N404 Orientation Notes
By: Chester Rebojo
- PS - I might have missed on other important points of the orientation, so also please refer to your own notes. Thanks!
1. Ma'am Nanette Camba - Lecturer: Acute Biological Crisis
2. Ma'am Ruby Barrios - Follow up at OSMUN (ER, ICU) and MAMC
3. Ma'am Eva Castillo - Follow-up at MAMC and National Center for Mental Health
4. Ma'am Jen Catolico - Follow-up at MAMC
- Duty Schedule Coordinator
5. Ma'am Lea Divina - Follow up at MAMC
- Lecturer: Nephro
- Absence Coordinator
6. Sir Raymund Falculan - Lecturer: Acute Biological Crisis
- Follow up at Mary Mediatrix
7. Ma'am Dhen Galang - Follow up at OSMUN (ICU)
8. Sir Lanit - Follow up at MAMC
9. Ma'am Myla Lagariza - Follow up at MAMC
- Lecturer: Neuro (Perception and Coordination)
10. Ma'am Chinky Lavadia - Follow up at National Center for Mental Health
11. Ma'am Jo Anne Lucero - Follow up at Mary Mediatrix (ER)
- Sanctions Coordinator
11. Ma'am Lanieflor Malabad - Follow up at MAMC
12. Ma'am Hannah Marquez - Follow up at National Center for Mental Health
- Lecturer: Psychiatric Nursing
13. Ma'am Fleur Quintero - Follow up at CMC Dialysis
14. Ma'am Jacquiline Polancos - Supervisor: Nursing Research
- Lecturer: Communicable Disease and Immo Disease
15. Sir Cris Rebot - Follow up at CMC ER
16. Ma'am Doreli Reyes - Follow up at Mary Mediatrix
17. Ma'am Saban - Follow up at Mary Mediatrix (DU)
- Case Conference Coordinator
18. Ma'am Marj Sibayan - Follow up at MAMC
- Lecturer: Neuro (Perception and Coordination)
19. Ma'am Judy Tejano - Follow up at OSMUN (ER)
- Follow up at San Lazaro and AFP Infectious Ward
OR AND OB SCRUBS
---OR---
1. Students that were out of the Operating Room for 3 months (e.g., Last date of Scrubbing in was February 2010 [Feb, March, April, May = 4 months) MUST attend the re-orientation before going on duty.
2. Re-Orientation Schedule = Every 2nd and 4th Friday of the Month; 9-12 PM
3. Students have to enlist themselves for Re-Orientation scheduling thru Ma'am Lanieflor Malabad
---OB---
1. For the TIME STARTED of the ACTUAL and ASSIST = Time of Full Cervical Dilation
2. For the TIME STARTED of CORD CARE = Time of Baby Out/Delivery
3. On-Call Forms will be endorsed by Ma'am Lanieflor Malabad to Ma'am Jen Catolico (since she will be on Study Leave this Semester)
4. To those who will have their ON-CALL at MAMC; a fee of P60.00 (for the gloves, cap, and everything) is obtained from the student.
5. ON-CALL on MAMC OB; WHITE-TOP SCRUB SUIT the whole week. (To be able to distinguish from Junior Students)
6. For the scrub forms, for newly accumulated scrubs (this first semester), leave the last slot of signature BLANK (for the clinical area follow up CI)
DAR CHARTING
Arrangement of Content
1. Patient's Picture, Condition of Status (significant) (E.g., [Pt. with Hepatic Encephalopathy] Patient is Jaundiced, with Ascitic Abdomen and Flapping Hand Tremors)
2. Patients Contraptions and Attachments (E.g., Patient is with NGT, in place and patent [Head]; with IVF PNSS 1Lx40cc/hr infusing well at R Hand; with Retention Catheter, in place and draining tea-colored urine [Toe] (CEPHALOCAUDAL PATTERN)
3. Patient's Complaints and Special Orders (E.g., on NPO post midnight, for Liver Biopsy at 9am, reported abdominal pain of 6 in scale of 0-10 at RUQ.
NURSING CARE PLAN
Data:
1. Primary Source - Patient/Client
2. Secondary Source - Family, Primary Care Giver, Health Care Team.
> Subjective Data - SYMPTOMS
> Objective Data - SIGNS
Special Note on PAIN:
"My Stomach Hurts so Bad" - SUBJECTIVE
Reported 8 in scale of 0-10 - OBJECTIVE
Types of Nursing Diagnosis (E.g., FRACTURE)
1. Actual NDx - PAIN, IMMOBILITY,
2. Risk NDx - Risk for Impaired Skin Integrity r/t being bed ridden for long or immobility (Ques: Reddish skin on bony prominences after 3 days of being bed ridden)
3. Possible NDx - Possible Constipation r/t being bed ridden for long (a statement about a health problem that the client might have now, but the nurse doesn't yet have enough information to make the nursing diagnsosis)
4. Wellness NDx
5. Syndrome NDx
Expected OUTCOMES
1. NOC = Nursing Outcome Classification
Intervention
1. NIC = Nursing Intervention Classification
CASE CONFERENCE
1. Separate Orientation Next week (for Sections DEF) and the week after (for Sections ABC)
2. For the two semesters, each student will have to present (1) Procedure, and (1) Case
E.g., Beyonce during first semester presented "Myocardial Infarction" (CASE); and Lumbar Tap (PROCEDURE) during the second semester.
3. Only 1 unique case per individual/section. (E.g., if Beyonce presented LIVER CIRRHOSIS, the rest of the section members cannot present the same case next time)
4. Additional Information to be discussed on the Orientation; new NCP format will be applied. (Please refer to given NCP forms)
GRADES
OVERALL GRADE = THEORY (50%) + RLE (50%)
THEORY GRADE COMPUTATION
THEORY OVERALL GRADE BREAKDOWN = THEORY CONCEPTS (70%) + COMPRE EXAM (30%)
> THEORY CONCEPTS (70%)
1. Communicable Disease = (RAW SCORE x 1 week)
2. Immuno Deficiencies = (RAW SCORE x 1 week)
3. Psych = (RAW SCORE x 2 weeks)
4. Nuero = (RAW SCORE x 2 weeks)
5. Acute Biological Crisis = (RAW SCORE x 3 weeks)
6. Cancer = (RAW SCORE x 1 week)
7. Elderly = (RAW SCORE x 1 week)
----------------------------------RAW SCORE TOTAL (divide by) NUMBER OF WEEKS = (THEORY CONCEPTS OVERALL)
---- SAMPLE Computation
1. CD = 81% x 1 week = 81
2. Immuno = 85% x 1 week = 85
3. Psych = 90% x 2 weeks = 180
4. Neuro = 80% x 2 weeks = 160
5. Acute Bio Crisis = 85% x 3 weeks = 255
6. Cancer = 76% x 1 week = 76
7. Elderly = 77% x 1 week = 75
----------------------------------TOTAL = 914/11 weeks = 83.09% (THEORY CONCEPTS OVERALL)
> COMPREHENSIVE EXAM (30%)
--- SAMPLE Computation
Score = 55
= 77.5%
>>>>>THEORY GRADE COMPUTATION<<<<<<<
COMPRE EXAM OVERALL = 77.5 x 0.3 (30%) = 23.25
+
THEORY CONCEPTS OVERALL [83.09] x 0.7 (70%) = 58.16
-----------------------TOTAL THEORY PERCENTAGE = 81.43%--------------------
RLE GRADE COMPUTATION
RLE OVERALL GRADE BREAKDOWN = Affiliating Agency Rotation Scores (60%) + Case Conference Scores (40%)
>AFFILIATING AGENCY ROTATION Scores (60%)
--- FORMULA
a. MAMC = RAW SCORE
b. National Center for Mental Health = RAW SCORE
c. Mary Mediatrix Medical Center = RAW SCORE
d. Calamba Medical Center = RAW SCORE
e. Ospital ng Muntinlupa = RAW SCORE
f. AFPMC = RAW SCORE
----------------------------------TOTAL RAW SCORE (divide by) 9 = Affiliating Agency Rotation total score
--- SAMPLE Computation
a. MAMC = 75%
b. National Center for Mental Health = 90%
c. Mary Mediatrix Medical Center = 80%
d. Calamba Medical Center = 88%
e. Ospital ng Muntinlupa = 85%
f. AFPMC = 95%
----------------------------------(TOTAL RAW SCORE) 518 (divide by) 9 = 86.53
>CASE CONFERENCE COMPUTATION (40%)
--- FORMULA
RAW SCORE x .4 (40%) = Case Conference Total
--- SAMPLE Computation
88 x .4 (40%) = 35.20
>>>>>RLE GRADE COMPUTATION<<<<<<<
AFFILIATING AGENCY TOTAL SCORE = 86.33 x 0.6 (60%) = 51.80%
+
CASE CONFERENCE TOTAL SCORE = 88 x 0.4 (40%) = 35.20%
----------------------TOTAL RLE PERCENTAGE = 87%---------------------
N404 TOTAL GRADE COMPUTATION
TOTAL THEORY x 0.5 (50%) = 81.43 x 0.5 = 40.715
+
TOTAL RLE x 0.5 (50%) = 87 x 0.5 = 43.5
----------------------OVERALL GRADE = 84.21 % or (C+)-------------------
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