Posted by on March 28, 19102 at 15:17:00:
Monetenegro Street Tel Nos. 063468637245 Pajo, Alfonso, Cavite, Philippines, 4123 0639163723827
MARITA JIMENO ROMEROSO – TENORIO
Job Objective: To be a part of an international institution where my potentials and capabilities may be honored and valued.
Personal Information:
Date of Birth : August 27, 1971
Place of Birth : Pajo, Alfonso, Cavite, Philippines
Civil Status : Married
Religion : Catholic
Number of children : Two (2)
Citizenship : Filipino
Age : 30
Height : 5’3”
Weight : 118 lbs
Eligibility:
Nurse Licensure Examination – Passed
Professional Regulation Commission License No. 244581
Bachelor of Science in Nursing
Educational Background:
· Tertiary Education (1989 – 1993)
United Doctors Medical Center
6 N. Ramirez Street Quezon City Philippines
Bachelor of Science in Nursing
· Secondary Education (1984 – 1988)
Sacred Heart School of Cavite
Alfonso, Cavite, Philippines
· Intermediate Education (1982 – 1984)
Alfonso Elementary School
Alfonso, Cavite, Philippines
· Primary Education (1978 – 1982)
Pajo Primary School
Pajo, Alfonso, Cavite, Philippines
Working Experience:
September 1998 – December 2001 De La Salle University
Staff Nurse Dr. Rodolfo Poblete Memorial Hospital
Alfonso, Cavite, Philippines
Job Description:
General Ward
· Admitting patient from the OPD and ER.
· Carrying out doctor’s order and perform the following:
I. Administration of Medicines
a. Oral Medicines
· Oral medicines are prepared with corresponding medicine card.
· Liquid medicines are brought to patient’s room and poured in a medicine glass only when it’s time to take the medicine; they are not left on the patient’s bedside.
· Tablets, capsules and caplets are given individually and assist the patient or wait until the patient swallows the medicine.
b. Parenteral Administration
b.1. Intravenous Injection
· Always check the precautionary measures needed for a vial or an ampule prepared medications.
· Disinfect the vial with an alcohol swabs before aspirating the medicines. If it is a vial, introduce air if it doesn’t contradict the drug potency.
· Inject slowly or if it is ordered bolus push observe for the patient’s reaction to the medication.
b.2. Intramuscular Injection
· Explain the procedure to the patient. If it is a child, ask the cooperation of the parents.
· Position the patient comfortably.
· Disinfect the site in a circular motion with an alcohol swabs and grasp the muscles.
· Inject in a position of 90° angle and check for accidental backflow of blood, if no backflow inject slowly depending on the drug precaution.
· Massage and apply pressure on the site after injection if it doesn’t contradict the potency of the drug.
b.3. Subcutaneous Injection
· Explain the procedure to the patient.
· Disinfect the site in a circular motion.
· Inject the needle at a 45° angle and introduce the medicine, but the built of the patient’s body interferes with the standard 45° angle. If the needle measures only half inch and the patient is obese the position of 90° would still meet the subcutaneous tissue.
b.4. Intradermal Injection.
· Disinfect site.
· Pointing the bevel of the needle up inject at approximately 15° angle.
· A wheal must appear if hypodermic injection is successful.
· Do not massage the site.
II. Tube Feeding
· Prepare the following:
1. Osteorized feeding (computed K/cal/body weight)
2. Asepto syringe
3. Calibrated glass
4. Stethoscope
5. Sterile Water
· Procedure:
1. Explain the procedure to the patient or if the patient is unconscious to the relatives.
2. Place the patient on a high backrest position or semi-fowlers.
3. Check the tube if it is in the stomach using the stethoscope or aspirating for any residual from the stomach.
4. Avoid solid material in feeding that might clog the tube.
5. Holding the tube upright and above chest level, introduce the feeding without allowing the air to enter.
6. Continue feeding and observe for any patient’s reaction.
III. Enema
a. Soap Sud Enema
· Prepare the following:
1. enema can
2. pail of water
3. soap
4. nelaton tube
5. gloves
6. rubber sheet
7. plastic clamp
· Procedure:
1. Prepare the solution and mix thoroughly.
2. Place patient on a sim’s lateral position or a knee chest in cases of high intestinal obstruction.
3. Lubricate the end of the tube and insert slowly for about 4-5 inches.
4. Open the flow of the reservoir to enter the solutions into the colon.
5. Stop the flow by clamping when patient has strong desire to defecate.
6. Repeat the procedure until return flow is clear.
b. Retention Oil Enema
· Prepare the following:
1. asepto syringe
2. mineral oil, glycerine
3. nelaton
4. gloves
· Procedure:
1. Provide privacy.
2. Place patient on a sim’s lateral position.
3. Administer the enema as ordered then clamp the tube and remove it.
4. Encourage the patient to hold or retain the fluid as long as possible.
5. Offer commode or assist the patient to the toilet if possible.
IV. Bed Making
· Prepare the following:
1. top sheet
2. bed sheet
3. draw sheet (optional)
4. rubber sheet (optional)
5. pillow
6. pillow case
· Open bed technique is usually done in our set up where in the bed is ready for occupancy; this is also true for the semi private and wardrooms.
· For private rooms close bed technique is usually prepared.
V. Patient Care
a. Sponge Bath
· Usually done for patient’s with limited range of motions and especially the bedridden individuals.
· This is usually done in the morning care of the patient where in oral hygiene, bed making and bedside care are included.
· This may also include if not daily, the shampooing of hair.
b. Perineal Hygiene
· Changing of diaper is not on a regular schedules because necessity comes whenever the patient’s diaper is soiled with feces, urine or blood in cases of OB-Gyne patient’s.
c. Turning the patient
· Always included in the care of a bedridden patient to avoid pressure sores.
· A turning schedule is provided at the patient’s bedside, usually every 2 hours or as ordered by the attending physician.
· Assist the relatives to turn the patient in such a way that proper technique is instructed, using a lifter or a draw sheet is easier, and then bend the knees first before turning.
· Chest and back clapping are also done during turning especially for patients with pneumonia.
d. Health Teachings
· Given as part of independent function of a nurse to reassure the patient about their condition without interfering doctor’s mode of treatment.
VI. Charting Nurses Notes
· Traditional type of charting – used together with the subjective and objective complaints at the left part as side not and then receiving the patient in whatever is his/her condition during the rounds and all the patient care given for the whole shift.
· Medications are charted in the medication treatment sheet and place in the standing order sheet so that it will not specified in the nurse’s notes.
· Signature is place below as an important part because nurse’s serves as a reference for whatever conditions the patient had during the shift.
VII. Taking and Recording Vital Signs
a. Temperature
· Sites are oral (under the tongue), axilla and rectal using a mercurial or a digital thermometer.
b. Cardiac Rate
· Using a stethoscope, count the heartbeat for a full minute.
c. Blood Pressure
· Usual site is the arm, using a mercurial BP Apparatus, auscultating from the brachial pulse the systolic and diastolic pressure.
d. Pulse Rate
· Usually taken at the radial pulse and counted for a full minute, other convenient site is the brachial pulse.
e. Respiratory Rate
· Counting each inspiration and expiration as one for a full minute.
* Record accurately at the Vital Sign record sheet.
.
Nasogastric Tube Insertion
· Prepare the following:
1. a pair of gloves
2. aseptic syringe
3. lubricating jelly
4. adhesive tape
5. kidney basin
6. Nasogastric tube
7. stethoscope
8. Normal Saline Solution
· Procedure:
2. Explain the procedure to the patient.
3. Make all the necessary materials with in reach.
4. Wear gloves and measure the length of insertion approximately the same as the length of the tip of the nose to the ear lobes to the xiphoid process.
5. Lubricate the tip of the tube and insert slowly to either the right or left nostril.
6. Ask patient to swallow as the tube enters the pharynx until the measured tube reaches the mark.
7. Check if the tube is in the stomach by using the following technique:
a. Auscultating the abdomen for a bubbling sound.
b. Residual from the stomach will appear upon aspirating the tube.
c. Place the tip of the tube to a bowl with Normal Saline and bubbles will appear when the abdomen is pressed.
8. Secure the tube with an adhesive tape.
9. NSS is also used for gastric gavage and lavage.
Urinary Catheterization
· Prepare the following:
1. indwelling foley catheter or straight catheter
2. urine bag for IFC
3. Lubricating jelly
4. A pair of gloves
5. 10 cc syringe with sterile water
6. Cotton balls with soap and betadine
· Procedure:
1. Explain the procedure to the patient.
2. Provide privacy by placing a curtain and a linen while doing the procedure.
3. Expose the genital area and disinfect the site as in perineal preparation.
4. Lubricate the tip of the tube and insert slowly to the meatus.
5. For male, inflate when the tube reaches the Y of the tube and pull slowly to make sure it was inflated. For female, inflate the catheter when the tube reaches at least half of it and pull slowly.
6. Connect the catheter to the urine bag if it is an indwelling catheter.
Oxygen Therapy
· Always put a “No Smoking Sign” wherever oxygen is placed.
· Inform the patient that he is going to be on an oxygen therapy.
· Attach the connecting tube from the nasal cannula to the humidifier outlet.
· Set the flow rate first at 2 L / min. to test if it is flowing then set as ordered.
· Place the tip of the cannula to the patient’s nose.
· Fasten tubing to the pillow / bedding.
· Check humidifier and flow gauge every now and then.
Electrocardiogram (ECG)
· Explain the procedure to the patient.
· Let the patient lie comfortably and provide privacy by putting a screen and a linen.
· Place the electrodes to the lower and upper limb and the chest electrodes on the following position:
Ø 1st position ----- right sternal border ----- 4th ICS
Ø 2nd position ----- left sternal border ------ 4th ICS
Ø 3rd position ----- below the nipple -------- in between 3rd and 4th position
Ø 4th position ----- midclavicular line ------ 5th ICS
Ø 5th position ----- anterior axillary line --- 5th ICS
Ø 6th position ----- mid axillary line -------- 5th ICS
Suctioning
· Prepare the following:
1. Suction catheter
2. Electric suction machine
1. Lubricating jelly
2. Connecting tube
3. Sterile NSS
4. Gloves
· Procedure:
1. Explain the procedure to the patient.
2. Lubricate the tip of the tube and introduce the catheter through the nostril /
oropharynx.
3. When the tube is in the nasopharynx, start suctioning until the required depth.
4. Withdraw the catheter gradually.
5. Suction machine is closed off for a few seconds between inspirations.
6. Rinse suction catheter with sterile NSS and discard after the procedure.
` April – July 2001 Rodis Maternal and Child Care Clinic
Private Duty Nurse Alfonso, Cavite, Philippines
Job Description:
· Assess physical condition and interpret the significance as basis for planning
patient care
· Identifies emotional and social factors and relates these to signs and symptoms
Observed
· Works together with patients family so that they will gain understanding
regarding patient’s condition
· Provides total care as to patient’s need and interprets doctors order and
treatments of the patient and carry them out with understanding of cause and
effect.
Equipments Handled
· ECG machine
· Suction Apparatus
· Pulmonary Nebulizer
· Oxygen
· BP Apparatus
Seminars and Training:
· The Logic of Critical Care Nursing
St. Dominic Medical Center
Aguinaldo Highway, Talaba, Bacoor, Cavite, Philippines
October 20,1999
· The Arts and Sciences of Operating Room Area
St. Dominic Medical Center
Aguinaldo Highway, Talaba, Bacoor, Cavite, Philippines
October 17, 1999
· Three Way Bladder Irrigation: A Nursing Concern
St. Dominic Medical Center
Aguinaldo Highway, Talaba, Bacoor, Cavite, Philippines
August 15, 1999
Work References:
· Mrs. Cristina Pechardo, MA, RN
De La Salle University
Dr. Rodolfo Poblete Memorial Hospital
Alfonso, Cavite, Philippines
0639196181823
· Melecio P. Rodis Jr., MD, Pediatrician
Rodis Maternal and Child Care Clinic
Alfonso, Cavite, Philippines
063468630963 / 063468630466