Home Visitation 2

We started the day by making some changes within the Regional Health Unit (RHU). We put new posters and made some “makeovers” inside the clinic, the dentist’s clinic, the laboratory and the facade. We stuck different signage and all…and Leslie is even planning to repaint the RHU.

There was a rotation in duty. Our teamleader decided (our CI was not with us since yesterday) that those who were unable to make any home visits yesterday, because they managed the sick people who came to have their check ups in the RHU, should do their turns to make their home visits instead and vice versa.

I was exempted from the rule because i did not find my patient because of the flood. Angelo, our leader went with us this time to make his own visit. He said that he wouldn’t allow us to group ourselves into twos because he was concerned with the girls.

So they went with me to my patient.

My patient is living in a shack within the alleys of the subdivision. The mud and the subsided pools of water are still present in her island home over there.

i really like her. Although she was only 17, I can see how much she loves her daughter. She takes care of her. Her last RHU visit was just last July 26, comparing to Lallaine’s patient yesterday who doesn’t even visit the RHU even if she’s already in the 3rd trimester of her pregnancy. She knows how to answer my questions and she listens to my health teachings. And she’s aware of family planning. I really wish her well… and her kid. I know that she’ll be a great mother even with her young age. VERY YOUNG AGE.

I did not go with the rest of the group after this visit. I went straight to the RHU and helped with the work there.

The doctor was extremely furious with our Nursing Diagnoses. She asked Lorenza and I about the childin the OPD. The child has red spots all over so I immediately thought that it was dengue. However, she, the Dr, asked the mother if she’s suspecting of parasites, i knew it, those are rashes.

She asked us what those spots are called. “kahit sa tagalog” (even in Tagalog)… Loren said those were Tagulabay, i heard about tagulabay but dont really know what on earth was that.

The doctor look at me and asked “so what do you call this in Medical term?” I was not sure but i still answered, “er… uhm… Generalized Wheal.” It was general because it affects the whole body.

I think i was correct.

When there was no more patients coming, the Doctor gave us a lecture about our mistakes. We were again refreshed about our NANDA’s et al.

We then shot questions and had an informal discussion with the Resident Nurse inside the RHU.

Today and yesterday were among the moments that i felt so rewarded in doing my tasks. I love Nursing.

Home Visitation 1

We had our first home visits. We have to visit our clients in their respective houses. Home visitations are done to ensure that the patients are following the regiments that were advised to them. I was very unlucky yesterday because I was not able to visit my patients. One of my two patients have already moved to a different town. My other client’s house was buil yonder where the flood rises as the rain continues and the tide visits the place, though it isn’t in anyway near the shore, the river only overflows with the coming of the tide.

I was paired with Lallaine. I helped her find her patients which we were very much successful in doing. But this took us a really long time because of the following reasons

1. Whenever we talk to someone to ask for the address, swarms of people will start queueing at us asking us to take their Blood Pressures. I think they do this whenever they see a student wearing a public health nurse(PHN) uniform since whenever we ask them about their normal blood pressure, they will tell us “nung isang linngo 120/80 yung Bp ko eh” (last week my BP was 120/80). Boy, they mustve been really accustomed to PHN’s presence that they have regular BP check ups. we sometimes tell them to go to the health centers instead, but they’ll tell us that walking that far (which is only two corners away) will make their BP’s rocket to the moon and they were not joking.
2. The exact address of our clients were not given. All that was written in the health records was the Barangay’s name. We had to ask every single person we meet in the barangay if ever they know the person. Sometimes a group of people will lead us to different directions until they argue among themselves if the person we’re asking was the person they know. Until in the end they’ll decide that they do not know who we were asking.
3. My foot hurts. I think I already have a rheumatism. Im serious.
4. Dogs’ poops are everywhere.

At least in the end, we finally saw our targets.

The first one was a girl who gave birth last month. She was not home (she was working). We only met her husband and her second baby. The Baby was soooo cute. I saved a picture of him in my CP (i cannot put the picture here to protect the client’s privacy). He has eyes and white complexion. And he has 6 fingers in his right hand (two thumbs) POLYDACTYL.

The other patient was a pregnant woman who turned out to be my patient’s (the one who went to other town) relative.

PS we are asked to make a daily diary of our community duty. My last entry was almost about the maltreatments that we encounter from my CI. She made a really long “remark” on my diary.

Here is her comment… this is how she wrote it.

CI’s Remarks!

Discipline is a commitment we have to learn this in order to show responsibility.

I’have to maintain the owl’s gaze to protect you fr. commiting mistakes. Rulesare laid out to be followed and not ignored.

If you consider yourselves mature,dedicated individuals, you will do what is expected of you even without being policed.

Follow instructions/directions. Work from the heart. Appreciate the good things you have. Many people have longed for some privelege but it’s not there for the taking.

Communication-if unsure or uncertain…ASK…

Good Luck! Show me how commtted you are.

  Signed

my Ci’s blatant-self-esteem-degradation-project

So there is no classes, huh…

AAAAAAAAAAAAAARRRRRRRRRRRRRGGGGGGGGHHHHHHHHHH!!!

There is no classes and nobody bothered to text or phone me… ARGH! And I am 1 and a half hour away from school. I woke up at 3:30 while I slept at 11 last night after I made an excruciating review for an exam in NCM 101-Pediatrics. I battled the rain and wind just to find that there is no classes? ARGH!

So what happened to me last week?

About the Incedental Report… I was very much fortunate that the faculty seems to have forgotten about the fiasco inside the hospital after the announcement of the Board Passers last Wednesday, plus there was a group rotation. I am now assigned in a community for about a month.

THURSDAY:

This was the first day of community duty. 4 of my classmates didn’t have any uniform (the faculty’s fault again, remember my scrub suit predicament?).

My CI scolded them. No matter how they argued that it was not their fault, she just won’t hear them. She told them that they should have borrowed or bought a uniform outside. My CI shamelessly yelled at them in front of the whole crowd under the shed inside the campus. As a sanction, she told them that they’ll be marked absent.

Then she beckoned us to another room. She made some briefing about the uniform policy. Then she saw a guy at the back and made him stand… “look at him, who would not welcome him during a house visit? He’s so well groomed yaddah yaddah yaddah. Unlike him” she pointed at me “don’t you have any money to buy a gel? Just tell us and we will buy for you.” She was talking about my hair that wont lie.

Being the subject of her blatant-self-esteem-degradation-project has never been new to me. Afterall she was my prof in Nutrition last summer. And I have a very huge amount of stored memory in my brain’s inbox of all the insults and snide comments that I got from her with wide grins and stupid giggles. Nursing subjects, I daresay, are very subjective, so I did not dare to look sour in front of her.
Last summer she told me, while I was sitting beside this cute girl in her subject, “Mr. you are very lucky to be sitting beside her. You can be a cute couple.” I was quite embarrassed but pleased. “If you’ll mix your genes, boy, the result could be spectacular. She’s gorgeous and you’re… er… normal”….

See how evil that old menopausal hag is? Good thing there was an orientation done by the City Health Office. I was not able to see her. Plus I was able to excuse myself at 2 for an errand in my student org.

FRIDAY:

I was almost late… but I was lucky because my groupmates allowed me to jot 7:00 in my time-in even though I went there at the shed at 7:30.

Then we rode a jeepney to the RHU (Regional Health Unit) of a Barangay within the city. During the orientation, she saw my head again. I already gelled my hair so she could not comment about gelling it that’s why she said I should have a haircut.

Then we made an ocular survey.

We were walking when we came across this group of drunkards beside the street. They happily asked us to get their Blood Pressures. My groupmates were more than happy to get their BP’s.

I could not believe how easy it was to talk with these people. They were really nice. One guy even joked “Sige nga tingnan ko kung pwede akong uminom ngayon. Pag high blood ako pass muna ako.”(Ok, let me see if my BP is high? If it is, then I’ll just passed drinking today).

Everyone laughed. And I was surprised by AMA’s reply. She said, “Pag ako po nakapasa sa Board Exam, magpapainom ako.” (I’ll throw a binge drinking if ever I pass the Board.)

Fast Forward after lunch… the leader of the other group told my CI that 3 of his members were still missing. One said that they went to McDonald’s. She was very angry again and yelled at them when they came. She gave them each an Incidental Report.

SATURDAY

We had a quiz about the content of PHN bag (public health nurse bag). Then we were told to go.

I went to my Org’s office and made some errands.

SUNDAY

I only reviewed for a quiz in Pediatrics, supposedly will be given today, and an assignment in Obstetrics about interviewing two Menopausal women. I just made up an interview (what can I do no one would admit that she’s menopausal).

hiatus muna

Dont go looking for me… busy…

F4 Sang the Pokemon Theme

THIS CANNOT BE HAPPENING TO ME!!!

Incidentally, RLA and I were just talking about INCIDENT REPORTS last friday afternoon while we were in the bus terminal, which I’ve heard before but I was really clueless about.

Incident Reports (IR) is a list of different Nursing Students who made violations while on duty. Things from serious matters like administering a wrong drug that caused death or worsen a patient’s condition, divulging confidential information, flirting with a patient, to simple ones like wearing your scrub suit outside the hospital (it might get some contaminations), being noisy or disrespectful to doctors and other medical personnels are among the things that may put someone in the list. One IR means three make up duties and of course some grade deductions.

I heard a rumor about a group last year who had a night shift in a private hospital. Three of them, I think, went inside an empty room at the third floor. They scared each other causing one of then to scream. The noise was heard all the way down the first floor. The staff nurses were really angry. The whole group was given an IR.

Another story (as told by my prof in Pediatrics) again happened in that hospital was a patient who died because a group of student nurses blocked the elevator while taking pictures of themselves. They were suspended and was put in the list.

So what happened?

When we were dismissed and told to change from our Scrub suits to our white uniforms, Neil sang the Pokemon theme song…

I WANNA BE THE VERY BEST,
LIKE NO ONE EVER WAS,
TO CATCH THEN AS MY REAL QUEST…..

In a very loud voice. He was singing really loud and hearty that’s why Hanzel, Alex and I joined in. We sang on top of our voices like no one was with .

Our raucous singing did not stop when we finished Pokemon, we started singing different anime theme songs like “blue blink”, “BT X”, (these were old animes in ABS CBN that were translated to Filipino) and many more. Until a staff nurse came to us and told us to shut up. We thought that that would be the end, but we didnt know that we made so much noise that we irritated even the doctors.

A paper was given to us instructing all those people, including some that we didn’t know, who were inside the hall should give their names.

All other groups listed their names except our group.

They were yelled at by the nurses because of our fault. So they all pinpointed our group. “yung mga nasa Delivery room po yung maingay.” (those that were stationed in the delivery room were the noisy ones) I heard a girl from the Nusery complained.

After we had signed out, Neil, Hanzel, and I parted our ways to our respective destination (Neil rode in a local bus, HB used the school bus, while I went to the hi way and waited for a Genesis bus).
The next day, Saturday, I was not able to review for the coming evaluation exam since i was really thinking about what happened.

When I went in the hospital, everyone was talking about it even the other groups.

I could not look straight at my Clinical instructor’s eyes because of guilt. After a whole day of reviewing while some of my groupmates took their turns inside the delivery room, our teacher beckoned us to go to school and have our exam there. After the exam, she told us that the doctors reported us to the College of Nursing and Midwifery’s faculty and they will have a meeting on what appropriate punishment to give.

She also said that they’re going to think if only four of us or it’ll be the whole group who will be punished.

I was so guilty.

When my CI dismissed us, I went silently to her and told her i am sorry, (“.”)maam sorry po

I dont know what will happen to us…. Please pray for us.