VANDIE P.

MAGALLANES, RN
General Care Unit 3rd Floor

January 21-28 2016

For the past week, I had my training as a nurse trainee at Ward 3 rd flr, the general care
unit ward. Its from January 21, 2016-January 28, 2011.
First of all, I sincerely express my heartfelt appreciation to St. Jude Hospital and Medical
Center for giving me the opportunity to be a nurse trainee in your institution. And also thank you
for giving me the warmest welcome and the opportunity and privilege to be part of the health
care team as a trainee.
The experience was really worthwhile. I was molded with not just my skills but also with
good attitude in handling different personality including the hospital personnel and the patients
as well, the first thing that cause into my mind was that I needed to establish rapport with my
mentors which are the staff nurses and with my co trainee as well as with nurse managers.
On my first day of duty, 6:00AM-2:00PM shift, affectionate and friendly smiles from the
nurse on duty Sir JayJay and other staff welcomed us on the first day of our duty. The night shift
endorsed to us the patients for continuity of care. After the endorsement, our nurse on duty for
the said shift oriented us the physical set up of the ward and he discussed to us the standard
operating procedures and what to accomplish during the different shifts were dealt upon.
What I learned from my stay on the General Care Unit ward is precious and priceless! To
enumerate them would not be a waste of time. As a starting point, patients that are being
admitted are those with medical and ob cases.
Patients seek medical attention due to unusual symptoms. Medical Cases and OB are most
common factors of the patients hospital confinements.

For me the most toxic shift was the 6-2am shift. And thats my first shift theres a lot of
things to do like doing the morning care, doing IV monitoring and monitoring Input and Output
as well. But most especially the carrying out of new doctors order and bedside care.
I have assisted the physicians on the bedside care and health teachings, which have been
constantly considered as the busiest day at the ward, of which new orders are done. I have
learned the different hospital policies and protocols c/o by Sir Jay2x, Sir Peter, Maam Cath,,
Maam Tin and Sir Rafael and as well as the materials that are being utilized during shift. I have
gained more knowledge on bedside care and have carried out related skills in the actual setting.
Sometimes during morning shift, we had our lunch at 1:00 pm or 2:00 pm even none at worst
Also, I have assisted my co-nurse on duty during preparing and giving IV medications as
well as changing of IV bottles. I was able to perform IV insertion in an aseptic manner, assisting
Attending Physician on wound dressing and irrigation were also part of the daily practice with.
Also, I was able to observe on how the nurse on duty prepare and perform blood transfusion and
IV insertion with proper documentation and monitoring. ECG was done in some patients and
gladly I was able to assist the staff nurses, moreover, morning care is part of the nurses functions
and I have accomplished such including changing of linens as well as changing patient gowns. I
have made requisition of supplies from the Pharmacy Department during the 6:00 A.M to 2:00,
2:00 P.M. 10:00 P.M. shifts as approved by the nurse on duty and nurse manager on duty. I also
learned how to discharge patient properly with proper documentation on chart.
Preoperative nursing plays an important part for patients that are to undergo surgery, such
preparation are being implemented before transferring the patients on the operating room which
depends on doctors order and which includes the counter checking of medicines and materials
for OR use. Informing the OR personnel is one of the standard chore whenever patients need to

undergo operation. Health teaching is being conducted prior to surgery and I myself have
obtained the chance to do such. I also observed that pre-op medicines are given by NOD prior to
transporting patients at the operating room/delivery room. Post operatively, patients are received
with a complete assessment and are considered critical. Close monitoring and attending to
patients needs are of chief concern.
My last two days in the ward was really the memorable day. Its a big opportunity that I
was able to handle patients independently but of course with the guidance of Nurse Manager on
duty. In addition to that, that day I was given a chance to insert Foley catheter as approved by the
nurse manager on duty.
Lastly, it has been an unforgettable and memorable experience and exposure in the
ward/unit. Thank you to all the staff, nursing attendants, nurse managers, physicians, and
institutional worker. General Care Unit Ward 3rd Floor is now my third home.
Thank you and more power!