RLE 20 - Community Health Nursing - Compilation of the surveyed data

The survey that we, the Group 1, have conducted in the community of Puntod, Cagayan de Oro City last July of the 2nd week until August of the 2nd week (1 month) doesn't stop there. We need to consolidate everything in order to come up with the final output.

Part of the task is to compile what we have gathered out from the results of our survey. The questions on our survey forms comprise of the various programs of the Department of Health (DOH) that pertains to Immunization, Nutrition, Pre-natal, Family Planning, Water, Sanitary Toilet, Compost Pit, Drainage, Surroundings and availability of Health Insurance.

Our group have interviewed 135 families all-in-all.

Our main task doesn't really stop at collecting all those data. It has to be documented and kept in record through a compilation.

There should have a Cover Page, Table of Contents, Introduction, Overview of the Place with the map, Summarized Output of the Surveyed Data, Interpretation of the Data with Pie Graph reflecting the Percentage of each component, Activities (reflecting the desired plan of action), Pictures (captured moments in the said activity), Receipts (all expenses covered) and Reflections (What have you learned from the activity, answered by each member of the group).

The output will be placed in a scrapbook to be submitted to the assigned Clinical Instructor and to the Barangay Health Center as their record.

The output will serve as the basis of progression if there is something that has been changed or improved. From then on, through the succeeding students who will conduct the survey (RLE 20), out from their gathered data and results, it can be detected if there is a positive change or not out from the percentages of results.

That is why, this activity is a continuous process and it doesn't stop here. 

RLE 20 - Community Health Nursing (Labor Watch) The best experience EVER!

Yesterday, it was the best experience for I have witnessed the real scenario of the pregnant women who is delivering her baby. It was my first time to hear the cry of the baby as she was delivered from her mother's womb. It was my first time to see the real placenta, the rupture of the membrane (bag of water), the amniotic fluid dripping through the mother's vaginal orifice, the umbilical cord, blood that is coming out from the vagina, etc. Life is indeed a miracle!

We arrived at Puntod Barangay Health Center at about 7:30 in the morning and there was this pregnant woman who is already there in the Health Center at 1 a.m. because she is about to deliver her baby. Yesterday is the time for her delivery. At that moment at 1 a.m., her IE is 7 cm.

Our instructor, Prof. Fredelina S. Chua, RN, MN, told us (Group 1), of who is going to watch the delivery. Me and Cylyn Cagasan volunteered. We are so excited to wear our scrub suit because it is our first time to really watch a pregnant woman who will deliver her baby. It is also our first time to wear the suit.

Upon opening the door in the delivery room, we have seen the pregnant mother who is kneeling on the floor because she can't bear the pain no matter how she rubbed her back at the sacral area. Good thing that her husband is there to give comfort as well.

Seeing the woman who is in pain is really a pitiful one. I know that she experienced the extreme pain because her face is in total grimace. We rubbed gently her back as I also took the duration and interval of the contraction.

I asked the pregnant woman to tell me when she experienced the total pain and when does the pain subsides. The duration is 1 minute and 24 seconds time (first take) and the interval is 20 seconds. It was so fast. The spacing of her contraction is just so near. It is like an intermittent feeling. But the time changes gradually. It is not fixed.

The patient is in her gravida 2. She has a daughter who is 2 years old now and her child is also in the center with his father.

At 9:45 a.m., the pregnant women is lying in the bed in a lithotomy position. The Registered Nurse do the I.E and it was 2 cm. She told us that the mother is really nearing to her delivery.

At 10:00 am, the "poo poo" appeared first and then afterwards, the bag of water ruptured. With the effort of the mother to push, the baby was delivered normally at 10:20 a.m. The baby girl is healthy.

It was really my first time to see little volume of blood dripping out from the mother's vaginal orifice, the rupture of the placenta, the umbilical cord, etc.

The baby at first is colored like she is powder-like (white). Then, she gradually turned pinkish. She is so cute and tiny. She cries very loud. She is really like a little angel.

The mother was in relief after the delivery, but the nurse do episiorraphy because there was a slight laceration in her perineum. She was in anesthesia while the nurse performed the procedure.

The baby is placed at the tummy of the mother - "Unang yakap" so that there is a connection between the mother and the child. A kind of bond that extraordinarily be felt between them. It explains the love and care of the mother to her child.

The one who is assigned in the cord care is considered sterile. She is wearing sterile gloves. He should not touched anything around the field. He is not advised to help, getting things while the procedure of delivery is in process. He should be alertly waiting for her turn to do the cord care. That is why, he is like a robot. The hands with sterile gloves should lift at the upper portion of the body, on the chest area. Below the half of the body is considered not sterile.

The one in-charge for the "Assist" is going to pay attention what the nurses will command him to do. He is also wearing sterile gloves so with the in-charge in the "handle".

All of us there are observing safety precautions. Me and Cylyn are wearing glean gloves. We just assist the mother in providing her with comfort and supporting her when she goes to bed.

After the delivery, the mother is comfortably lying in the bed. She is not allowed to stand for she will collapsed because of the blood loss.

It was my first time to see a huge diaper as well.

The experience is really grand. I can't totally put everything in details because the event is just happening. All I know is I will really not forget this very first exposure that I have in the DR (Delivery Room).

Once the situation happens, prioritization is a must. Common sense and focus should always be the armor at all times. Then, I have thought, how was my mother feels when she gave birth to me before.

Indeed, women are precious. Mothers should be taken care of. Women should be loved. It is not easy to see how painful it is for pregnant women who is in labor. Good thing that the patient is in her gravida 2. How much more if it is her primigravida?

Now, I was like floating to feel the scenario. I want to witness that kind of experience again. I was like in the state of being in the situation even until now. I was not able to sleep well. I was all the time thinking of the scene. It is like coming back and forth.

It adds more my confidence.

Indeed, God is so powerful. He is really amazing for He plans that everything has its own placement, everything has its own time, everything is indeed unfathomable.

Life is absolutely a gift!

RLE 20 - Group 1 - Community Health Nursing's First Exposure in the Community

RLE 20 - Community Health Nursing, Group 1

Our first hands-on exposure to the community is a very, very, very challenging one. This time, it is really true, real, vibrantly on-the-spot and excitingly a challenge.

As we, the Group 1 of RLE 20 - Community Health Nursing under Prof. Fredelina S. Chua and with our Practicing Clinical Instructor, Ms. Nhestly Abejero are on-duty in the community in our Community Health Nursing (RLE 20) subject, we are challenged, excited and as well as happy to have really witnessed and applied what we have learned from the principles, theories, concepts, information and ideas out from reading the Nursing books in actual performance with the pregnant mothers who are having their pre-natal visit in the Barangay Puntod, Health Center in Purok 4, Cagayan de Oro City.

RLE 20 - Community Health Nursing, Group 1

We were divided into 3 groups. Imee Joy Abugotal, Imee Rose Capito, Eudz Dadula and Liezl Cuanan (Group 1) are assigned in receiving the pregnant mothers in their visit in the health center through asking for their personal information as they get the LMP (last mentrual period), AOG (age of gestation), weighing as well as getting the blood pressure. They are tasked also to fill-out the forms as they have asked questions to the patients as well. They are stationed outside the center, near the door. Me, Erul Conales and Cylyn Cagasan are assigned to have the IM (intramuscular injection), giving the TT (tetanus toxoid) vaccine to pregnant women and to those who are being infected with tetanus. There are 2 kids and a young man whom we give TT shots because they are infected with tetanus as the Nurse tasked us to do. Pretzel Abao, Julie Ann Bonono and Jacquilyn Blanco are tasked to perform the Leopold's Manuever and to identify the Fetal Heart Rate (FHR) of the fetus inside the womb of the mother using the doppler.

With all the procedures that we have performed in the community, we are trained by our professional instructors. There is also the Barangay Health Nurse, the Barangay Health Workers together with our Clinical Instructor and our Practicing Clinical Instructor who assist us in doing the task to the patients. We don't directly do the procedure unless our Instructor will tell us. We follow what is really the right thing.We observed aseptic technique all the time.

Thursday is scheduled for the pre-natal visit of the pregnant women and Friday is the schedule for "labor day". There are numerous pregnant women who went in the health center and so, we never mind taking our snacks because we will prioritize our patient in accommodating them as we don't know how many of them are going for their check-up. One can't be able to think of taking his snack especially when all of us are taking turns in assessing them. We are all busy. We are all working.

At the end of the day, we repeatedly and countlessly express that the first exposure that we have in the community indeed challenged and even pursues us like we don't want to stop our work because we are totally glad and very, very, very much happy. It is a nice feeling that when the patients leave the center, they never forget their "Thank you" to us and it makes us really proud of ourselves that indeed we have the potential to perform the procedure as licensed nurses do, as professional nurses do. We are delighted and very much inspired to perform our task well. Though it can't be denied that at first we are trembling, but we never let the feeling of fear dominantly taking our day out. We stand very confident and vigorously conquer our fear that we never tremble. We faced the patients with a smile on the face, clipped our trembling hands at the side of our body and accommodatingly be courteous to our them.

All of us, as we gathered in the Nursing lobby as we returned to school, no other words are coming out from our mouth but only "Wow. Daghan gyd kog natun-an karon nga adlaw. Tsada man diay gyd ang feeling pag e-apply na atong natun-an."

The experience that we had, added more to our knowledge and enhancement of our skills to further bring excellence into the whole world. We can't forget this day, the day of our first, ultimate actual exposure in the community. We are all happy, feeling the boost of confidence and worth that we too can be great professionals even though we are just Student Nurses.

RLE 20 - Feeding Program: Capitol University, 2nd Year Student Nurses, on-the-Go!

Our duty in the community all started in this narrow pathway...

 

There is no other day than yesterday for us, RLE 20, Groups 1 and 4, College of Nursing, 2nd year students under Prof. Herlie B. Ontoy, RN, MAN, DM, Prof. Errol Toledo, RN, MN and also with the presence of our Practicing Clinical Instructors (PCI) - Ms. Ohara Batobato and Ms. Cherry Jane Ladica as we had our Feeding Program at Puntod, Cagayan de Oro City.

Days before yesterday, we had our house-to-house survey on the said place. We interviewed the parents or guardians about the immunization of their children, on the areas pertaining to nutrition, pre-natal, family planning, water and drainage system, garbage disposal and health insurance availability. These are all the areas that we need to consider out from our survey so that we will be able to know the problem of the said place.

We also come up with the decision of doing the Feeding Program for the children ages 2 to 6 years old. We have prepared food such as "Patty (ground meat)", "vegetable Lumpia", "Bihon" and of course, we also served them rice, plus juice as their drinks.

We decorated the place before the program started.

 

 

 
We started with the activity with a prayer, the Pambansang Awit and an Opening Remarks.

The most awaited part of the program is the health teachings that was imparted by Mrs. Lira Joy Valenzuela and Mr. Lawrence Sotto, who both discussed about "The Healthy Food Groups" and "The Proper Hand Washing Technique" respectively. After which, the Feeding begins as we say our prayer before meal.

All of us take the responsibility of feeding the children. There are those whose parents are there, they are the ones who serve their children to eat.

 

   
   

The children really enjoy what they are eating and we are happy that they love the food that we have served for them. It is really a nice feeling to see them happy.

We have learned so much from this activity. A little help means a lot for the children. What touches me is when a mother said to me that  hope everyday is a feeding day. What the mother has just said made me realized that someday hope there will be no children who will be left hungry. 

We gave party bags for the children before they left the venue.We also cleaned the place before we left.

The kind of experience that we have in the community is a life-changing experience that moves us in any ways that no matter how life displays uncertainties, hope is always present in the hands of all of us as we help each other do our responsibilities even as student nurses that we are at the moment.

In our course lies a huge accountability and responsibility that no matter where we are in the future, the kind of training that we have in our school always dominantly makes us assured that helping others is not impossible after all.

This is just our first exposure and I know there are lots of more that we will have to experience. Indeed, yesterday is no other day!

Here are some of our captured moments during our Feeding Program:

 







More captured moments of us at: https://www.facebook.com/arleenjay.abucay/media_set?set=a.275333749274085.1073741842.100003923861995&type=1

2nd Year Student Nurses on-the-Go is proud to be Capitolians!