Narrative Report for Skills Lab

Demonstration in (NCM 109L – Care of

Mother, Child, and Adolescent with
Acute Illness Skills Laboratory)

Submitted by:
Angelie M. Agustin
BSN 2205
AY 2022 - 2023

Presented to:

Ma’am Elsie A. Mojica, RN

Skills Lab Instructor
 From Theory to Practice (250-300 words)

Nurses must be aware in order to confidently provide a particular nursing care,

and we can only be aware with the aid of a guide. Our systems are firmly entrenched in
various theorists' theories. We occasionally need to adopt the ideals and morals that their
dedication to service as nurses shaped. One nursing theory that is applicable to the
Familiarization of OR Instruments during Caesarean section delivery is the "Social
Learning Theory" by Albert Bandura. This theory emphasizes the importance of
modeling and observation in the learning process. Nurses can use this theory to design
educational programs that include hands-on practice with the operating room
instruments, as well as opportunities to observe experienced nurses using them.

Another theory is the "Neuman Systems Model" by Betty Neuman, which relates
to the assessment of eclamptic mothers using deep tendon reflex. This theory emphasizes
the holistic approach to patient care and recognizes the interconnectedness of the patient's
physiological, psychological, and social systems. Nurses can use this theory to guide
their assessment of eclamptic mothers, considering factors such as the patient's level of
stress and anxiety, as well as their physiological symptoms.

Lastly, the "Roy Adaptation Model" by Sister Callista Roy guide my performance
for the oropharyngeal suctioning and orogastric tube feeding. This theory emphasizes the
importance of patient adaptation to their environment and recognizes that patients have
the ability to adapt to stressors with the right support and resources. Nurses can use this
theory to guide their approach to oropharyngeal suctioning and orogastric tube feeding,
considering factors such as the patient's level of discomfort and their ability to adapt to
the procedure.

.
 SWOT ANALYSIS

Strengths Weakness Opportunities Threats

 Ability to  Easily  Learn to accept ● Insufficient
recognize distracted mistakes and time to practice
mistakes and  Slow take that as and patient’s
learn movement motivation to unavailability
 Ability to  Observed strive harder ● More thinking,
multitask minimal  Allow time to less actions
 I was able to sensitivity practice and ● Lack of
work and finish when covering familiarize understanding
tasks excellently the wound procedures to and knowledge
and productively which could execute properly ● Lack of
before deadline harm the  Develop enhancement
 I was able to patient. adaptability to on capabilities
perform return  Lack of abrupt changes ● Being overly
demonstrations sufficient in environment distracted due to
with minimal practice  Develop environment
errors.  Getting anxious sensitivity and pressure
 Enhanced ability and let awareness of the ● Making errors
to memorize and emotions took minor things that during actual
learn the over could lead to performance
procedures  Unable to adapt infection.
beforehand to the  Practice
environment maximizing time
in faster pace
Time Management Scheme (Before Return Demonstration)

(For this part, kindly show a table portraying how you managed your time to ensure smooth
performance of your skills demonstration)

Academic Completion Time allotted Measures Status Reasons for

Tasks date/Deadline for Rendered (Write A if N/A tasks
completion Accomplishe
d
Write N/A if
not
accomplishe
d)
Discussion of March 18, Ma’am Elsie After the class, A
Familiarization 2023 Arceo, RN I went back to
of OR allotted 30 see the guide
Instruments minutes video for the
for Caesarean discussing to Instruments
Section us, Group 1, and take note
Delivery virtually how of the
it is done. important
things to do
and bring
during the
conduct of
Familiarization
of OR
Instruments.
Discussion of March 13, Ma’am Elsie After the class, A
Assessment of 2023 Arceo, RN I went back to
eclamptic sent the see the guide
mother using learning video for the
deep tendon material on assessment
reflex the group chat and take note
ahead of time. of the
important
things to do
and bring
during the
conduct of
deep tendon
reflex.
Discussion of April 10, 2023 Ma’am Elsie After the class, A
Performing Arceo, RN I went back to
Oropharyngeal sent the see the guide
suctioning learning video for the
material on assessment
the group chat and take note
ahead of time. of the
important
things to do
and bring
during the
conduct of
Oropharyngeal
suctioning.
Discussion of April 10, 2023 Ma’am Elsie After the class, A
Administering Arceo, RN I went back to
Orogastric sent the see the guide
tube feeding learning video for the
material on assessment
the group chat and take note
ahead of time. of the
important
things to do
and bring
during the
conduct of
Orogastric
tube feeding.
IV. Time Management Scheme (After Return Demonstration)
(For this part, kindly show a table THE IMPROVEMENTS that you would incorporate in order to
manage your time better for your skills demonstration) – Note: Kindly highlight those
improvements

Academic Completion Time allotted Measures Rendered Status (Write Reason/s

Tasks Date/ for A if (for
Deadline Completion Accomplished N/A)
Write N/A if tasks
not
accomplished)
Learning Familiarization I spent 6 hours Right after my return A
Feedback of operating of drafting and demonstration of
Journal room typing my Familiarization of
Writing instruments for Learning operating room
caesarean Feedback instruments,
section Journal using Assessment of
delivery my phone. eclamptic mother
using deep tendon
Assessment of I spent 4 hours reflex, Performing
Eclamptic drafting my oropharyngeal
Mother using learning suctioning, and
Deep Tendon feedback Administering
Reflex journal in orogastric tube
Familiarization feeding I started
Performing of operating drafting my learning
Oropharyngeal room feedback journal,
Suctioning instruments for listing all my
caesarean mistakes and the
Administering section emotions I felt within
Orogastric delivery after the remaining time.
Tube Feeding submitting it. .

May 17, 2023 As for writing

it in the paper,
I spent mostly
whole day
with meals as
my break.
Narrative Familiarization I spent the After finishing my A
Writing of operating whole day learning feedback
room finalizing the journal, I started to
instruments for details of may take note the details
caesarean narrative needed for the
section report. narrative report.
delivery

Assessment of
Eclamptic
Mother using
Deep Tendon
Reflex

Performing
Oropharyngeal
Suctioning

Administering
Orogastric
Tube Feeding

May 17, 2023

V. Learning Strategies (100-150 words)

(Describe how the strategies/study habits that you have undertaken)

Two years and we are gradually coming back to conducting face to face classes, however, in
this time, it is only limited due to safety precautions that the school had to implement for every
student’s safety. Although we shout our plead to return to this set-up it is still quite unrealistic that
we are back causing the perplexing emotions of meeting new people. Moreover, never once did I
think that it’ll be more difficult to manage our time now that we have online classes and face to
face classes as well. It’s like returning to phase one of adjusting.
Nonetheless, we are Nurses in the process, so adapting to this kind of abrupt changes is a skill
that we all must develop. So, since the lectures are separated with laboratory week, it had been
much handy. During lecture week, we got a chance to study the lectures and do the activities
within that week, and if it is not our schedule yet for the laboratory, some hanging school works
can still be accomplished leaving no backlogs. Likewise, as our turn for the laboratory or the face
to face classes, we are also performing one return demonstration and the other as video
presentation, which is favorable for us. Though it is hard to memorize the procedure and rationale
within just hours plus the peer pressure, thankfully, it is also something that we had to deal with.
Some of us may not be aware of this, but the set up and schedules that the school had provided
really helps us to adjust with the setting, giving us much time for other school works.

VI. Photodocumentation (Insert your skills lab photos here, with substantial captions)
Familiarization of OR Instruments for Caesarean
Section Delivery

In this photo, I was scrutinizing the details of the

instruments to list on my paper.

Assessment of Eclamptic Mother using Deep

Tendon Reflex

In this procedure, I strike the tendon muscle to

assess the patient.

Performing Oropharyngeal Suctioning

In this photo, I am inserting the suction catheter

to the mouth of the infant for mouth suctioning.
 Performing Oropharyngeal Suctioning

In this photo, I was inserting the suction catheter

to the nose for nasal suctioning right after mouth
suctioning.

Administering Orogastric Tube Feeding

In this photo, I was listening to the gurgling

sound using stethoscope after injecting air.

Administering Orogastric Tube Feeding

In this photo, I removed the plunger and pinched

or clamped the feeding tube to establish proper
implementation of the procedure.