FIRST CITY PROVIDENTIAL COLLEGE

BRGY.NARRA,FRANCISCO HOMES SUBD,CITY OF SAN JOSE

EMERGENCY ROOM
DUTY
PORFOLIO

CLINICAL INSTRUCTOR:
DEXTER GABRIEL

PREPARED BY:
JUSTINE KAYE DIONGSON
BSN3B
 First City Providential College
Brgy. Narra, Francisco Homes Subd., City of San Jose del Monte, Bulacan
Learning Task Output Plan (LTOP)
Authentic Problem: Why do kids get seizure?
Title of the LTOP: Seizures in children
Analyze Contents:
Your brain is made up of billions of nerve cells called neurons, which communicate with one
another through tiny electrical impulses. A seizure occurs when a large number of the cells send
out an electrical charge at the same time. This abnormal and intense wave of electricity
overwhelms the brain and results in a seizure, which can cause muscle spasms, a loss of
consciousness, strange behavior, or other symptoms.
Diagnosing a seizure can be tricky. Seizures are over so quickly that your doctor probably will
never see your child having one. The first thing a doctor needs to do is rule out other conditions,
such as nonepileptic seizures. These may resemble seizures, but are often caused by other factors
such as drops in blood sugar or pressure, changes in heart rhythm, or emotional stress.Although
they may look painful, seizures don't really cause pain. But they may be frightening for children
and the people around them. Simple partial seizures, in which a child may have a sudden,
overwhelming sense of terror, are especially frightening. One of the problems with complex
partial seizures, for instance, is that people have no control of their actions. They may wind up
doing inappropriate or bizarre things that upset people around them. It's also possible for children
to injure themselves during a seizure if they fall to the ground or hit other things around them.
But the seizures themselves are usually not harmful.Experts don't fully understand the long-term
effects of seizures on the brain. In the past, most scientists thought that seizures did not cause any
damage to the brain, attributing brain damage in an individual to an underlying illness. Now,
however, some doubts are beginning to emerge.
Create Solutions:
Stay calm and stay with your child.Protect your child from getting hurt. Move objects away that
may harm them.Place a soft object under your child's head.Roll your child onto their side.Loosen
tight clothes.Time the seizure when it starts.Be prepared to give seizure rescue medication based
on your child’s individual seizure plan.Do not put anything in the child's
mouth. Your child cannot swallow their tongue.Do not try to keep your child from moving. This
may cause you or your child to get hurt.Do not give liquids or medicine by mouth until your
child is fully awake and alert.
Most seizures will stop within minutes on their own. If your doctor has prescribed “rescue
medication” for seizures lasting five minutes or longer, be prepared. Know where the medication
is and how to give it to your child. Store the medications securely at room temperature. Avoid
storing it in places such as a car's glove compartment or a tote bag that will be out in the sun.
After a seizure:
Your child may be confused and sleepy. It is OK to let them sleep.Your child may have pee or
poop in their pants.Any bleeding from the mouth may mean that your child bit their tongue or the
inside of their cheek. Check the mouth only after the seizure is over. Put a clean cloth on the area
and use gentle pressure to stop the bleeding.

Prepared by:
JUSTINE KAYE DIONGSON
BSN3B
 First City Providential College
Brgy. Narra, Francisco Homes Subd., City of San Jose del Monte, Bulacan
Learning Task Output Plan (LTOP)
Authentic Problem: Why some people suddenly having trouble in breathing?
Title of the LTOP: Difficulty of breathing
Analyze Contents:
Breathing difficulty can result from lung conditions like asthma, heart conditions, and
environmental causes, such as allergies. Shortness of breath may indicate a serious health
issue.Experiencing breathing difficulty describes discomfort when breathing and feeling as if you
can’t draw a complete breath. This can develop gradually or come on suddenly. Mild breathing
problems, such as fatigue after an aerobics class, don’t fall into this category.Breathing
difficulties can be caused by many different conditions. They can also develop as a result of
stress and anxiety.It’s important to note that frequent episodes of shortness of breath or sudden,
intense breathing difficulty may be signs of a serious health issue that needs medical attention.
Some people have trouble breathing when they get a cold. For others, it’s caused by infections
like sinusitis. Sinusitis can make it hard to breathe through your nose for a week or two, until
the inflammation eases and your congested sinuses begin to drain.Many breathing problems are
long-term (chronic). These include chronic sinusitis, allergies, and asthma. They can cause
symptoms such as nasal congestion, a runny nose, itchy or watery eyes, chest
congestion, coughing, wheezing, trouble breathing, and shallow breathing.Your nasal passage is
a pathway for viruses and allergens to enter your lungs. So your nose and sinuses are often linked
with many lung disorders. Sinus or nasal passage inflammation may trigger asthma attacks. And
one of the most common triggers for asthma is allergies.
Create Solutions:
Deep breathing exercises
Breathing in deeply and deliberately can help you manage shortness of breath. Lie down on a flat
surface and place your hands on your abdomen,Breathe in deeply through your nose, and let your
lungs fill with air,Hold your breath for 2-3 seconds,Breathe out slowly through the
mouth. Repeat this exercise for 5 minutes.
Pursed-lip breathing
By practising pursed-lip breathing, you can help to slow your breath and control any difficulty
that you may be experiencing with your airways. It will also help to release any air that may be
trapped in your lungs. Sit upright in a chair, and relax your neck and shoulder muscles,Slowly
breathe in through your nose with your mouth closed,Keeping your lips tightly pressed and
rounded (pursed), breathe out slowly and gently to the count of four.
If you’re experiencing frequent shortness of breath and wheezing, make an appointment with
your doctor. These may symptoms of an underlying medical condition.
Prepared by:
JUSTINE KAYE DIONGSON
BSN3B
 First City Providential College
Brgy. Narra, Francisco Homes Subd., City of San Jose del Monte, Bulacan
Learning Task Output Plan (LTOP)
Authentic Problem: Is Hypertension a Natural Part of Old Age?
Title of the LTOP: High blood pressure/hypertension
Analyze Contents:
Hypertension is a medical condition that happens when your blood pressure—the force of the
blood pushing against your artery walls—becomes too high. This increased pressure makes it
harder for your heart to pump blood to your body. It’s normal for our blood pressure to rise and
fall during the day. But a long period of continued high blood pressure can cause cardiovascular
disease, kidney disease, and other serious health problems.
The vascular system alters with aging. Your heart and blood vessels are included in this. Your
arteries become less flexible and more rigid due to a decrease in the elastic tissue in the blood
vessels. Your blood pressure rises as a result. But there’s a lot more to it than age. Variables
include things like genetic factors, lifestyle factors, medication-related, and other medical
comorbidities. Common medical conditions that lead to hypertension include sleep apnea and
kidney disease. Among the lifestyle factors include alcohol and tobacco use, obesity, lack of
physical activity, and lack of sleep.Although salt is an essential component, too much of it can be
harmful.
High blood pressure typically strikes men before the age of 55, but it typically strikes women
after menopause. As you age, the walls of your blood vessels stiffen, which increases your risk of
getting hypertension.Certain drugs and physical disorders including chronic renal disease are
also potential causes of hypertension. Stress and hereditary factors are additional risk factors.
Nonetheless, a specific cause of hypertension is rarely identified. Essential hypertension is
defined as hypertension for which there is no known cause.
Create Solutions:
By making little changes to your daily routine and, if necessary, taking medication, you may
frequently reduce your blood pressure.
You can avoid and reduce high blood pressure by adopting the following lifestyle modifications:
Manage stress, exercise, eat a heart-healthy diet, drink less alcohol, and strive for a healthy
weight.
Your heart health depends on preventing and managing high blood pressure, which may also
improve the health of your brain.
 Prepared by:
JUSTINE KAYE DIONGSON
BSN3B
 ER JOURNAL
The healthcare team must act fast to help the patient in the healing process since the emergency
department receives demands from all parts of the patient's needs. Emergency room nurses need
to be ready for anything at any time. The variety of challenges that ER nurses experience on a
daily basis sometimes causes them to question whether nursing is truly what they want to do for
a living. The medical staff assigns a patient's class based on their particular situation and level of
severity.
The hospital's standards and procedures provide that a doctor must complete an informed consent
form while a nurse serves as a witness. Before a signature is collected, some requirements for an
informed consent must be met. Factors include the patient's capacity for decision-making,
understanding of the signed consent and its discussion, willingness to sign the consent without
coercion, and whether the procedure is explained in a way that the patient can understand and is
aware of all potential risks. A medical power of attorney or a selected family member
participating in the patient's care may sign permission on behalf of the patient if the patient is
unable of doing so.
As a student nurse, clinical experience in the ER offers priceless learning opportunities and
exposure to the hectic and unpredictably changing nature of healthcare delivery. The importance
of clinical experiences in the Emergency Department (ED) for student nurses, the knowledge and
skills acquired, and the effects on their personal and professional growth will all be covered in
this essay.
Exposure to a wide variety of medical illnesses and emergencies is one of the main advantages of
gaining clinical experience in the emergency department. Working as an emergency department
nurse exposes one to patients with a range of severe conditions, traumatic injuries, and acute and
life-threatening illnesses. Through this experience, student nurses can see how these patients are
initially assessed, stabilized, and managed, which broadens their knowledge of pharmacology,
pathophysiology, and emergency interventions.
Important nursing skills including triage, advanced cardiopulmonary resuscitation (CPR), wound
care, and drug administration can all be practiced while working in the emergency department
(ED). These abilities, which call for accuracy, quickness, and consistency, are crucial for
handling patients in life-threatening situations. Student nurses can hone their skills by actively
engaging in these tasks under the supervision of seasoned nurses and preceptors.
Clinical experience in the ED sharpens critical thinking skills in addition to technical ones. The
ED environment is chaotic and unpredictable, which makes it necessary to make decisions
quickly, set priorities, and be flexible enough to adjust to changing conditions. In this context,
student nurses must learn to evaluate patients' status, identify emergency situations, and carry out
the necessary interventions as soon as possible. Under the direction of seasoned medical experts
and exposure to a diverse range of patients, student nurses acquire the critical thinking and
decision-making abilities necessary for success in any nursing specialization.
In summary, clinical experience in the emergency room offers student nurses priceless chances to
hone vital abilities, broaden their understanding of medicine, and advance both personally and
professionally. The high-pressure setting and exposure to a variety of medical emergencies and
acute situations push student nurses to grow in their technical, critical thinking, and
communication skills. Their expertise empowers them to confidently provide patients in need
with superior emergency care and prepares them for future nursing careers.