Name : QUINDARA, FRANCES ANGELIKA Q.

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. Always choose to be happy.

b. To know that you do not know is the best. To think you know when you do
not is a disease. Recognizing this disease as a disease is to be free of it.

c. Attitude is a little thing that makes a big difference

 1. LEARNING PLAN

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

August 8 To experience Being a head nurse presents the opportunity to

– 9, 2017 being a head nurse work with real patients, experience work
as well as to environments and learn how you will work with
enhance my skills. fellow nurses, physicians, and other members
of the health care team.
Learn how to Being head nurse one of the duties and
Kardex, Endorse, responsibilities is that receiving endorsements
and accomplish for admissions as well as receiving complete
the shift census and accurate documentations so that I will be
and have a able to provide exact nursing interventions to
strategic planning my patient during my shift and endorse them
properly for the next incoming shift.

As the head nurse, I am responsible for the

direction, organization and strategic planning of
the nursing unit within a hospital or other
healthcare facility.

August Case presentation Case presentation is the most frequently used

14-16, teaching and learning activity. Because while
2017 were presenting the case of the patient we are
able to learn by correcting our mistakes on
what we put in our presentation. Also we got to
have effective learning strategy because we are
doing it by ourselves.

In doing case presentation, we are to describe

or to explain the pathophysiology why the
patient is admitted and the current diagnosis of
an individual. We should be showing the causes
and the health history of the patient .
August Enhancing my In this rotation I handled a patient with a cancer
21-23, competency in specifically breast cancer. In other settings, you
2017 therapeutic don’t necessarily see the patients over and over
communication again. Being a nurse for cancer patients, you
see them regularly, so you develop close
relationships with them. You can rejoice with
them if they’re doing well. Everyone handles
cancer differently. I’ve had patients say they
don’t regret getting cancer because it brought
their family back together. Then there are
patients where cancer tore the families apart.
You have to remember that each person is an
individual and reacts differently to situations.
I’ve learned that a lot of it is about how they
choose to view their situation.
Preparing No doubt about it, the cytotoxic drugs used in
chemotherapeutic cancer chemotherapy are hazardous. They work
medications by disrupting the growth and reproduction of
cancer cells. Unfortunately, that action often
afflicts certain healthy cells as well, causing
toxic side effects in the patients who receive
chemotherapy and posing health risks to the
nurses who administer it without taking
protective measures. Being a future
professional nurse it is my part knowing how to
handle high risk medications.

At this time we are not yet taught or had the

return demonstration on cytotoxic spills so I
had a hard time preparing a chemo drug
August Case Presentation In doing this case presentation we get to
28-30, enhance our competency regarding the science
2017 behind the pathology of cancer. We are now get
to familiarize how to handle a patient and more
knowledgeable in the medications
September ECG It was fun doing an ECG to a patient bat it was
18-20, hard interpreting them. I know it was my
2017 weakness reading ECG strips, but I’m trying
myself in enhancing them. I get to learn also to
be independent because of the busy schedule in
the Emergency Department.
History taking History taking is a key component of patient
assessment, enabling the delivery of high-
quality care. Understanding the complexity and
processes involved in history
taking allows nurses to gain a better
understanding of patients' problems.

Carry out Doctor’s This is most crucial in an environment where

order and interventions happen really quickly, and are
Preparation of IV usually time pressured.
medications
When I’m pressured I mostly have more
mistakes. I should learn how to keep calm
despite of the pressure so that I can perform the
skills correctly.
Most of the Triage The purpose of triage in the emergency
patients in
this ward are department (ED) is to prioritize incoming
weak that patients and to identify those who cannot wait
they cannot to be seen. The triage nurse performs a brief,
tolerate in
performing focused assessment and assigns the patient a
Activities in triage acuity level, which is a proxy measure of
Daily Living. how long an individual patient can safely wait
They are also
sometimes for a medical screening examination and
easily treatment.
irritated and
having
difficulty By triaging I get to learn how to prioritize
sleeping. I things which it will be save more lives.
learned how
to deal with
their anger to
be still able to
attend their
needs. For
me,
promoting
sleep and
comfort are
one of the
most
important
need of the
patient in this
time that we,
health care
providers
must provide.
October Hemodialysis The patient's whole life situation is turned
2-4, 2017 upside down with chronic kidney disease when
they are confronted with the forced change to
start treatment with hemodialysis. Caring for
patients with chronic kidney disease (CKD) and
end-stage renal disease (ESRD) challenges all
health care providers. While a great deal of the
maintenance care for patients with ESRD
occurs at hemodialysis centers in the
community, admission of affected patients to
the hospital requires nurses to demonstrate
knowledge of renal disease and renal
pathology, and expertise in the identification
and management of the debilitating fatigue that
often impacts patients’ quality of life.

I handled patient having hemodialysis and it

was like the same having a cancer patient the
same treatment I treated the patient and watcher
but different nursing intervention.

Nov 6-8, Adjusting to I found that working in the community was a

2017 different valuable experience to ascertain the care that is
environment delivered outside of the hospital setting. It was
also important to become aware of all the
services available for children and families to
ensure that you are working as part of a wider
team to ensure that the care you deliver is
holistic within the context of that patient.

Living in a culture that is different from your

own can be both an exciting adventure and a
challenging process. Regardless of what
country you are from, it is common for all
international students to go through a period of
cultural adjustment. Understanding this
 adjustment process and getting support through
this transition will help you to have a more
fulfilling experience, both academically and
personally.

Nov 6-8, coordination skills Going to a community it is important to have at

2017 with key persons least contact person so that its easy delivering
in the community. an holistic care.

Teamwork in healthcare is vitally important to

patient treatment, care and safety. The better
the members of a healthcare team are able to
work together, the better they are able to
provide the best quality patient care possible.

This would help in my managerial skills,

especially in coordinating and communication.
Nov 13- Benedict’s Test In performing this skill, I am more confident
15, 2017 Acetic Acid Test because last year’s community we are required
to every home visit we should perform this
skill. We know the purpose of these tests in
theory but seldom get to perform them because
we have way advanced technology in the urban
setting, which are more reliable diagnostic
procedures.

But when we went to the Palansa, I am so

happy but sad at the same time because when
we performed this skill, I get to interview one
patient and did this skill to him and to be found
out that he was positive in benedicts test. I am
happy because I helped him by teaching do’s
and don’ts to manage that kind of
Dec. 9-11, Assigned at Critical care nurses have to adapt to fast-paced
2017 NCCU and stressful environment by functioning
within their own culture. Having assigned in
this ward made me realized about critical
decisions, highly stressful situations, and
ethical dilemmas are all part of the unique
environment of critical care unit (CCU). I really
want also to become a critical nurse someday,
that embodies dimension of mind, body, and
spirit and function effectively – holistically –
within the environment.
 2. RECORD OF THE LEARNING EXPERIENCE

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

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

and humanities in the care of clients who are at risk and with health CLO1
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 conditions,
CLO7
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
measures and appropriate protective devices consistently, when providing
CLO9
nursing care and preventing injury to clients, self, other health care
workers and the public.
[Link] skill accurately CLO 10
[Link] participatory and empowerment strategies for community
competence to identify and collaborate effectively in addressing needs
CLO11
and problems related with health resource availability, access or use,
environmental sanitation, environment protection, safety and security.

[Link] health education using selected planning models to targeted

CLO12
clientele (individuals, family, population group or community).

[Link] 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
 3. REFLECTIVE WRITING
Analysis of situation Identification of area of Comments of the
(What went well?) What was difficult? practice to be developed reflective friend
(Did your practice meet (CLINICAL
(What could you have professional standards? INSTRUCTOR/
done differently?) What area do you need to MENTOR/ COACH/
work on in your PROMOTER)
practice?)
 Collaboration  Adjusting to different  I believe I still need
with other health situation. Learn as improvement in
care providers in much as you can terms of maintaining
delivery quality about your new interpersonal
health care environment in relationships and
advance. Try to performing
 Mutual respect speak at the same assessment, I still
and volume as those in need to practice my
understanding to your new skill in performing a
everyone environment. If it more spontaneous
involved with the comprises loud, assessment.
care of certain boisterous types,
client staying quiet can
easily set you apart.
 Being able to On the other hand, if
integrate concepts it tends to be more
learned from subdued, a loud
lectures and voice may grate on
return the nerves. Studies
demonstration. show that people
 Maintaining respond best to
interpersonal others who speak at
relationship with the same volume as
clients and their themselves. Your
significant others. vocal volume is
something you can
control, so pay
attention to it.
REFLECTING ON PRACTICE:

Area of Rotation: Palliative Ward Clinical Instructor: Mrs. Jocelyn Macaraeg

Institution: SLU-HSH Shift: 3-11; 7-3

As an adult nursing student, I will be reflecting on an experience with a patient who was receiving
palliative care that I encountered during my community placement. The patient received palliative care and
required management of symptoms to help maintain their quality of life for the patient and their family. This
involved a patient, an elderly patient who had been diagnosed with breast cancer. When meeting with the
patient his main concern was his pain control and available options which he would be able to receive to
manage this.
Initially when I heard about the diagnosis I was intrigued and wanted to find out more about the
patient and their condition. When I met the patient I felt sympathetic towards her and the family and upon
discussion she revealed that she felt like 'giving up' and 'ending it all'. A mixture of thoughts entered my
mind, although I could understand why he would want to give up, the only reason was because he was
worried about the pain he was starting to experience. On reflection it was a positive experience as it allowed
me to see how people cope differently with terminal conditions, and the impact it has on the family and
carers
 I could only imagine the distress he was going through. Being here made me realize that I wasn’t
here to simply administer medications, and perform interventions specific to my identified focus, I was here
as form of immersion - at least that’s how I saw it.

Area of Rotation: Coronary Ward Clinical Instructor: Jocelyn Macaraeg

Institution: SLU-HSH Shift: 3-11; 7-3

ICU clinical was absolutely one of the best learning experiences I've had had in my nursing
education. The NCCU is one of the most nerve wrecking places you could ever encounter. The constant
beeping, buzzing, and pumping sound monitoring precious live. The sounds of respirators pumping oxygen
for the incapable. The constant flickering lights monitoring everything from blood pressure to heart rate. Just
a total nerve wrecking, heart pounding, angina inducing environment. When one enters the I.C.U. one should
be prepared for anything. What's beyond those hinged doors is truly a experience wanted to be forgotten, but
forever remembered. . In one day I was able to overcome my fear of working on a telemetry floor, accurately
read my patient’s telemetry strips, understand from experience what a high pressure ventilator alarm meant,
and practice deep suction. I am so grateful that I found the courage to practice skills I had learned in theory,
and was in turn able to feel confident practicing what deep down, I already knew I could do
Overall, the clinical experience really does make it all come together, and all of the things that you
learn in theory make more sense in a clinical setting. Theory gives you the knowledge you need to prepare
for those real-life situations, and Clinical helps you develop the confidence and technique. I realized that I
was using the nursing process, thinking critically, and lab results were beginning to make sense.
I was finally thinking like an RN. I began to understand that I am prepared and that I can do this!

SUMMARY OF THE LEARNING EXPERIENCE

areas Learning activities Evidence of Learning: Comments

CLINICAL/DIR  Care of clients  NCP’s

ECT CARE with HD  Case Presentations
PRACTICE  Care of Clients  Reflective writing
with desaturation
 Care of client with
multiple co-
morbids

LEADERSHIP  Head nursing  Reflective writing

AND  Endorsement
COLLABORAT  Referrals
IVE PRACTICE  Charging of
supplies
IMPROVING  QI on teaching-  Journal: Improving the
QUALITY AND learning process Care of Patients with
DEVELOPING Chronic Kidney Disease
among clients
Using Group Visits: A Pilot
PRACTICE  Staffing Issues and Study to Reflect an
possible Emphasis on the Patients
improvements Rather Than the Disease
based on EBPs  Journal Predictive Staffing
Simulation Model
Methodology

DEVELOPING Interpersonal-inter-
SELF AND professional
OTHERS communication

FRANCES ANGELIKA Q. QUINDARA

379 Barangay Dontogan, Purok 5, Green Valley, Baguio City
Mobile No: 09951436825
Email: [Link]@[Link]

Objective
Seeking the position of a Registered Nurse in a Health Care Facility where I
can maximize my theoretical and clinical nursing skills to provide safe and
quality care to clients, and utilize communication and interpersonal skills to be
able to confidently collaborate with people working in the organization.

Education
 Tertiary: Bachelor of Science in Nursing
Saint Louis University, Baguio City (2014-2018)
 Secondary: Saint Louis School Center High School Department (2011-
2014)
 Primary: Benguet State University (2002-2003)
 Lucban Elementary School (2003-2006)
Baguio Central School (2006-2009)
Awards and Achievements
 Tertiary: Graduate
 Secondary: outstanding student (2011-2013)
Experience
 Internships: Saint Louis University- Hospital of the Sacred Heart (2015-
2018)
Baguio General Hospital and Medical Center (2015-2018)
Benguet General Hospital (2015-2016)

Skills
 Proficient Computer Skills: MS Word, Excel, PowerPoint, Publisher