welcome 2015!:)

happy new year!!! 2014 was a year full of blessings and challenges :) i pray that 2015 be a better year, full of love and travel.. thanks God for the guidance and endless love!:) cheers!:) -julea

#bebrave

oh i have missed 1 month and one blog entry..

i passed Clinical Residency!! thanks to God for guidance and energy that He gave me to overcome such challenges.. truly there is a light after the tunnel..

today, i would just like to share what i learned this day:

keep calm..God is in control.
I just realzed how i dont want other people to see me tired and busy, or worse being corrected? i guess.. on the other side, i knew that i have a different view towards things that happen to me,. it pays to do things earlier and always keep your self calm in stressful situations, because we may say things that we really do not mean to say so its better to keep quiet and listen,.

anyway, just choose to see the good side of everythng.
At the end of the day, what matters is how you faced the challenges ahead of you..=)
#bebrave =)

my ICU experience.. the 3rd day: the art of letting go

My Reflective Journal during my ICU experience.. this was the 3rd day, which really made an impact.. moral lesson: appreciate life,love your family, don't take things for granted.. 

read on reader =)

Back when I was still a 3^rd year student, I could clearly remember how nervous and frightened I was when I came to see our schedule that we will be rotated at the ICU of Bethany Hospital in La Union. I know in myself I am afraid of complicated cases of patients in the ICU. In the course of my profession, I was not given the chance to overcome this feeling of fright. Not until now…

But that feeling of fright was replaced with a sense of being challenged in a way because as the situation demands for it, I have to overcome and make my ICU duty worthwhile.

3^rd day: the art of letting go

This day was remarkable to me as a nurse. I just faced and was able to overcome one of the most frightening scenarios in life. How do you let go of the most valuable person in your life? Like your mother or your husband? In my two days of exposure in the ICU, I was looking for something that would make me feel “moved” and create an impact in the course of my duty in the ICU. And I felt it today.

We went for our duty at ICU/CCU in the afternoon and I was able to experience the visiting hours at the area. One female visitor entered the CCU and proceeded to the room of the 50 y/o male patient who was diagnosed with CVA infarct.

While walking around the CCU, I saw the woman crying, much to my curiosity and the desire to help in any way I can, I asked permission to enter the room. I actually does not know how to start the conversation. I cannot find the right words to say hi or good afternoon to that woman. I gathered all my courage and said, “mam, lea po ang name ko nurse po, kumusta po kayo? And she answered “ito, hindi mabuti, ang hirap palang makitang ganito yung taong napakalakas dati”. A provider, father, husband, someone strong and energetic—that is her husband, now battling between that thin line of life and death..

Before saying any word, I made sure to compose it first in my mind. The woman was able to say the family’s background, how their children got matured after knowing the situation and how they are coping with the present situation and most especially how they are preparing for the day that they have to finally say goodbye to their most beloved father.

Looking in another perspective, she was able to say some significant experiences of a relative. She shared how nervous she was to hear buzzer sound at the ICU waiting area, the laughing of nurses and the feeling of “insensitivity” when they see inappropriate actions of healthcare providers in consideration of the emotional turmoil that they are undergoing.

In health talk online, lived experiences of relatives with patients confined in the ICU stated that relatives and close friends usually know very little about why a person has become so ill so quickly and the ICU, an unfamiliar, alien environment, often becomes the centre of their lives as they wait desperately for any signs of change or progress.  In a study published on Pub med, with the title: Interacting with relatives in intensive care unit. Nurses' perceptions of a challenging task. The conclusion was the nurses' outcome expectations and self-efficacy in terms of knowledge and skills interacting with relatives were high. There was considerable variation in the nurses' agreement on when to involve relatives in caring activities or allowing them to be with the patient in critical situations. The relevance of the study provides important knowledge to clinicians, educators and managers on how to educate and supervise ICU-nurses to support their efforts to interact proficiently with relatives.

During that moment, i can say to myself I have already learned the most important lesson in my ICU duty—to appreciate life and my loved ones. Time is of the essence. We should not take anything for granted and we do not just care for our patients but also we should be concerned with their families as well. The most beautiful statement that I heard was “thank you po, gumaan po ang loob ko”.

i was there =)

this blog entry will be about my experiences in the past month..oh forgive me for late entries..haha, im having a busier schedule. but i really do not want to find excuses at this time because,i believe that if you really want something, there will always be a way to go and get it!=) oh well, all i can say is...i was there..=)

#inc100years
 July 27, 2014--at the Philippine Arena, Bocaue, Bulacan

I was there with my sister and churchmates.. even it was a month ago, i can still clearly picture out the gladness i felt and saw during that event.. There were many vehicles coming from all parts of the country..even visitors abroad to spend that momentous event.. cars, trucks, buses, ambulance, motorcycles..name it..smiles and songs of praises made the event more festive and remarkable. It was grandiose and the Philippine Arena was an ambitious project that turned into a reality with God's grace and guidance, it was the perfect venue to house the #centennial celebration--- a once in a lifetime experience.. Worth waiting and worth tiring for.. =)





#hospitalweek2014


trademark..haha i was there (again) for the 3rd time..arranging and organizing things for the hospital week celebration..lesson for this year's event..(about the SDO, more foods next year hahaha!) and...a day well spent during the Hospital Olympics..hmmm haha! spend time talking with acquaintances..you'll have to know them better that is for sure..;)






#braindead (haha!)


at FEU..oh cramming i really hate the feeling...this semester is really the "heaviest" semester in my masters. Time management is really important and defying procrastination is really a must!!! I was there feeling that same feeling of excitement to have duties at different areas of the hospital, at FEU NRMF at that.. but at this time, we have to learn the art of observation..haha how to turn those theoretical concepts be applied in the clinical setting..Also, being nice to "newbies" is a must in the workplace..=)








"be excited and motivated specially when you dont feel like it"-- it is still a matter of attitude and positivism.. after all, no one except ourselves will choose to see the sunshine behind the dark clouds.. =)

a better perspective

ohh blogsite..im happy to be back, no pressure! happy  to be just sitting right now while listening to music and had the time to write a blog entry before my school schedules might become full because of Clinical Residency this sem.

oh yes..3 more semesters to go!!=)
This July, marks a memorable event. Being closer to God and having that sense of peace and faith makes life bearable each day. #excited for July 27, 2014 =)

We should always be appreciative of most things around us, if not all, then we should focus our energy to better things rather than to complain and hold grudges inside us. Living life is a matter of a proper perspective and looking forward to our goals and aspirations..

At FEU, in my psycho-philosophical foundations of education subject, i really appreciate how my classmates who happen to be teachers from different schools, explain and report their topics every class. They manage to keep the class participate actively. Parang naisip ko ang boring pala pag nurses ang nagrereport..hahaha!=) now i know their strategies..it was my dream to become a teacher when i was still a kid..(^^,) i would like to share our lessons about philosophy..

Epicureanism- living a simple life
Stoicism- choosing to be happy; being adaptive to situations
Skepticism- being curious and always seeking for evidences

We were asked by our instructor on what philosophy will we choose/believe- I chose Stoicism, my explanation was its about being emotionally mature and being a good leader. its about seeing the positive side of things and giving encouragement to others. It is not about being nonreactive to situation but rather it is acting appropriately.. you dear reader, what will you choose?=)

spread smiles!!=)

the ASAP DAP article

In our hospital, every body seems so busy.. because of to-do things for the various tasks that has to be done. Last Wednesday, i received a call from our chief nurse telling me that i have to submit an accomplishment report in narrative format pertaining to the RN Heals program..

An article, relating the DAP (budget from the government) to the RN Heals program..i really had no idea at first, i had to call my dad to ask something about DAP.. Thanks to him he is just a call away..haha (Happy Father's Day!) so here it goes..i just want to share it because i was so stressed i was only given 15 minutes to finish it. ASAP is a word i often hear and read from messages sent to me nowadays... o_O stay cool and keep calm everyone..=)

_________________________________________________________________________________

The Disbursement Acceleration Program (DAP) encompasses the stimulus package under the Aquino administration designed to fast track public spending and pushes economic growth. This covers high impact budgetary programs and projects which will be augmented out of the savings generated during the year and additional revenue sources.

The Department of Health (DOH) aligned with the goal of Kalusugan Pangkalahatan in its aim to achieve development and poverty reduction, rapid increase in the Philhealth enrollment, improved access to quality hospitals and health care facilities and attainment of health related Millenium Development Goals, was a beneficiary of the DAP program that paved way for health programs specifically, the RN HEALS project.

Anent to this, the Project Registered Nurses for Health Enhancement and Local Service and Rural Health Midwives Placement last year 2012 is a tangible evidence to support local health systems development to achieve the DOH thrusts of Universal Health Care. The DOH Deployment program deploys doctors, nurses and midwives to DOH hospitals and communities. This is in collaboration with the Department of Social Welfare and Development (DSWD), Department of Interior and Local Government (DILG), Professional Regulatory Commission – Board of Nursing (PRC-BON) and Philippine Nurses Association (PNA). It is designed to create a pool of registered nurses with enhanced clinical and public health management competencies.

The Dr. Jose N. Rodriguez Memorial Hospital (DJNRMH) established in 1940, being strategically located, is now considered as the premier hospital for leprosy patients in Central Luzon, and also one of the best government owned and operated secondary general health care facility in the northern part of Metropolitan Manila after Republic Act 9420 was passed April 10, 2007, which converted the 200 beds of the sanitarium to general health services, the hospital then operating with a dual mandate. Being as such, the hospital must continue to upgrade its facilities and enhance the capability of its personnel to meet the increasing demand for quality health care in the area.

In 2012, DOH deployed 52 RN Heals that helped the hospital in delivering quality healthcare services; implement enhanced nursing workforce, improve current nurse to patient ratio in accordance to DOH standard staffing patterns and more importantly, support the DOH in the attainment of Universal Healthcare or Kalusugan Pangkalahatan.

In the annual program review held at DJNRMH, the RN Heals batch II was able to accomplish and attain the objectives of the program. In addition, it paved way for increase in the hospital statistics and patient satisfaction due to availability of healthcare providers in the various medical wards. Community awareness and activities were also the highlights of the deployment project. It enhanced the collaboration with stakeholders and community.

Thru this, the DAP subsidy enhanced augmentation of the human health resource that earmarked the scaling up of public health programs in pursuit of MDGs. It paved way for a better change towards success for the benefit of the country’s poorest of the poor and also for the working status of each DOH healthcare personnel.

Certain moments..

hi blogsite! hi readers!=)

i feel so blessed and i cant contain it that is why i would like to share some good unexpected things that happened recently... =)
have u ever asked yourself why u are at a certain place at a certain moment?

I was scheduled to attend the ISO training last Wednesday however, it was Well baby clinic during that day. I received a call from mam marsha following up something about a request for a medical certificate by a mother of a patient that received immunization last 2008.

2008???? nag ISO na ang lahat, nailigpit at naiayos na ang logbooks at records 2011-2013 lang..yun lang haha that was my initial reaction that i said to myself..

I called our Pedia dept head, and our EPI coordinator during those years way way back throwback..=p
the patient did not have the hospital id and was already lost as claimed by the mother.

I and our NA mam ann, looked for old logbooks and talked to the medical records officer on how to resolve the query. We found an old logbook and the name was not there. i cannot find it.

I asked the mother if she could help me read the writing and look for the name of her baby at the list. Mam iba po yung pangalan nya nun, ito po andito po..

Unexpectedly, she told me,"nurse po ako sa Riyadh flight na po namin ng baby ko sa Friday itong document nalang po na ito ang kulang, bumalik po ako dito sa Pilipinas para sunduin ko siya. Thank you po natulungan nyo po kami"

I felt amused, but i replied to her, "mam thankful po ako natulungan ko kayo, at nandito po ako sa clinic ngayon, may training po kami today natutuwa po ako, natulungan ko kayo".

I am not being righteous, but what i want to impart is the idea that we should
treasure the time we are at a certain place in a certain time. because everything happens for a reason I can say, if i was not there, maybe the record will not be found. But we are at a perfect moment to be a blessing to others...

I was blessed too... because i felt delighted to change a life of someone or to make something easier for someone.

I am experiencing blessings that makes me happy.. Let us always be reminded to put God first in everything that we do. Spread good things and continue to inspire others =)

a thought to ponder on

DESIDERATA

Go placidly amid the noise and the haste,

and remember what peace there with be in silence.

As far as possible, without surrender,

be on good terms with all persons.

Speak your truth quietly and clearly;

and listen to others,

even to the dull and the ignorant;

They too have their story.

Avoid loud and aggressive persons;

They are vexatious to the spirit.

If you compare yourself with others,

you have distinguished vain or bitter,

for always there will be greater and Lesser persons than yourself.

Enjoy your achievements as well as your plans.

Keep interested in your own career, however humble;

It is a real possession in the changing fortunes of time.

EXERCISE CAUTION in your business affairs,

for the world is full of trickery.

But let this not blind you to what there is Virtue;

many persons strive for high ideals,

and everywhere life is full of heroism.

Be yourself. Especially do not feign affection.

Neither be cynical about love,

for in the face of all aridity and disenchantment,

it is as perennial as the grass.

Take kindly the counsel of the years,

gracefully surrendering the things of youth.

Nurture strength of spirit to shield you in sudden misfortune.

But do not distress yourself with dark imaginings.

Many Fears are born of fatigue and loneliness.

Beyond a wholesome discipline,

be gentle with yourself.

You are a child of the universe

no less than the trees and the stars;

you have a right to be here.

And whether or not it is clear to you,

no doubt the universe is unfolding as it Should.

Therefore be at peace with God,

whatever you conceive Him to be.

And whatever your labors and aspirations,

in the noisy confusion of life,

keep peace in your soul.

With all its sham, drudgery, and broken dreams,

It is still a beautiful world.

Be cheerful. Strive to be happy

silver linings

Some define silver linings as seeing the beautiful and good things despite of not so good events in our every day lives..

Let go and let God..

Sometimes He breaks our heart, and makes us cry so that tears can wash our eyes to see things better. Sometimes you have to fall so you'll know who will pick you up.

Sometimes we feel sad, so that we will learn to treasure happy times.

We feel broken so we could find things that will complete us.

Sometimes we have to empty our hands so that we can hold and receive better things.

Sometimes the best thing we could do for the one we love is to just exist and be there when they need us.

Sometimes we have to be quiet so that we could hear what is truly meant.

Sometimes we do not get what we want, because there is something better for us that we might need...

Sometimes you have to stand up and believe that at some point, fate has to accept its defeat..

lesson: at the end of the day, we have to move on..the best things are yet to come..

good vibes 2014 =)

2014: a year of happiness and success!

I would not let my birthday month pass by without a blog entry, so even though i was a little bit tired from today's meeting and its a friday..hahaha i am writing my first entry for 2014..=)

A blessing indeed! After the RN Heals program, i formally started as a full-pledged government employee, in no other than, Dr. Jose N. Rodriguez Memorial Hospital. For me, its a place where smiles are everywhere.. its place that nurtures young minds and for the new nurses in the profession, a place to finally put their dream into reality.

amazing oathtaking!

January was memorable because of the fast-paced shift of changes that happened in the hospital. The inauguration and blessing of the 2-new 3 storey building paved way for the next vision for DJNRMH, to be a medical center in the north by 2017.

Sec. Ona's speech at our auditorium, put emphasis on discrimination that should be disregarded when dealing with patients. Planning is the most essential part of any activity or endeavor. It was a beautiful day not to mention the preparation and the guests who arrived for the event..haha! from the flower arrangement, balloons, food, choir, signages, lamination, reimbursements, invitations, and some other details that i could not remember..it was a job well done for all of us.=)

Another memorable thing last January was the visit of DOH licensing haha! sakto ako ang natanong! 0_0 haha


February 1- #backtobaguio

Friday group at the city of pines =)

After two years, i finally had the chance to see Baguio once again, the thing that i really missed about it is the feeling of belonging in that place.. the calm environment and most specially, memories that would always stay and make me smile over and over again..=)

this month, i realized many things. I am still the person who would go out of her way to give each moment a chance, but then, the most important thing that i re-learned was being contented and hand it all to God. I still feel very privileged and blessed that i was able to meet people who made me feel happy and hopeful. I believe that there will be a better time for things to happen, and i will pray for that.  I feel blessed with my family and friends around me, and those little things that inspire me. I feel very appreciated during my birthday.. life is about being a blessing to others. =)

#livesimply #stayhappy
always smile and shine!=)