Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

PEDIATRIC WARD ROTATION

Date: April 2, 2023
Bicol Region General Hospital and Geriatric Medical Center

REFLECTIVE JOURNAL/DIARY

Student’s Name: Preceptor: Level/Section/Group:

BARIA, KYLA KATRINA T. FELICIDAD II A. JEREMIAS BSN 2D GROUP 1

Client/Patient: Diagnosis: Age:

Echepare, John Edrick Neonatal Pneumonia; t/c 19 days old

Austero Late Onset Neonatal Sepsis

ACTIVITY/SUMMARY:
Prior the day of the duty, our group made an agreement that whoever arrive first

at school has the power to decide their seats on the van, and as someone who has a

motion sickness and wanted to take the left front seat beside the windows, I arrived first

at 1:00 pm at Camarines Sur Polytechnic Colleges, and patiently waited for my

groupmates until 3:30 pm for our departure. I tried my best to be really woke the whole

trip because I know I was more prone to dizziness when I sleep. At exactly 5:32 pm, we

arrived safely at Bicol Region General Hospital and Geriatric Medical Center without

nauseous moments and attempts of expelling products of regurgitation. At 6:00 pm, we

had a bladder break and started a quick orientation about the Hospital and its Agency

policies. After the orientation, we were supposed to have our hospital tour when our

tummies exclaimed and plead for supper already, that's why we relished and savored our

packed dinners for an hour from 7:00 to 8:00 pm. After eating, we had the best way of

properly digesting our foods — having a hospital tour! It was one of the most thrilling and

dramatic rounds we ever had so far, literally. Aside from the polished sanitation and

amazingly modern facilities of the hospital, we were also welcomed with hospitality by the

staffs and even invisible and lurking spirit friends. Because of the spooky adventure, little

did we know, we were already back at the Pediatric ward.

 Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur

COLLEGE OF HEALTH SCIENCES

We took a little rest and from 9:00 to 10:00 pm, we had our chart reading and NPI.

Upon my interaction with the mother of my patient, exhaustion and weariness were

already evident in her eyes as her child was just admitted on that day with a diagnosis of

Neonatal pneumonia; t/c late onset neonatal sepsis and needed a close monitoring, so I

asked a few yet specific questions to make the NPI clear, concise and at the same time,

comprehensive.

At exactly 10:00 pm, we had our endorsement and a quick round in the patients' rooms.

2 hours after, on the first hour in the morning, I took my patient's vital signs, bed side

care, oxygen nasal cannula adhesive tape securement, and did a 30 minute-tepid sponge

bath.

At 1:00 am, I already proceeded in making an FDAR and have it checked by my

Clinical Instructor for revisions. From 2:00 to 3:00 am, my mind was still alive and kicking

and haven't felt any drowsiness, so I ate my early breakfast just to avoid the need to

sleep. But then at 3:30am, all of my groupmates were already asleep and I was the only

one who was awake, so I forced myself to take a 30-minute quick nap. At 4:00 am, I was

awoken by my groupmates and got back to my patient. Good thing he was already asleep

so I didn't have a hard time getting his vital signs. Upon checking, I felt a little relieved

that his temperature, pulse and respiratory rate subsided a little. Then, I went back to our

area and had my FDAR checked again. At 4:30 to 5:00 am, we transferred our FDAR

on the client's record. Minutes after, we did a little evaluation and case sharing and finally

had our photo opportunities to appreciate the facade of the hospital. At 6:00 am, we left

with slumbering minds and fulfilled hearts.

INSIGHTS/REALIZATIONS: Republic of the Philippines
CAMARINES SUR POLYTECHNIC COLLEGES
Nabua, Camarines Sur
As a night owl, the biggest realization I had is that night duty is not just a shift
COLLEGE OF HEALTH SCIENCES
where you get to escape another daylight task and sleep. Although it's slower and more

manageable than day shift, it was way tougher and harder than I thought for a first timer

like me. While the rest of the world is drawing the blinds and settling into bed, you’ll be

on your feet, providing patient care, and pouring your second — or third — cup of

coffee. It is not a battle of toxic cases, but a combat between you and your snoozing

mind. You really have to compose yourself, keep hydrated and keep moving to have

yourself alive and awake in avoiding medication and documentation errors. It is not just

all about surviving a night duty, but thriving. Thus, it requires careful planning and

preparation. Another thing I've realized is the importance of having greater empathy for

parents of critically ill patients, offering them all the support you can, conducting health

education to allay their concerns, and taking care of the child yourself to relieve their

stress. Thus, to avoid misunderstandings when drawing the proper conclusions as a

student nurse working in a pediatric ward, it is also crucial to distinguish between data

that deviates from normal in infants, toddlers, children in pre-school, children in school,

and teenagers.

PLAN FOR THE NEXT DUTY/ IMPROVEMENT:

For my next night duty, I'll make sure to get enough sleep before our shift. Moreover,

to be really extra careful and double check everything especially in transcribing data to

the client's hospital record, as it is a legal document that should be written and handled

error-free. With that, I will try my best to maintain mental focus during my shift to prevent

getting pre-occupied as this has a real impact on how I operate.

Prepared by:
KYLA KATRINA T. BARIA
BSN 2D GROUP 1
Noted by:
FELICIDAD II A. JEREMIAS, MN, RN
Nurse III/ Clinical Instructor V