RN HEALS MONTHLY JOURNAL
MAY
2012
Name:
Karen Flores Baduya RN
Area
of Assignment: RHU-Milaor
Milaor, Camarines Sur
I.
ACTIVITIES:
May 7 – Toxic Monday
May 8 –
Pre-Natal and Post Natal Day schedule for pregnant and post-partum mothers. I
administered Tetanus Toxoid to pregnant mothers.
May 9 – TB-DOTS
visitors
May 11 – I
conducted EPI at Brgy.Alimbuyog.
I
assisted in the Pap Smear Exams of 14 (fourteen) RSW’s.
BHW
Monthly Meeting
May 14 – I
injected PPD’s and Tetanus Toxoid to patients as ordered by our MHO.
May 15 – I
discussed about Human Sexuality and Fertility in the RPM (Rapid Population
Management) held at Brgy. San Jose.
May 16 –
Circumcision Mission sponsored by Cong. Dato Arroyo held at the Milaor Covered
Court. With other assists – Suzette, Daisy, Lorie, Josephine, Leo and Unice.
May 17 – I
conducted EPI at Brgy.Capucnasan.
May 21 – I
conducted EPI at Brgy. Mayaopayawan.
May 24 –
Mother’s Class at Brgy. Balagbag together with Suzette and Daisy.
II. LEARNINGS/INSIGHTS:
The RHU Main computer is already
fixed and running, I was able to print medical certificates, referral forms,
laboratory test results form and other necessary files. This month, I was
assigned to have field work. I experienced not having lunch in appropriate
hours. It is because there is no Carenderia in the Brgy. Health Centers I’ve
visited and I wasn’t able to bring packed lunch. The other reason is, the
service is not able to pick me up early.
I learned how to circumcise with the
supervision of a surgeon. I was refreshed about body parts of the Male organ. I
also understood the reason why it is needed to circumcise a boy.
I am learning the skill needed to
inject BCG vaccine via intra dermal by practicing it, this skill is also
applied in giving PPD skin tests. In time, I will be able to master the art of
vaccination or immunization to children or babies. I was also acquainted in
responsible parenting movement and rapid population control. I am giving more
devotion now in the family as a catholic.
III. ISSUES/CONCERNS:
The electric
power in this Municipality of Milaor is getting worst. We have scheduled
brownouts from 10 am to 3 pm during Mondays to Saturdays. In other municipality
they don’t experience this power interruption or power shedding of Casureco II.
This started in the month of February where in there is just 2 hrs brownout
during weekdays, now it’s getting worst. 5 hours of power interruption during
summer season causes a lot of inconvenience to the patients and staff of the
RHU. Example, if there is a patient that needs to have urinalysis, since there
is no power, they will be advised to return the next day earlier before the
scheduled brownout. Other laboratory tests are postponed too, this delay will
also cause delay of treatment.
It is also
crowded in the RHU, so when it doesn’t have power, we are all at risk in
suffering heat stroke. The certificates and other documents that we have in the
main computer cannot be accessed real time to print such necessary documents,
so it also cause frustration to offices where it should be submitted to require
approval or signatories.
IV. RECOMMENDATIONS:
Proper time Management and time
budgeting is one skill that a nurse need in times like this. Grace under
pressure is needed. Since we already know the schedule of power interruption,
we do nebulization, printing of documents and templates, medical procedures and
the like from 8 am to 10am and 3pm to 5pm. When I admit a patient, I already
check if it needs emergency treatment like nebulization or if it needs to be
referred to tertiary hospitals. If we will triage them asap, less casualties
will be experienced.
Signed:
Karen Flores Baduya RN
License No. 0681423
RN HEALS NURSE
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