You are on page 1of 21

Name : Lachica, Danica Faye R.

Job Title: Student Nurse (Level 4)


Organization: School of Nursing, Saint Louis University

Curriculum Vitae: SEE ANNEX 1

Purpose of Portfolio: To showcase the things I have learned. To show evidence of my skills
and knowledge in medical surgical nursing and organization and management
particularly in disaster preparedness.

Personal Statement:

a. It is, I think, I profess that my purpose in life is to plant trees under whose shade I
expect not to sit.

b. I believe that as I become more learned the more I must strive to become more
humble.

c. My personal goal is to be an advanced nurse care practitioner in disaster and


emergency nursing especially capable of utilizing EBP and research in the field of
disaster mitigation and management of the natural environment.

d. Knowledge and skill learned is knowledge and skill unlearned if it is not enhanced
and shared for the growth of self and your community.
1. LEARNING PLAN

Date What LEARNING activities What prompted you to identify this need and
to you need or want to how will it help your nursing practice?
undertake this
ROTATION? Competency/ professional standard(if related)

August 7,8,9 Enhancing my It is our first duty as a fourth year nursing


competency in student in Coronary ward, as nursing student
therapeutic we should we establish rapport first before
communication getting assessing the patient.

Performing my We enhance our competency in


assessment to my patient pathophysiology, care planning and obtaining
for my nursing care plan history.

August Mastering performing my I will be handling a patient with 20 medications


14,15,16 assessment on electrolyte which are either medications directed towards
imbalances the illness, medications to prevent adverse
reactions from other medications, or
medications to correct imbalances.

Knowing that my labs reflect imbalances, I


want to use my skills to assess the specific
effects of the imbalances.

Journal Sharing I will be sharing the journal entitled


Performance of head nurses management
functions and it’s effect on nurses’ productivity.
One of the skill is time management because
as head nurse they should have a time
management to utilize the team to improved
their performance as a nurse and also
improved their skills. Nurses should be
responsible for maintaining a safe and caring
environment that promotes health teaching,
assessing patients and families, response to
nurses care as well as evaluating the
effectiveness and quality of care. As a student
nurse we are teaching how to become a
head nurse and how to manage the entire
shift. Being a leader as a head nurse, we
should be more responsible for the patients
care and needs.

August 21,
22, 23

Health Teaching Since our patient is bed ridden, unable to


move because they are in critical condition.
As to help reduce the stiffness of the joint and
to help maintain flexibility and mobility at the
joint, I teach passive range of motion to the
significant others.

September
4,5,6

September
11, 12, 13

September I want to be able to I want to master this skill because, I have not
18, 19, 20 perform coordination skills had the chance to do this task because it is
with key persons in the our first community duty and it’s always with
community. the guidance of the Clinical Instructor to do
coordination to all key persons.

I want to be able confidently assure that the


our group in our 3 weeks of duty we will be
able to implant a good mark in the community
that will last and remembered by people.

This would help in my managerial skills,


especially in coordinating and
communication.

September
25, 26, 27

October 2, 3,
4
October 16, Triage I want to have a background knowledge and
17, 18 master this skills in prioritization of client’s cases,
recognizing their urgency, and properly
classifying them according to their needs.

This is helpful in emergency cases to be more


efficient in the delivering appropriate care
and interventions.

History taking By doing history taking, it will help me fully


understand on what predisposing factors that
involves in patient on their current situation or
condition that presented in Emergency Room.

With this, it will help me anticipate possible


complications that may arise and possible
interventions to be done as well.

October 23, Preparation of IV I want to enhance and practice my skill in


24, 25 medications handling IV drugs because there are specific
dose needs to be administer to a certain
patient.

It is very crucial to prepare IV drugs because it


must be done quickly and usually time
pressured.

ECG Most of the patients that come into the


Emergency Department are ordered with
ECG. I get to analyze and appreciate the
ECG readings and get to understand the
present signs and symptoms manifested by the
client.

November Enhancing my I will be handling a patient with a history of


13, 14 competency in cancer and I need to developed my skill and
therapeutic competence to care for this kind of patient.
communication Sometimes I have never considered myself as
therapeutic since I am shy and sometimes
blunt. I would like to develop my therapeutic
communication skills.

Moreover, I would like to understand the


coping mechanisms of patient’s with life-
limiting illnesses or diseases.

November Preparing Mediation I will be handling a patient with 11 medications


20, 21, 22 which are either medications directed towards
the illness, medications to prevent adverse
reactions from other medications. I learned
different mechanism of action of medications
that can be related to my patient’s case.

Knowing that, I want to enhance my skills in


assessing the specific causes for the
complications.

December 4,
5, 6
2. RECORD OF THE LEARNING EXPERIENCE

PROGRAM OBJECTIVE: Practice Nursing in accordance with existing laws, legal, ethical and
moral principles

After completing this course, the student nurse should be able to:

1. Integrate relevant concepts of physical, social, natural and health CLO1


sciences and humanities in the care of clients who are at risk and with
health problems
2. Trace the pathophysiology of a disease CLO2

3. Rationalize the curative, promotive, preventive and rehabilitative actions CLO3


utilizing the nursing process
4. Utilize concepts, principles of different theoretical perspective in CLO4
situations
5. Assess with the client one’s health status/competence CLO5

6. Specifies client’s status/condition/problems to be addressed utilizing the CLO6


NANDA
7. Formulates with the client a plan of care to address the health CLO7
conditions, needs, problems and issues based on priorities
8. Implements safe and quality interventions with the client to address the CLO8
health needs, problems and issues
9. Applies safety principles, evidence based practice, infection control CLO9
measures and appropriate protective devices consistently, when
providing nursing care and preventing injury to clients, self, other health
care workers and the public.
10. Perform skill accurately CLO 10

11. Implements participatory and empowerment strategies for community CLO11


competence to identify and collaborate effectively in addressing needs
and problems related with health resource availability, access or use,
environmental sanitation, environment protection, safety and security.
12. Provides health education using selected planning models to targeted CLO12
clientele (individuals, family, population group or community).
13. Determines the health education planning models appropriate to target CLO13
clientele/expected objectives and outcomes.
14. Utilizes health education process to accomplish the plan to meet CLO14
identified client’s learning needs
PROGRAM OBJECTIVE PK1: Apply knowledge of physical, social, natural and health
sciences and humanities in the practice of Nursing

Date Description of the Hours Reflection (in what way has this SOURCE
LEARNING Activity (involve activity maintained/enhanced
(eg. education d in the your nursing practice –
session, journal activity) knowledge, skills and attributes)
article, online or self-
directed learning
activity)
Aug 18 QUIZ – articles I-III of 45 I learned about the law states QUIZ
the R.A 9173 minutes do’s and don’ts and gives us (Annex II)
idea on violation that people
may do and suffer the
consequences afterwards.

Sept 8 QUIZ – article IV-IX or 1 hour In this quiz we need to apply our QUIZ
RA 9173; Legal knowledge about the articles we (Annex II)
Aspects of Nursing read and we had to prove and
justify our reasons behind nurse’s
liability with the given situations.
As a student nurse we must be
aware of the law that which will
guided as we become a
professional nurses someday in
order to deliver efficient and
effective quality of health care
without committing any violent
act against the patients.

PROGRAM OBJEVTIVE PS4: Practice beginning management and leadership skills in the
delivery of client care and in health program development using a system approach
Date Description of the Hours Reflection (in what way has this SOURCE
LEARNING Activity (eg. (involve activity maintained/enhanced your
education session, journal d in the nursing practice – knowledge, skills
article, online or self- activity) and attributes)
directed learning activity)
Aug Journal Sharing 1 hour I will be sharing the journal QUIZ (Annex II)
14 entitled Performance of head
nurses management functions
and it’s effect on nurses’
productivity. One of the skill is
time management because as
head nurse they should have a
time management to utilize the
team to improved their
performance as a nurse and also
improved their skills. Nurses should
be responsible for maintaining a
safe and caring environment
that promotes health teaching,
assessing patients and families,
response to nurses care as well as
evaluating the effectiveness and
quality of care. As a student
nurse we are teaching how to
become a head nurse and how
to manage the entire shift. Being
a leader as a head nurse, we
should be more responsible for
the patients care and needs.
Sept QUIZ on the theories of 30 Our understanding in different QUIZ (Annex II)
16 Management minutes
theories and how it apply in
context was evaluated through
this quiz because we were asked
to compare and contrast two
different theories.
Sept QUIZ on Nursing 1 hour Since I started my college year, I never QUIZ (Annex II)
23 Organization, Types of had the interest to join any organizations
Leaders & Planning offered by our school but when I was in
my junior year I started to join in any
organizations in nursing. I realized with
this quiz the different qualities and
attributes of leaders, different leadership
styles and how subordinates benefit
from each type.
Oct QUIZ on Planning and 1 hour QUIZ (Annex II)
24 Budgeting
It was quite difficult since we had to dig
the depths of our understanding to come
up with answers that are congruent to
the actual meaning of all the concepts
we were defining.

Pallia CN 111
PROGRAM OBJECTIVE PK1: Apply knowledge of physical, social, natural and health sciences and
humanities in the practice of Nursing
Date Description of the Hours Reflection (in what way has this SOURCE
LEARNING Activity (eg. (involve activity maintained/enhanced your
education session, journal d in the nursing practice – knowledge, skills
article, online or self- activity) and attributes)
directed learning activity)
Aug HOMEWORK - 1 day The care of patients suffering from
18 Introduction to Palliative cancer and especially those facing the
Nursing Care death trajectory appears to be complex
and demanding not only for us, student
nurses but for professional nurses as
well. With this homework, I began to
appreciate the role of the nurse in
providing quality palliative care for
patients across the lifespan and ill-
preparation for us student nurses to care
for cancer patients and deal with death
and dying.
Oct QUIZ - Illness 30 With this quiz, I realized that if carers
6 Trajectories minutes and patients gain a better understanding
by considering illness trajectories this
may help them feel in greater control of
their situation and empower them to
cope with its demands.
Oct QUIZ - Triggers for 15 As a student nurse being aware of the
13 considering the initiation minutes triggers for considering the initiation of
of palliative care palliative care, it may help in planning
of care to meet the patient's
multidimensional needs better, and help
patients and carers cope with their
situation.
Oct QUIZ - Problem with Pain 15 Pain is whatever the patient says it is.
19 minutes Pain is inevitable to patient with life
limiting disease. We, student nurses
play a critical role in managing and
alleviating acute or chronic pain among
critically ill patients with collaboration
to other health care providers. I learned
that multidisciplinary approach is used
to achieve adequate pain control in
critically ill patients and requires nurses
to make informed decisions, collaborate
with the health care team and advocate
for patients.
Nov Midterm Examination 1 hour Cancer is a leading cause of death
10 worldwide and being ill creates a
disruption in normal life. Palliative
Nursing stresses that the nurses’ role is
important when dealing with terminally
ill patients in reducing suffering and
improving the quality of life for patients
and their families in the management of
physical, social, psychological, spiritual
and cultural needs. Nurses play an
important role in developing a caring
and supportive environment that
acknowledges death in order to help
family members to accept and deal with
loss and grief.

SKILLS LEC/RD/DUTY NCM 106A


PROGRAM OBJECTIVE PK1: Apply knowledge of physical, social, natural and health sciences and
humanities in the practice of Nursing
Date Description of the Hours Reflection (in what way has this SOURCE
LEARNING Activity (eg. (involve activity maintained/enhanced your
education session, journal d in the nursing practice – knowledge, skills
article, online or self- activity) and attributes)
directed learning activity)
Aug QUIZ - Conduction 1 hour I found the heart to be too complicated.
18 System of Heart I learned that the electrical conduction
system of the heart is responsible for the
ECG tracing you see on a patient. In
order to be able to analyze a rhythm
strip, you must first learn how the
electrical system of the heart works.
Aug QUIZ - CPR AHA 20 Resuscitation challenges care providers
24 Guidelines minutes to make decisions quickly and under
pressure. Cardiopulmonary
Resuscitation functions by supplying
some blood flow to the heart and
brain.As a student nurse, we have the
privileged to be knowledgeable of Basic
Life Support where we can be able to
save a life in times of cardiac arrest
anytime and anywhere.
Aug Journal Sharing 1 hour My journal was about diet modification,
29 (Coronary Ward) and 30 lifestyle, bio markers, genetic factors
minutes and risk of Cardiovascular disease. One
of our role as student nurses has
included patient education and illness
prevention which greatly reduced
symptoms of chronic diseases, increased
cost-effectiveness and enhanced
customers' experiences of health-care
services.
Sept QUIZ - ACLS Algorithm 1 hour With this quiz, I learned that cardiac
8 arrest is an emergency situation that
requires teamwork and appropriate
sequential actions to rescue the patients.
The outcome of cardiac arrest and CPR
is dependent on critical interventions,
particularly early defibrillation, effective
chest compressions and assisted
ventilation
Sept Case Presentation - 1 hour It was a challenge because we had to
12 Hemorrhagic vs ischemic and 30 read on journals that would relate these
stroke, Parkinson’s minutes separate entities together, since their
disease, Pneumonia relation are yet to be fully, and
completely established. Planning of care
of this client was also a challenge, since
the disease entities heighten each other.
Sept QUIZ - ABG Analysis 30 I learned that it is important that we,
14 minutes student nurses are familiar with the
information obtained to be able to detect
the disturbances in ventilation, oxygen
delivery and acid–base balance.
Sept QUIZ - Case Analysis of 1 hour We were asked to do a sequential
15 Pulseless Electrical actions on how to approach the certain
Activity specific condition of a patient. With this
activity, I have enhanced my critical
thinking and decision making which
highlighted the most important aspects
of a resuscitative effort: airway and
ventilation, basic CPR, defibrillation,
and medications suitable for a particular
patient under specific conditions.
Sept QUIZ - Case Analysis of 1 hour We were asked to do a sequential
21 Sinus Tachycardia and actions on how to approach the certain
Ventricular Tachycardia specific condition of a patient. With this
activity, I have enhanced my critical
thinking and decision making which
highlighted the most important aspects
of a resuscitative effort: airway and
ventilation, basic CPR, defibrillation,
and medications suitable for a particular
patient under specific conditions.
Sept QUIZ - Case Analysis of 1 hour We were asked to do a sequential
28 Sinus Bradycardia actions on how to approach the certain
specific condition of a patient. With this
activity, I have enhanced my critical
thinking and decision making which
highlighted the most important aspects
of a resuscitative effort: airway and
ventilation, basic CPR, defibrillation,
and medications suitable for a particular
patient under specific conditions.
Sept HOMEWORK - ECG 1 day One of the most challenging tasks for
29 rhythms critical care nurses can be interpreting
electrocardiogram (ECG) rhythm strips
and deciding on appropriate
interventions when abnormalities are
found. With this homework, I found out
that precise identification of complex
rhythm abnormalities requires
experience.
Oct Community journal 1 hour My journal was about community
10 empowerment and health education to
community folks. An important role for
us, student nurses in all settings is health
education. Our Clinical Advisers give
much emphasis in the classroom and in
the clinical practice setting about the
importance of patients or clients
understanding their health care
essentials in order to restore, maintain,
or promote health. This information
enables them to make informed
decisions, cope more effectively with
temporary or long-term alterations in
health, and to assume greater personal
responsibility for their health.
Dec Journal Sharing (ER) 1 hour Medication Administration Occurrence
4 30 is one of the factors causing harm to
minutes patients. With this journal, I must see/
look into it that before I perform a
nursing interventions I would make sure
that the patient will benefit but not the
otherwise which worsens the condition.
I also realized that communication with
other health care providers is essential to
reduce common mistakes in the ward.

PROGRAM OBJEVTIVE PS1: Perform safe, appropriate, humane and holistic care to individuals,
families, population groups and community utilizing process
Date Description of the Hours Reflection (in what way has this SOURCE
LEARNING Activity (eg. (involve activity maintained/enhanced your
education session, journal d in the nursing practice – knowledge, skills
article, online or self- activity) and attributes)
directed learning activity)
Sept NCP - Type 2 DM, 2 hours It was a challenge because we had to
4 Hypertensive read on journals that would relate these
Cardiovascular Dse, separate entities together, since their
Cardiac Dysrhythmia, relation are yet to be fully, and
Essential completely established. Planning of care
Mineralocorticoid of this client was also a challenge, since
Deficiency and Prostate the disease entities heighten each other.
Cancer This is a classic case wherein multiple
discipline participation is needed
because the management is no one
which is typical, and can be grabbed
directly from books.
Nov FNCP - DM and HPN as 3 hours We, student nurses are given the chance
14 Health Deficit to be exposed to different communities
in order to have an experience on the
whole clinical immersion program. With
this activity, It was a challenge since we
need to prioritize a main problem during
interview with family members
involved. And we made sure that
through this we were be able to solve
the issues that was not recognized by the
family.
Dec ERCP - Acute Pain 2 hours As a student nurse, assessment of a
6 patient’s experience of pain is a crucial
component in providing effective pain
management, and I learned that many
factors can influence the patient’s
overall experience and expression of
pain.

CRIT CAR/EDN/ONCO NCM 106


PROGRAM OBJECTIVE PK1: Apply knowledge of physical, social, natural and health sciences and
humanities in the practice of Nursing
Date Description of the Hours Reflection (in what way has this SOURCE
LEARNING Activity (eg. (involve activity maintained/enhanced your
education session, journal d in the nursing practice – knowledge, skills
article, online or self- activity) and attributes)
directed learning activity)
Aug QUIZ - Nursing Ethical 1 hour With this activity, we had to prove and
18 Principles justify our reasons behind nurse’s
liability and violation of nursing ethics
with the given situations. I have realized
that nursing education is to motivate us,
student nurses to acquire skills for
offering appropriate quality health care
services to patients with multiple
complex health problems.
Aug HOMEWORK - 1 day Chest pain must always be considered
24 Algorithm of chest pain cardiac in nature until proven otherwise.
Often the pain can point to a more
serious and potentially life-threatening
cause such as an acute myocardial
infarction (AMI) or any cardiac in
nature disease entities.
Sept Presentation/ Recitation of 2 hours Our group were tasked to answer the
8 Respiratory or Metabolic following questions about Adult
Case Respiratory Distress Syndrome. I gained
a lot of knowledge with this discussion
such as the pathophysiology of ARDS,
Treatment Modalities of patient with
ARDS, and most importantly that is
relevant to my course is that Nursing
care can have a tremendous impact in
improving efficiency of the patient’s
respiration and ventilation and
increasing the chance for recovery.
Oct QUIZ - Emergency 1 hour I have learned more about the various
19 Disaster role players within the emergency
medical services,and this activity led to
an increased awareness when there is an
occurrence of natural disasters
Oct QUIZ - Phases of Disaster 1 hour I have learned nurses are expected not
21 Management and Disaster just to anticipate and perform in a
Planning disaster to address triage and caring for
the sick and injured, but to think ahead
regarding infection control and
immunization and mass evacuations.
Critical thinking and planning are key to
preventing further damage as well as to
prioritizing all of these interventions.
Oct QUIZ - Triage 1 hour I have learned more with regard to the
27 triage of patients; the importance of
sorting out clients in accordance to their
urgency. This activity helped me
improve my assessment skills, had a
better understanding of continuous
management and hemodynamic
monitoring of the patient from the
moment of first contact with the
stabilization of patients to preparation
for transport as well as the delivery of
the patients to the hospital.
Nov Midterm Examination - 2 hours I really aspire to be an Emergency
10 Emergency Disaster and 30 Nurse someday. With the past
Nursing minutes discussions, I gained that emergency
nurses specialize in rapid assessment
and treatment when every second
counts, particularly during the initial
phase of acute illness and trauma.

3. REFLECTIVE WRITING

Analysis of situation Identification of area Comments of the


of practice to be reflective friend
(What went well?) What was difficult?
developed (Did your (CLINICAL
practice meet INSTRUCTOR/
professional METOR/ COACH/
(What could you have
standards? What area PROMOTER)
done differently?)
do you need to work
on in your practice?)

Preparing the For future Barangay The learner


content, making training, I need to exceeded
training handouts and ensure that I have expectations as
the powerpoint confirmed the to a: content; b:
presentation and equipment available delivery and
case analysis and beforehand and presentation; c:
setting-up the CPR make sure I have time
mannequin and planned travelling to management.
finding the actual the far flung
immersion put me Barangay with
under more pressure adequate water and Learner pointed
than I would walking shoes. Now out important
experience for a that the training aspects BUT
normal group training materials have been forgot to include
session but I think that produced future a closing
it was worth it. training should be statement.
Although everyone more straightforward
had varying levels of and easier.
experience in looking Overall, the
for information, I think learning
everyone learned experience with
something new and the learner was
found resources that above excellent.
would be useful to
them in the future.
REFLECTING ON PRACTICE:
SUMMARY OF THE LEARNING EXPERIENCE

Areas Learning activities Evidence of Learning: Comments

CLINICAL/DIR CVP management  Classroom discussion Rubrics on return


ECT CARE (formal) demonstration (see
PRACTICE  Textbook reading appendix # 23,456)
 On-line video & DVD
video viewing
 Practicum with
simulation.

LEADERSHIP How to refer CVP  Class discussion Rubrics on


AND patients with (formal) communication
COLLABORATI unintended events using  Quiz/seatwork (see (see appendix 10)
VE PRACTICE TeamSTEPPS appendix # 9)
communication  Return demo on
techniques communication

IMPROVING QI on procedures and  On-line search for the


QUALITY AND steps STANDARDS of
DEVELOPING PRACTICE for CVP lines
PRACTICE version 2017
 Journal Reading (CVP
and Sepsis, Journal of
Nursing, Yesterday,
Today, and
Bukas.issue1.1, 2017)

DEVELOPING Interpersonal-inter- Use of TeamSTEPPS pro- Pro-forma guide is


SELF AND professional forma guide. (see not actually a part
OTHERS communication appendix 11) of the return demo
but was just
downloaded from
http://ewankoewa
nmo.com

You might also like