REPUBLIC OF CAMEROON REPUBLIQUE DU CAMEROUN

Peace-Work-Fatherland Paix-Travail-Patrie

MINISTRY OF HIGHER EDUCATION MINISTERE DE L’ENSEIGNEMENT

SUPERIEUR
ST. LOUIS UNIVERSITY INSTITUTE
OF HEALTH AND BIOMEDICAL INSTITUT UNIVERSITAIRE DE ST.
SCIENCES LOUIS EN SANTE ET DES SCIENCES
BIOMEDICALES

CLINICA
LPerformed at the ADLUCEM hospital of BONAMOUSSADI from the 3 rd January to

INTERNS the 28th January, 2022.

HIP
WRITTEN AND PRESENTED BY ;
REPORT HADJARATOU ADAMOU ISSA
Matricule: BNS/21/0054

LEVEL: Bsc 400

CLINICAL SUPERVISOR

Care Coordinator :Mme. NGAH BERNADETTE.

Care Coordinator ; Mr BINELI RIGOBERT.

Major; Mr. BOMBA AMOUGOU

ACADEMIC YEAR 2021/2022

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DEDICATION

This work is dedicated to my parents: Mr. and Mrs. SILATCHA.

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ACKNOWLEDGEMENTS

My sincere Appreciation goes to the following people, for their contributions towards the
realization of this research project.

 The Almighty GOD for His Infinite Grace and Mercy.

 The entire Staff of Saint Louis Higher Institute for their theoretical and practical
knowledge impacted in me within these 1 year of my study to become a competent
nurse able to practice in Cameroon and in the world at large.

 The entire hospital staff and director for their theoretical and practical knowledge
impacted in me during these 1 month of internship.

 My family in general and in particularly my lovely parent Mr. and Mrs. SILATCHA
for their moral and financial support for the realization of my Education and this
clinical report.

 Finally, to my classmates and friends for their support and help.

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TABLE OF CONTENTS
PRELIMINARY PAGES

Dedication…………………………………………………………………………………...i

Acknowledgements……………………………………………………………………….…ii

Table of contents…………………………………………………………………………….iii

List of Tables…………………………………………………………………………………iv

List of Figures………………………………………………………………………………..v

List of acronyms and abbreviations…………………………………………………………vi

CHAPTER ONE

1.1 Introduction………………………………………………………………………………1
1.2 Internship period…………………………………………………………………………1
1.3 Internship objectives…….……………………………………………………………….1
1.4 Significance of internship…..…………………………………………………………....1

CHAPTER TWO

2.1 Description of the health facility…….………………………………………………….2

2.2 Organizational chart………………………..…………………………………………...3

2.3 Functional departments of the health facility………………………………………..4-12

CHAPTER 3 (METHODOLOGY)

3.1 Description of activities observed and performed …………………………………12-20

CHAPTER FOUR

4.1 Conclusion.…………………………………………………………………..………21

4.2 Difficulties encountered ……………………………………………………………..21

4.3 Recommendation…………………………………………………………………..…..21

4.4 REFERENCES………………………………………………………………………...21

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LIST OF TABLES
Table 1: Human resources of the ADLUCEM foundation of BONAMOUSSADI

Table 2: Activities carried out during the internship

Table 3: Pharmacology of drugs used in services
Table 4: Working instruments

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LIST OF FIGURES
Fig 1: Organizational chart

Fig 2 : Patient circuit

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LIST OF ACRONYMS AND ABBREVIATIONS

FALC: Foundation ADLUCEM

CRP: C-reactive protein

BP: Blood pressure

TDR: Rapid diagnostic test

W: Weight

HPV: Vitamin B complex

HB: Hemoglobin

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CHAPTER ONE

INTRODUCTION

An internship is a temporary period of location in the professional milieu in which the student
acquires professional behaviors and put in practice his training for the purpose of receiving a
degree or certificate. The main objective of this internship is to observe, practice and
document all the basic procedures that constitute the foundation of nursing in the different
services. The activities we have conducted was in a mood of respect, familiarization and
cooperation. The AD LUCEM Bonamoussadi hospital is a health establishment of first use in
urban areas. The hospital ensures that quality care, preventive care is rendered to patient in
need and the fight against communicable and non-communicable diseases.

INTERNSHIP PERIOD

Our internship runs from the 3rd January 2022 to the 28th January 2022 at the AD LUCEM
hospital of Bonamoussadi, it was an opportunity to learn more about the professional life.

INTERNSHIP OBJECTIVES

General objective:

 The goal of this internship is to give the us the opportunity to put into practice the
knowledge and skill acquired in class under supervision without supervision in order
to reach the competence level required at the end of our study in ST. Louis University
Institute of Health and Biomedical Sciences.

Internship objectives:

 We should contribute to the assessment, planning, implementation and evaluation of

nursing care under the supervision of an experienced nurse.
 We should be able to assess the patients within their care, interpret medical diagnosis,
make appropriate nursing diagnosis and management of patients under care.
 Communicate effectively with patients and clients to assess their ongoing healthcare
needs and monitor and report any problems with this aspect of care.
 Use nursing knowledge to recommend revisions of plan of care with interdisciplinary
team.

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 Collaborate with the interdisciplinary health care team to evaluate plan of care and to
promote quality and effectiveness of care.
 Develop and refine understanding of clinical administration and management.
 We should practice and progressively develop professional skills critical for the
nursing profession.

SIGNIFICANCE OF INTERNSHIP

 An internship provides the work experience that helps us to put our education into
practice and develop leadership skills.
 Helps us to develop our interpersonal skills.
 It offers real world exposure.
 To gain confidence in our abilities.

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CHAPTER TWO: DESCRIPTION OF THE HEALTH

FACILITY

I. STRUCTURE

1. HISTORICAL SITUATION

In the wake of the AD LUCEM (Catholic and Missionary laity) movement born on the
France Island in 1932, the AD LUCEM Medical Foundation was established in Cameroon in
1936 by Dr. Louis Paul AUJOULAT.

In accordance with the policy of economic, social and cultural development of the
Republic of Cameroon, it presents a self as a service of health and social promotion, the
Christian spirit, open to all, and axillary to the mission of the church, in its educational and
liberating task.

It offers members of the association, its medical and administrative staff of all categories,
to live and work according to the spirit of its founder thus conceived:

In the service of health, it intervenes with curative, educational and preventive

medicine with competence and efficiency, to relive, heal and free from suffering and fear. It
thus wants to ensure the defense and improvement of life in relying on everyone’s
participation in their living environment.

For the integral development of the man and of all man.

In line with the gospel, she intervenes with the priority option of liberation from all
illnesses and infinity in love, welcome, joy, respect, for the smallest, in communion with the
church at the service of the poor, thus participating at the work of God in the world and the
coming of his kingdom.

Non profit, it strives only to qualify work that is fairly rewarding, to maintain and
develop its heritage in the service of the common good, with a view to relaxation and self-
financing in inter-establishment solidarity.

In constant search of fraternity, it works in the face of a broad national and

international collaboration, in a solidly familiar work team on a confident dialogue between
race and ethnicity whose difference is accepted.

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Following to his founder, in fidelity to his work and his spirit, the FALC wants to
respond to the order of men today in Cameroon and even outside it borders.

2) HISTORY OF THE FOUNDATION

The AD LUCEM hospital of BONAMOUSSADI was created on MAY 26, 1997. It consists
of 04 buildings including the old and new building with 06 consultation rooms and several
hospitalization rooms, a building for the radiology department and another building for
surgery and laboratory. The AD LUCEM foundation of BONAMOUSSADI owns and offers
the following services: Reception and orientation, the emergency department, the general
medicine department, the general surgery department, the maternity/gynecology department,
the neonatology department, the pediatric service, the laboratory service, the medical imaging
service, the dental office service, the accounting department, the pricing service, the customer
service. It is also the largest of the ADLUCEMs on the coast. This represents a reference
structure of the FALC because of the qualities of these services and its technical platform.

3) GEOGRAPHICAL SITUATION

The ADLUCEM hospital of BONAMOUSSADI is located in the Littoral region, department

of Wouri; district of DOUALA 5th; BANGUE health district, BONAMOUSSDI health area,
more precisely in the district called “BONAMOUSSADI SABLE”. It is delimited:

o To the North by EXPRESS UNION of BONAMOUSSADI.

o To the South by L’ANCIEN SUPERMACHE MAHIMA.
o To the East by the FALC CENTRAL PHARMACY.
o To the West by the MBANYA HOTEL.

The ADLUCEM hospital of BONAMOUSSADI has a good geographical position which is

justified by the fact that it is located in a very populated area, favored by a well-paved road
and easily accessible to all.

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4) PHILOSOPHY AND MISSION

A) PHILOSOPHY

The philosophy of the FALC is the special promotion of the Christian spirit, open to all
auxiliaries of the mission of the church in its educational and liberating task in order to benefit
the populations.

B) MISSION

The ADLUCEM foundation offers members of the association its medical and administrative
staff of all categories, to live and work according to the spirit of its founder, thus conceived:

 The health service for people in general.

 For the integral development of man sanitary education and fight against scourges.
 Nonprofit goal.
 In constant search of fraternity.
 Following the founder in his loyalty to the service of health.
 Protection of its environment and development.
 Cooperation with other organizations.

ORGANISATION

1. Services

The ADLUCEM hospital in Bonamoussadi consist of 4 buildings;

The first hold the old and new building, it is made up of the following services:

 Medicine
 Neonatal pediatrics
 Gynecology obstetrics
 Pharmacy
 Emergency room
 Administrative office and medical consultation
 Reception

The second building holds the following services:

 Radiology

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 Dental surgery
 ENT consultation
 Office of the general supervisor
 Orthopedic consultation
 Resource (material) reserved

The third building is made up of the following:

 The UPEC service and serve as a staff room

The fourth building consist of the following service:

 Surgical unit
 Operation room
 Laboratory
 Laundry room
 Security
 Maintenance

5) RESOURCES OF THE STRUCTURE

A) FINANCIAL RESOURCES

The financial resources of this structure come from the recovery of costs; hospitalization
costs, consultations, various medical and nursing procedures, laboratory and imaging
examinations.

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B) HUMAN RESOURCES

Table 1: Human resources of the ADLUCEM foundation of BONAMOUSSADI

Qualification Number
Chief doctor 01
General practitioner 04
Chief staff 01
General supervisor 01
Working doctor 01
Care coordinator 02
Major 06
Nurse 20
Care giver 08
Nurse specialized in reproductive health 01
Assistant nurse in birth 05
Anesthetist nurse 02
Gynecologist 01
Dentist 01
Pediatrician 01
Cardiologist 02
Radiologist 01
Laboratory technician 03
Assistant technician of laboratory 10
Cashier 02
Pharmacist 01
Accountant 01
Guardian 06
Surface technicians 12
Maintenance service 02

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II) ORGANISATION OF THE HOSPITAL

1) ORGANIZATIONAL CHART

CHIEF DOCTOR

MEDICAL ADVISOR GENERAL SUPERVISOR HEAD OF FINANCIAL

AFFAIRES

CHIEF DOCTOR SERVICE CARE COORDINATOR CUSTOMER SERVICE

Fig 1: Organizational chart

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2) PATIENT CIRCUIT

CASH AND REGISTRATION

PRE-CONSULTATION

CONSULTATION

CHECKOUT

CONSULTATION

LABORATORY CHECKOUT ULTRASOUND

PHARMACY

HOSPITALIZATION

EXIT

Fig 2 : Patient circuit

CHAPTER THREE: ACTIVITIES OF THE INTERNSHIP

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1) ACTIVITIES OBSERVED AND CONDUCTED

TABLE 2: ACTIVITIES CARRIED OUT DURING THE INTERNSHIP
ACTIVITIES ACTIVITIE ACTIVITIES ACTIVITIES JUSTIFICATION
S CARRIED OBSERVED UNDER
OUT SUPERVISION
Orientation and  Sometimes Constant arrival
home service of new cases
Hand washing  Antisepsis
measures
Taking and  Sometimes Use of scales,
documenting of thermometer,
parameters blood pressure
monitor, second
hand watch
Administration of   sometimes Using a syringe
medication (10cc or 5cc) on
(injections and the different
other routes) injection sites
(IM, IV, SC)
Placing catheter   sometimes Use of the
and following catheter to pass
infusion rate the various
solutes and drugs
Preparing a  For proper drug
trolley administration
and asepsis
measures
IEC (Information  Relieve patient
Education and from various
Communication) problem
to patient in need depending on
his/her needs
Nursing care plan  Used to establish
continuity of care
Patients  sometimes To promote
hospitalization patient’s health
condition
Preparation of   sometimes For equipment’s
decontamination sterilizations.
solution
Patients   sometimes Discharging.
discharge
Blood transfusion  In critical low
hemoglobin
patients
Temperature   sometimes To as to asses

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monitoring in temperature
critical ill fluctuation.
patients

2) RELATED KNOWLEDGE
 Nasal lavage
 Weighing babies
 Doing TDR exam

TABLE 3: Pharmacology of drugs used in services

Commercial Generic Therapeutic action Route of Indication Side
name name administ effects
ration
Artesun Artesunate Antimalaria drug IVD Used in the Allergy
treatment Vomiting
of severe Anorexia
malaria
Diclofenac Diclofenac NSAID (Non-steroidal IM Pain Gastrodu
anti-inflammatory odenal
drug) ulcers
Xone Ceftriaxon 3rd generation IVD Infections Digestive
e cephalosporin slowly (respiratory problem,
(antibiotic) , digestive allergic
and reaction,
urinary), headache
fever, , vertigo
meningitis,
salmonella
Perfalgan Injectable Antipyretic and IV Headache, Asthenia
paracetam analgesic fever
ol
Metronidazo Metronida Antibiotic IV Amebiasis Digestive
le zole and problem,
anaerobic allergic
infections reactions
,
headache
,
dizziness
Omeprazole Omeprazo Proton pump inhibitor IVD Gastric and Headach
le (PPI) duodenal e,
ulcers, abdomin
GERD al pain,
(gastroesop diarrhea
hageal
reflux)
Fleming Amoxicilli Bectalamine, IVD Sinusitis, Diarrhea,
n+ aminopenicillin + slowly pneumonia, vomiting

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clavulanic bectalamase inhibitor ear , nausea,

acid (antibiotic) infections, urticaria,
UTI and skin
infections rashes
of the skin
Lovenox Enoxapari Low molecular weight S/C Prevent Mild
n heparins (LMWH) and treat irritation,
(anticoagulant) harmful pain,
blood clots redness
ZAXTER ZAXTER ANTIBIOCTICS IVD INFECTIO Irritation
NS s
Amikacin amikacin Amino glycosides IVD Bacterial Diarrhea;
sulfate antibiotics infections irritation
injections
amoxicillin amoxicilli penicillin IVD Resistant diarrhea
n gram -ve
bacteria

3) MEDECINE, PEDIATRY, GYNECOLOGICAL, SURGICAL,

NEONATOLOGY DEPARTMENT (ALL IN THE SAME BUILDING)

A) Structure
This department consist of;
2 Treatment rooms

22 room and 33 beds

B) Material resources
Table 4: Working instruments

Work instruments

1. Trolley

2. Tray

3. Cotton

4. Food-bin

5. Infectious-bin

6. Non- infectious bin

7. Tourniquet

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8. Fridge

9. Registers

10. Urine collector

11. Decontamination solution

12. Drip stand

13. Bed sheet

14. Mackintosh

C) Human resources
The staff of the medical service of ADLUCEM Bonamoussadi is made up of 3
nurses per group which is supervise by the care coordinator which is the chief
supervisor of the medicine unit and the major at the head of the service.

D) Functioning
The medical unit function 7/7day, 24/24hrs, even on public holidays with a shift
system of day and night.
o A day team working from 7h30am to 2h30pm.
o A duty team working from 2h30pm to 7pm.
o A night team working from 7pm to 7h30am.

PRATICAL CASE

Data Collection

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On the 07/01/2022, at 7H30pm we receive child KP of age 11years leaving at Akwa-nord

who came with headache, pallor and fever evaluating since 3 days.

Automedication

- Efferalgan 500mg
- Coartem 40/240

Medical history

- No pass medical history

- No chronic disease or past surgery
- No allergy

Systematic Investigation

- Colored conjunctiva
- Dry buccal cavity
- Cough
- Diarrhea
- Nausea and vomiting

Vital signs

- Temperature: 38.7
- Pulse : 109beats/min
- W: 32kg

Entered diagnostic

- Severe malaria

Differential diagnosis

- Febrile gastro entiritis

Request lab

- NFS, HB: 6.4g/dl

- CRP -
- GE/TDR +

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Treatment

- Hospi in ped
- S G 5⁒ 500cc + 1 Vit B/12hr
- Amoxiclav 1g inj/12hr
- Artesun inj H0 H12 H24
- Vogalene 1amp inj/ 8hr
- Paracet 480mg/8hr
- Tiorfan cp

CHAPTER 4

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CONCLUSIOIN
In conclusion we can say that our professional itinerary at the ADLUCEM Bonamoussadi
hospital in the medicine department went well, our objective was fully attained. We came
out with a lot of knowledge in the field of nursing.

DIFFICULTIES ENCOUNTERED

1. Language barrier.

RECOMMENDATION

1. Recruit staff.
2. Personnel should try to improve their level of bilingualism.
3. More implication of student nurses during staff meeting, this low
implication of student nurses is due to COVID 19.

REFERENCES

- Patient booklet
- Administrative booklet
- Old report
- Websites

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