we are not allowed to
provide the medicine *We notify Ma'am Fitz
without our supervisor, the
 COSTUMER since customer service by answering costumer line tend to whenever a patient or
Ma’am Fitz queries and informing dental overflow the hallway by customer experiences
attended a costumers on the unavailability waiting, an emergency, as she
meeting of their prescript medication.
said, "Just call me."

APRIL 12, 2023 W1D2 *MEDICINE *In pharmacy, it’s not all about
POUCH medicine and prescription but
you also need to do all the things
needed in providing medicine
such as its packaging to assure its
quality.

*DISPENSING *In dispensing medicine, I have * I had trouble finding *There’s no harm in
MEDICINE learned and achieved to provide several medications, and I asking, so we ask
the right medicines of desired often became confused by Ma’am Fitz to guide us
quality are delivered correctly their many forms—whether and learn from her.
to the right patient with the they were in the form of
right dose, strength, frequency, capsules, liquids, or *I've noticed that the
dosage form and quantity, injections—because I was medications are
together with clear instructions, unfamiliar with them. arranged alphabetically
both written and verbal and * The task is made harder by and are classified
with appropriate packaging
the doctor's unreadable according to the
suitable for maintaining the
prescription handwriting. different forms they
quality of the medicine.
come in.
*INVENTORY OF * Medications are arranged
MEDICINE alphabetically and are classified
according to the different forms
they come in.
*Pharmacist/s are even
*HANDING (TO) involved in patients’ chart for (I
THE PAPERS FOR think) their prescription and
DISCHARGE AND auditing their balance that are
PHILHEALTH being charge during their stay.
MATTERS *PhilHealth Konsulta *Patients' handwriting is * I've been asked to
 *REGISTERING package covers preventive unreadable, making it simply sort the papers.
OPD PATIENTS FOR care including consultations, difficult for us to locate their
PHILHEALTH health risks screening and PhilHealth account and
KONSULTA assessment, 13 laboratory record their names.
tests, and 21 maintenance Additionally, several patients
drugs and medicines. didn't complete all the
required personal
information, leaving us in a
state of confusion.
APRIL 13, 2023 W1D3 *WRITING DOWN
PATIENTS’
NUMBER IN
PATIENTS
LOGBOOK

*SORTING
PHILHEATH
KONSULTA PAPERS

* REGISTERING *Patients' handwriting is * I've been asked to

OPD PATIENTS FOR unreadable, making it simply sort the papers.
PHILHEALTH difficult for us to locate their
KONSULTA PhilHealth account and
record their names.
Additionally, several patients
didn't complete all the
required personal
information, leaving us in a
state of confusion.

*LEARNING HOW *1. Locate the pulse. *It's challenging to hear the *Practice and practice
TO AND READ TO 2. Secure the cuff two pulses as I deflate, and practice.
BLOOD PRESSURE 3. Inflate and deflate the cuff especially given how tense I
THROUGH am. It takes me a while to get
 MANUAL AND *Systolic blood pressure (the first into the appropriate rhythm
AUTOMATIC number) – indicates how much for deflating the cuff.
pressure your blood is exerting
against your artery walls when
the heart beats. Diastolic blood
pressure (the second number) –
indicates how much pressure
your blood is exerting against
your artery walls while the heart
is resting between beats.

*READING PULSE *An ideal oxygen level is between

RATE AND OXYGEN 95% and 100% and ideal heart
rate is between 50 to 95 beats
per minute (bpm).

*OBSERVING THE *Anesthesia really helps in * We experience uneasiness *Appreciate the

NURSE IN DOING reducing any pain a patients may while watching because we satisfaction during and
STITCHES. feel. feel like we are the ones after the procedure.
being stitched who are going
through pain as well.

*VISIT TOKITOK ES, “It Is our duty and responsibility *Doing community service is *Masisit ES provides us
MASISIST ES, AND to the community.” -Dra. Febe exhausting and uneasy, free foods and drinks.
DACAL ES FOR especially in this hot heat. It Thank you mga Ma’am
PHILHEALTH *PhilHealth Konsulta is only also makes me hungry. and Sir hehe.
KONSULTA available to those PhilHealth
member. *Some parents didn’t bring
their ballpens, so I lend mine
*Assisting members in filling up —and I never have it back
their form, as well as answering hehe.
their queries.
April 14, 2023 W1D4 *I WAS ABSENT IN *I had to take a college
THE MORNING entrance exam.

*READING BLOOD
PRESSURE, PULSE
RATE AND OXYGEN

*SMNHS AND *Doing community service is *Dra. Febe bought us

BRGY. SAN exhausting and uneasy, food and drinks to eat
ANDRES especially in this hot heat. It hehe.
PHILHEALTH also makes me hungry.
KONSULTA.

*TALK WITH DOK *Pay attention to school rather *Questions… *Dra. answered our
than boys. Learned to evaluate questions by
relationships before entering one. elaborating the
Be conscious of your own procedures in English
limitations. terms.

*Normal delivery is the most

common method of childbirth.
During a vaginal birth, your
uterus contracts to thin and open
your cervix and push your baby
out through your vagina. Dra.
prefer vaginal deliveries because
they're usually safest for the fetus
and the birthing person.

*Circumcision is a relatively
simple procedure. The foreskin is
removed just behind the head of
the penis using a scalpel or
surgical scissors. Any bleeding can
be stopped using heat, and the
 remaining edges of skin will be
stitched together using
dissolvable stitches.

WEEK AND DATE ACTIVITIES LEARNING/ACHIEVEMENT ISSUES/CHALLENGES RESOLUTION

APRIL 17, 2023, W2D5 *MONDAY FLAG RAISING
CEREMONY

*VERIFYING PATIENTS’ *It’s the ‘nakakangalay sa *Admin people are the

PAPERS leeg’ for me huhu. nicest. They would buy us
some foods and drinks to
*LOOKING FOR PATIENTS eat on break time.
CHART
*Ma’am Bella would even
*ASSISTING PATIENTS IN advise us to take a nap so
REQUESTING MED-CERT that our could rest our
TO THE PHYSICIAN eyes.
APRIL 18, 2023, W2D6 *SORTING OF CHART *It’s the ‘nakakangalay sa *Sir Bogs’ birthday so he
leeg’ for me huhu. treated us some to eat.
APRIL 19, 2023, W2D7 *MONITORING IN *NURSES/MIDWIVES *It was difficult to execute *Patience. Patience.
PATIENTS’ BLOOD DESERVES MORE the work that day because Patience
PRESSURE (BEFORE LUNCH APPRECIATION. the ward had about 25
MEAL) patients. It was more
*BEING ASSINGED IN difficult because of the
*MONITORING IN WARD IS NOT AN EASY intense heat, especially in
PATIENTS’ BODY JOB. the afternoon.
TEMPERATURE, SPO2 AND
RULSE RATE (MORNING *thankfully, patients are * A patient’s relative ask * I was well-instructed and
AND AFTERNOON) kind to us—to let us assist me to open the oxygen advised by the nurse.
 them in doing procedure tank, but I don’t know how
*WARD TO OPD TO WARD or monitors on them. Just to. So, I informed the “Oh kayam met, agnurse
TO OPD TO WARD TO OPD be kind and have patience nurse assigned in the kan tun.” -Nurse
TO WARD FOR A towards them. station, but she let me do
DISCHARGE/ADMIT it instead. Naturally, being
PATIENT’S CHART *We learned how to my first time, I was
update a patient’s chart anxious.
*ASSISTING NURSE FOR after monitoring his/her
BABY’S SUERO BP, pulse rate, SPO2, and
body temperature
*HANDING PATIENTS throughout the day.
CHART IN LABORATORY
FOR DISCHARGE *we have learned that
every duty rotation of
*HANDING PRESCRIPTION nurses--they have to
FOR DISPENSING register emergency
(MORNING MEDS) pharmaceutical medicines
(6 drawers of meds) in
*ADMITTING/ASSISTING their station, which is
PATIENTS FROM OPD TO tiring.
WARD

*WRITING AN EXCUSE
LETTER FOR TOMORROW
(PERIODICAL EXAM)

*OPENING THE OXYGEN

TANK FOR A PATIENT

*UPDATING PATIENTS’
CHART (FOR 7AM, 1PM)

*REGISTERING
PHARMACEUTICAL
 MEDICINES IN NURSE
STATION

WEEK AND DATE ACTIVITIES LEARNINGS/ACHIEVEMENTS ISSUES/CHALLENGES RESOLUTION

APRIL 24, 2023, W3D8 *ROUNDS WITH DRA. * The ward of NCDH is
FLORES AND NURSES governed by WOMEN.

*SMSAT’s PROGRAM

*MONITORING IN *Pulse oximeter are -so we needed to bring

PATIENTS’ PULSE RATE *The best sites for sometimes not compatible the Portable vital Signs
AND SPO2 performing pulse ox on with babies- ECG Machine Multi-
infants are around the parameter
palm and the foot. An
infant pulse oximeter
probe (not an adult
pulse oximeter) should
always be used for
infants.

APRIL 25, 2023, W3D9 *FOLDING GAUZE

*WRITING CASE NUMBER

*OPERATING X-RAY *I have learned the types od

MACHINE radiographic projection such
as AP-Antero-posterior, PA-
Postero-Anterior, DP-Donsal-
Plantar, Lateral and Oblique.
APRIL 26, 2023, W3D10 *OPERATING X-RAY *Radiologists are prone to
MACHINE infertility because of
extreme exposure in
*ENCODING PATIENTS’ radiation caused by the x-ray
 ROENTGENOLOGIC machine. That’s why they
REPORT use a lead apron for
radiation protection. We
*REGISTERING PATIENTS experience to wear this and
FOR EXAMINATION we didn’t expect it to be
that heavy.
*FOLDING GAUZE
*We have learned how to
semi-push and fully-push
the button to get the image
for the examination. There is
also a beep sound and color
you need to wait in
operating the machine.
APRIL 27, 2023, W3D11 *FINDING PATIENT’S * Keep in mind your hospital *There are patients who Just have patience.
HOSPITAL NUMBER AND number because it is crucial are hard to understand Just have patience.
MEDICAL CHART/RECORD and incredibly useful to the especially the old ones. Just have patience.
staff at the hospital. We can’t hear and
*I FOUND MY HOSPITAL understand what they are
CHART saying. There are even
patients who doesn’t
know what they are saying
if you ask them.

*REMOVING IV LINE *Removing IV line is way
easier than injecting one.
APRIL 28, 2023, W3D12 * FINDING PATIENT’S * We created the simple
HOSPITAL NUMBER AND mini-system in which one
MEDICAL CHART person is responsible for the
patients, another for
locating the hospital's phone
number, and a third for
locating the medical records.
*Some names were very
difficult to find.
* We anticipated a large
number of patients on this
day because Monday and
Friday are the busiest days
in the OPD.
*We ask Ma’am Sena to
help us find their record.
* We ask our fellow
immersion students to
assist us in OPD if they
have time to spare in their
designated department.
We value their helping
hands very much.
*OBSERVING HOW TO *” The plastic catheter over
INSERT IV LINE the needle. And into the
vein. If properly placed in
the vein the catheter should
also advance easily.”
*GETTING THE PULSE *I got the chance to monitor
RATE AND SPO2 OF A a trauma patient’s SPO2 and
TRAUMA PATIENT pulse rate. Simple
procedure, yet so much
fulfillment.
*CALLING DRA. FLORES
FOR TRAUMA
*DRA. FLORES 1. Patient’s name and
EXPLAINING HOW TO another identifier,
*I feel tense because the
patients is also drunk and
he keeps on talking and
aggressively moves.
*I called Dra. Flores as * Simply maintain my
what the nurse ask me to. composure; the hospital is
I was in a very intense the safest place for a
state when I saw Dra. patient to be.
Febe, I approach her say,
“Dra. there’s a trauma
patient at the ER.” She
responds calmly, “You
knock on here,” pointing
on the Doctor Quarter. I
continued to be intense,
so I knock the door
aggressively. Leaving Dra.
Flores exclaimed with
laughter, “parang nasa
pelikula ka naman
kumatok.”
 PROPERLY WRITE A usually date of birth.
PRESCRIPTION 2. Medication and
strength, amount to
be taken, route by
which it is to be
taken, and
frequency.
3. Amount to be given
at the pharmacy and
number of refills.
4. Signature and
physician identifiers.

*DRA. FLORES “You should strive to inflate

EXPLAINING HOW TO the cuff to 30 mmHg above
PROPERLY (IN BOOKS) GET the palpated systolic
BLOOD PRESSURE pressure—no more and no
less. This avoids both under-
and over-inflating the cuff.”

WEEK AND DATE ACTIVITIES LEARNINGS/ACHIEVEMENTS ISSUES/CHALLENGES RESOLUTION

MAY 2, 2023, W4D13 *ASSISTED NURSE X TO *Clear the area for better
PERFORM HEAD visualization, cut suture,
LACERATION ON PATIENT apply betadine, clear the
Y wound using gauze.

MAY 3, 2023, W4D14 *OBSERVING POST- *Witnessing someone be
LABOUR born into this world is such a
joy. Although the operation
may not smell great, the
moment makes us glad to be
*The smell is not great: it “Take a deep breath and
makes me anxious and exhale.” -staff
dizzy.
 human.

*WE WASHED AND

CLEANSE SLIDES AND TEST
TUBES

*PICTURE TAKING
MAY 4, 2023, W4D15 *VIEWING OF *WBC are just filled donut * Since we weren't yet * Ma’am Francess taught
MICROSCOPE AND while RBC are just plain aware of how to change us what they mastered
IDENTIFYING WBC AND donut shaped. its function and alignment, their school—capturing
RBC viewing under a the best visualization of a
microscope to obtain the microscope using a phone
best visualization can be camera.
challenging.

*DOING PATIENT’S *Urine color alone can *It smells unpleasant.

PREGNANCY TEST AND indicate patient’s level of
URINE TEST pH, glucose and protein.