PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan

COLLEGE OF NURSING
Related Learning Experience
AY 2013 - 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)

In Partial Fulfillment
of the Requirements for
Intensive Practicum

Tarlac Provincial Hospital

Pedia Ward
November 28 14, 2013

Group 3
KRISTIN ABEE E. GUARIN
Student Head Nurse

PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan
COLLEGE OF NURSING
Related Learning Experience
AY 2013 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)
LONG TERM PLAN OF ACTIVITIES
DAY 1
Date: November 28, 2013
Shift: 7 am to 7 pm

________________________________
________________________________
________________________________

DAY 2
Date: November 29, 2013
Shift: 7 am to 7 pm

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________________________________

________________________________
DAY 3
Date: December 2, 2013
Shift: 7 am to 7 pm

________________________________

________________________________

________________________________
DAY 4
Date: December 3, 2013
Shift: 7 am to 7 pm

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________________________________
________________________________

DAY 5
Date: December 5,2013
Shift: 7 am to 7 pm

________________________________

________________________________

________________________________
Prepared by:
KRISTIN ABEE E. GUARIN
Student Head Nurse

Noted by:
SHERRIE V. BERNARDO, RN
JO ANN A. GUZMAN, MAN
Clinical Instructor

PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan
COLLEGE OF NURSING
Related Learning Experience
AY 2013 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)
LONG TERM PLAN OF ACTIVITIES
DAY 6
Date: December 6, 2013
Shift: 7 am to 7 pm

________________________________
________________________________
________________________________

DAY 7
Date: December 9, 2013
Shift: 7 am to 7 pm

________________________________

________________________________

________________________________
DAY 8
Date: December 10, 2013
Shift: 7 am to 7 pm

________________________________

________________________________

________________________________
DAY 9
Date: December 12, 2013
Shift: 7 am to 7 pm

________________________________
________________________________
________________________________

DAY 10
Date: December 13,2013
Shift: 7 am to 7 pm

________________________________

________________________________

________________________________
Prepared by:
KRISTIN ABEE E. GUARIN
Student Head Nurse

Noted by:
SHERRIE V. BERNARDO, RN
JO ANN A. GUZMAN, MAN
Clinical Instructor

Day 1
November 28, 2013

PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan
COLLEGE OF NURSING
Related Learning Experience
AY 2013 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)
SCHEDULE OF ACTIVITIES
DATE:
AREA:
TIME

ACTIVITIES

Prepared by:
KRISTIN ABEE E. GUARIN
Student Head Nurse

Noted by:
SHERRIE V. BERNARDO, RN
JO ANN A. GUZMAN, MAN
Clinical Instructor

PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan
COLLEGE OF NURSING
Related Learning Experience
AY 2013 - 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)
Hospital: Tarlac Provincial Hospital (TPH)
Ward: Pedia (Pulmonary, Renal and Cardio Ward)
Duration of exposure: 7am to 7pm(12 hours)
DAILY REQUIREMENT CHECKLIST
Criteria

Name of SSN:
Ordonio, Archie L.

Name of SSN:
Park, Hyun Ji R.

Name of SSN:
Palisoc, Princess A.

Part I: Attendance

Day 1

Day 2

Day 3

Day 4

Day 5
Part II: Paraphernalia

Functional BP Apparatus with

Stethoscope

Calculator

Thermometer

Bandage Scissors

Tourniquet

Tape Measure

Penlight with batteries

Canister with dry cotton balls

(labeled)

Canister with cotton balls

soaked in alcohol (labeled)

Medicine tray with cloth lining

Small Alcohol

Black, Blue, Red and Green

Ballpens

Nail Cutter

Micropore

Eraser and Small Ruler

Tongue Depressor

Cotton Applicator

Small Notebook

Pencil
CONFORME:
Signature of SSN
Prepared by:

Noted by:

DAYS
3
4

KRISTIN ABEE E. GUARIN

Student Head Nurse

SHERRIE V. BERNARDO, RN
JO ANN A. GUZMAN, MAN
Clinical Instructor

PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan
COLLEGE OF NURSING
Related Learning Experience
AY 2013 - 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)
DAILYPATIENT ASSIGNMENT SHEET
DATE: November 28, 2013
AREA: Pulmonary Ward
Name of Student
Ordonio, Archie L.
Park, Hyun Ji R.
Palisoc, Princess A.
Perez, Cherry
Picar, Nerilicia Mayan A.

Room &
Bed #
PW
PW
PW
PW
PW

Patient Care
Classification

Name of Patient

Diagnosis

Ocampo,
Gamboa, Myco
Buenaventura, Jackielyn
Tolenada,Doily
Gier, Princess Thea

Pnuemonia
Pneumonia, Acute Gastroenteritis
Pneumonia
Pneumonia
Benign Asthma In Acute Exacerbation

Prepared by:
KRISTIN ABEE E. GUARIN
Student Head Nurse

Noted by:
SHERRIE V. BERNARDO, RN
JO ANN A. GUZMAN, MAN
Clinical Instructor

Remarks

PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan
COLLEGE OF NURSING
Related Learning Experience
AY 2013 - 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)
VITAL SIGNS AND I & O SHEET
DATE: NOVEMBER 28, 2013
AREA: PEDIA WARD
Room & Bed #

Name of Patient

Pulmonary

Ocampo,
Gamboa, Myco
Buenaventura, Jackielyn
Tolenada, Doily
Gier, Princess Thea

TIME: 8:00AM
BP
CR/PR
126
97
122
120
114

Prepared by:

KRISTIN ABEE E. GUARIN

Student Head Nurse

RR
73
43
73
68
40

T
36
36.4
36.4
36.4
36.7

TIME:
BP
PR/CR
120
91
119
134
120

RR
69
39
68
52
43

T
36.1
36.2
36.1
36
36

ORAL
120
100
150
150
300

INTAKE
IV
0
250
150
0
0

CVP
0
0
0
0
0

Noted by:

SHERRIE V. BERNARDO, RN
JO ANN A. GUZMAN, MAN
Clinical Instructor

OUTPUT
U/O
VOM
1/2
0
2/1
0
3/0
0
2d/1
0
3d/1
0

PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan
COLLEGE OF NURSING
Related Learning Experience
AY 2013 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)
IV MONITORING SHEET
DATE:
AREA:
Name of Student

Room &
Bed #

Prepared by:

KRISTIN ABEE E. GUARIN

Student Head Nurse

Name of Patient

IVF

Rate per
min

IV Level
Received
Endorsed

Noted by:

SHERRIE V. BERNARDO, RN
JO ANN A. GUZMAN, MAN
Clinical Instructor

PANPACIFIC UNIVERSITY NORTH PHILIPPINES

Urdaneta City, Pangasinan
COLLEGE OF NURSING
Related Learning Experience
AY 2013 2014
LEADERSHIP AND MANAGEMENT
(Head Nursing)
PRE CONFERENCE AND POST CONFERENCE
November 7, 2013 (8am to 4pm)
I.

Pre Conference
Time:
Place:
Minutes of Meeting:

II.

Post Conference
Time:
Place:
Minutes of Meeting:

Prepared by:
KRISTIN ABEE E. GUARIN
Student Head Nurse

Noted by:
SHERRIE V. BERNARDO, RN
JO ANN A. GUZMAN, MAN

Clinical Instructor