Acar Perlita E.

BSN 4B2-2 Group 121

January 14, 2011 Friday

First day of our diuty here in PCMC, the first thing we did is to have an
orientation in the ward, Maam Birol our clinical instructor bring us to the different area
of the hospital, such as ER, OR, Laboratory, prenatal areas, and many more. At 4 oclock
in the afternoon we had our computation for the drugs, and then we observed IV
insertion for the baby, while waiting for releasing of our ID’s we wrote our expectations
here in the hospital, At 6pm we got the vital signs of our patient. They are from
different provinces like Cebu, Sorsogon, Leyte etc. the first time I saw my patient, I feel
pitty on her because she’s suffering of lymphovascular malformation, she have a cyst in
her gallbladder, so she undergo nephrostomy and biopsy. She had also an edema on
her left leg, and she’s always aching because of the biopsy. So sad because we only have
short tome to deal or interact with them. But her mother was cooperative she speak
visaya.

At exactly 6:30pm we had our breaktime, we eat at the canteen for our dinner.
When were done we go to our waiting area to write the SOAPIE and FDAR. I did
mistake for SOAPIE and FDAR.
Baylon, Arvin D.
BSN 4B2 – 2 Group 121

NARRATIVE REPORT
January 14, 2011

On the first day of our duty in Philippine Children’s Medical Center we arrive at the
hospital around 2:00pm we wait for our clinical instructor Maam Birol in the lobby of the
hospital. We are assigned do to clinical practice in the surgery ward of the said hospital Maam
Birol oriented us on what to do in the ward she also teach us on the hospital policies, doing the
FDAR and SOAPIE, reading the chart of the patient, endorsing giving medication and how to
establish rapport in pediatric patients especially we student nurses are very strange to them
usually when you approach them they cry and find comfort to their parents. While waiting for
our ID’s in the hospital we take a tour in the hospital under the supervision of our clinical
instructor. It seems like the hospital build around 1980’s because of the structure type, I like
decors because its very appropriate for a children’s hospital full of colors , cartoon characters and
open spaces which is good for a children to improve their health while staying in the hospital.
We go back to the surgery ward and Maam Birol teach us on how to compute drug medications
as expected because since our patients are children we must do it correctly and we should based
the drug in their weight.
After that we go to our respective patient. My patient had just undergone an operation
she’s 11 y/o so I expect that its easy for me to establish a rapport but I find a hard time because
she’s complaining of pain in her abdomen. Thanks to her parent, I decided to talk to her guardian
while taking the patients vital signs. We have our break around 6:00 and go back to ward to do
SOAPIE and FDAR. We go back to our patient to take the latest vital signs, intake and output
plus we plot it in the patients chart. It was a great day to start our duty in PCMC I expect more
learning’s on the next day.
Baylon, Arvin D.
BSN 4B2 – 2 Group 121

NARRATIVE REPORT
January 21, 2011

We arrive at 1:30pm at the second day of our duty in Philippine Children’s Medical
Center. The first thing to do when we arrive in the surgery ward, is to endorse the progress of the
patient to our fellow dutymates I find it easy for me with the help of our clinical instructor.
Maam Birol assigned each of us some tasks it was just like were in a play, Jamaica Brondial
assigned as a Chief Nurse, Monica and Jericho assigned for the Medications, Pearl and Carina
assigned for the TPR sheet moreover Joan and me assigned for checking the IV fluids of the
patients. we also assigned different patients two for each of us. My patient is 11 y/o boy who
undergone a herniotomy. I take his initial vitas sign and also talk with him to assess if he fells
something wrong, but he tell me that he’s ok and I think he is improving the fact that he was just
undergone surgery yesterday. I also read his chart and plot the initial vital signs and study the
medications he intakes. I also do his SOAPIE as a requirements to be passed to Maam Birol.
We had our break and go back to the ward for the last taking of vital signs and taking
their intake and output. I have a great time in PCMC and I have a lot of learning’s.