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Wesleyan University- Philippines
Master of Arts in Nursing

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Mabini Extension ,Cabanatuan City
PRACTICUM
PORTFOLIO
NORTHERN SAMAR PROVINCIAL HOSPITAL

OPERATING ROOM DEPARTMENT
PROVINCE OF NORTHERN SAMAR
A Journal Presented to the Faculty of the Graduate School

WESLEYAN UNIVERSITY PHILIPPINES
CABANATUAN CITY
In Partial Fulfillment of the Requirements for the Course

Intensive Practicum in Nursing Administration
CHITO WAYNE A. ESPONILLA, RN

July 2023
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TABLE OF CONTENT
 WU-P Vision Statement 1
 WU-P Mission Statement 1
 The Wesleyan Graduate 1
 Core Values 2
 Goal of the Graduate School-Master of Arts in Nursing Program 2
Educational Objectives
Requirements
A. Preliminaries
1. Introduction..................................................................................................... 3
2. Brief Description of Practicum Site
A. Province of Northern Samar........................................................................... 4
B. Northern Samar Provincial Hospital – Operating Room................................ 8
1. Vision and Mission of the Institution...............................................................8
2. Institutions Goals..................................................................…………………8
C. Geographical Location of the Practicum Site...................................................9
3. Organizational Chart........................................................................................10
4. Responsibilities and Functions.........................................................................11
5. Program Offerings............................................................................................12
C. Practicum Journal
1. Profile of the Intern...........................................................................................13
2. Narrative Record of Experiences, Learning Feedback Diary, and
Illustration of PeriOperative Phase.......................................................................14
D. Glossary ...........................................................................................................15
E. References ....................................................................................................... 15
F. Photo Documentation....................................................................................... 16
Application Letter.................................................................................................20
Student Self-Evaluation........................................................................................ 21
Site Supervisor Evaluation................................................................................... 22
Sample Time Record for Practicum..................................................................... 23
Certificate of Appreciation....................................................................................24
Certificate of Completion......................................................................................25
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WU-P Vision Statement
By 2024 is a Methodist institution of learning that fosters academic excellence, trans-formative research,
servant leadership, environmental stewardship and globally competitive healthcare services imbued with
social holiness.
WU-P Mission Statement
Wesleyan University- Philippines provides education and compassionate healthcare services imbued with
Wesleyan spiritually to produce competent graduates committed to the healing of persons and the whole of
creation for the glory of God.
Goals of WU-P
1. Trans-formative education
2. Socially responsible academic environment
3. A culture of lifelong learning
4. Cutting- edge physical and digital infrastructure
5. Transparent and accountable governance
6. Visually demonstrated Wesleyan spirituality
7. Partnership for superior performance and sustainability
The Wesleyan Graduate
A Wesleyan University-Philippines graduate embodies global competitiveness, servant leadership, and
uncompromising integrity coupled with compassionate heart nurtured in the Wesleyan tradition, ready to
serve
as an effective agent to change in a dynamic society

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Core Values
Competence. WU-P promotes high academic standards carried out by highly capable faculty members and
employees in equipping the University and community with cutting-edge knowledge and skills responsive to
community and goal development.
Compassion. WU-P is dedicated to be responsive to the needs of people within and beyond the Wesleyan
community.
Unity. WU-P fosters the spirit of harmony through mutual respect and understanding.
Spirituality. WU-P affirms that education is both responsibility in all actions to be taken, stewardship in
utilizing resources and integrity in fulfilling roles and capacities as models of the University servant-
leadership.
Master of Arts in Nursing (MAN)Program Objectives
1. To facilitate nursing teacher’s efforts towards personal and professional enhancement for effective
teaching in the field of nursing.
2. To reinforce special abilities and aptitudes in the field of nursing to be able to render better nursing
services to patients.
3. To guide special abilities of leadership in the field of nursing management for progressive
innovations needed to pervade the total democratic nursing education.
4. To foster abilities in creative research in the broad sphere of nursing education that may facilitate
the teaching-learning processes

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5. To motivate the students to direct activities towards and participate in the nursing programs of the
government and to commit themselves to meaningful roles in the achievement of national goals.
6. To equip graduate students with the tools for meaningful nursing research aimed at the improvement
of the quality of human life.
7. To instill in the Christian values that may pervade their life as a professional.
Introductions
Practicums/Internships are the bridge between academia and the professional world. They
provide students with an opportunity to gain professional skills that will enhance marketability upon
graduation from college. The word internship refers to a short-term work experience when a student
participates in a program of temporary, supervised work in a particular field in order to gain practical
experience. It incorporates education and professional development and is designed to guide the intern
toward a professional career in a particular organization, field, or sector. The word practicum refers to a
course involving activities emphasizing the practical application of theory, especially one in which a student
gains on-the-job experience in a field of study
Nurses is a healthcare profession that focuses on the care of individuals and their families to help them
recover from illness and maintain optimal health and quality of life. Nurses are distinct from other
healthcare providers as they have a wide scope of practice and approach to medical care. They play an
integral role in promoting health, preventing illness, and caring for all individuals, including those who are
disabled or are physically or mentally ill. The majority of nurses work in a hospital environment and provide
medical care to patients with illnesses in this environment. However, there are various other possible
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workplaces of a nurse, including residential care homes, in-home care services, governmental services,
military, schools, and research facilit 3.
As student in Master of Art in Nursing Program in Wesleyan University –Philippines I am
Chito Wayne A. Esponilla,RN will be conducting my practicum in Northern Samar Provincial Hospital in
Operating Room Department which I am currently working as Senior Operating Room Nurse under the
supervision of my site supervisor Ms. Flor M. Cebujano, RN after this practicum, I will be able to learn new
insight in leadership , and management style , and enhances my capability to handle situations like making
staff schedule, surgical case reporting, surgery census and requesting surgical supplies and equipments.
As a profession, nursing has several ethical principles that guide their philosophy of practice
throughout all tasks in the workplace. These are to Provide exemplary care at all times Prioritize the care of
patients with respect to individual dignity Cooperate with other health professionals to improve patient
outcomes Act with integrity and honesty to maintain the profession reputation
In accordance with these principles, nurses are able to care for patients in the best way possible to
promote positive health outcomes. The physical demands of the workplace are significant, and nurses are
prone to back injuries due to the need to lift and move objects or patients around the workplace.
Additionally, nurses are at risk of infection or illness due to exposure to bacteria, viruses, and hazardous
drugs or substances in the work environment. To minimize this risk, appropriate sanitization and safety
guidelines should be followed.
Given that continuous care is required for patients in hospital, nurses usually work in shifts to
provide round-the-clock care. Although the work schedule differs according to individual workplace, nurses
are usually required to work night shifts and on holidays or weekends. This can also disrupt sleeping
patterns and, in some cases, lead to shift-worker sleeping disorder

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Province of Northern Samar
Northern Samar Province is one of the three provinces comprising Samar Island. It is bounded by the
Pacific ocean on the east; the San Bernardino Strait on the north; Samar Sea on the west; and the Samar and
Eastern Samar provinces on the south. It is 733 kilometers away from Manila by land. Its total landmass is
349,800 hectares, of which about 52 percent is covered by forest and 42 percent is classified as alienable and
disposable. The terrain is very rugged with low-lying river valleys and hills crossing one another. The
province falls under the intermediate type climate, which has no distinct dry and wet seasons.
It is divided into two legislative districts, comprising 24 municipalities and 570 barangays, with its
capital named Catarman which is also the political and economic center of the province. The main languages
are Norte-Samarnon, Cebuano and other local dialects.
Its major industries are agriculture, fishery and handicraft production. The agriculture includes rice and
vegetable farming, cattle raising, banana and peanut plantation and oil manufacturing, The fishery consists
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of deep sea fishing, prawn and agar culture and fresh water fish culture,. The handicraft production
comprises furniture manufacturing, hat and mat weaving, brick making and soap processing
4.
Northern Samar covers a land area of several square kilometers from the Pacific Ocean in the East to
the Samar Sea in the West. The “Balicuatro Islands” of Biri, Capul, San The Coat of Arms of Samar
represents the political, geographical description, historical, economic, and social representation and
allegorical ideas of the province. The letters N and S represent Northern Samar. The map of Northern
Samar represents the geography and 24 municipalities of the province, including the five island towns.
The galleon represents the Spanish conquistadors that reached the land of the Ibabao to preach the gospel of
Christianity, spread the Creed of Roman Catholicism and introduce civil governance thru the Royal Port of
Palapag in 1640. Mount Bubuya (Palapag Mesa) represents the highest mountain range in Palapag,
where Agustin Sumuroy and his men retreated to and encamped after killing Fr. Miguel Balberan, thus
starting the Sumuroy Rebellion. The rice field, abaca, timber, and coconut are all economic representations.
The following are the allegorical ideas of the province: Blue, the color is symbolic of vast marine and
aquatic resources, a source of livelihood for the fisher folks of the coastal towns. Tangerine represents the
cheerfulness, high spirits, and optimism of the people of the province. Yellow represents golden harvest, and
abundance of resources. White symbolizes transparency in governance. The torch is meant to illuminate the
province and set it afire with quality education, a primary thrust of the provincial government. Rope ties the
emblems together in a circular shape, it represents equality in rights and justice, and unity for peace and
development.
Antonio & San Vicente offer an amalgam of adventure and nature – each with their own unique tourism
jewels.Biri’s attraction are the seven geologic Rock Formations that are breathtaking similar to Australia’s
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12 Apostles. Capul, on the other hand, is replete in history as an anchorage for the Manila-Acapulco Galleon
Trade in the 17th century. A Fortress Church is still relatively intact in the town proper and on the northern-
most tip stands the Faro standing like a rampart to the Golden East. One can also learn Capul’s unique
dialect known as “Abaknon” a derivative from the Austronesian language of the Sama-Badjao.San Vicente
prides
itself with its Pink beach beach in Sila Island. San Antonio is the most developed of the four island-
municipalities with a chain of resorts spanning the entire eastern shores of the island. Northern Samar’s
capital, Catarman, is home to the University of Eastern Philippines, a repository of the region’s rich
history.In Palapag one can see the remnants of a town still steeped with its historicity tied to the Sumuroy
rebellion. The Church ruins are a sight to behold coupled with the centuries-old Watch Tower. In 1999, the
internationally - renowned ELF AUTHENTIC ADVENTURE started its run in Northern Samar’s
hinterlands due to the varied challenges it offered.
Northern Samar is one of the three Samar provinces created on June 19, 1965 by virtue of Republic
Act No. 4221. The province is relatively young but it has vital religious and historical significance. The
small island of Capul was the capital of the province of Samar in 1848-1852. Capul was formerly named
Abak after the ancient ruler of Java who brought the first settlers to the enchanting island. In the latter period
of the 16th century, it was among the first places to be evangelized by the Spaniards (1596). The waray-
warays of Northern Samar also figured prominentlt during the Spanish and American occupation of the
Philippines. It was part of the route of the galleon trade and the Sumoroy Rebellion started in palapag (1649-
1650).
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5.
The Symbolism
Official Seal of Province of Northern Samar
The Coat of Arms of Samar represents the political, geographical description, historical,
economic, and social representation and allegorical ideas of the province. The letters N and S represent
Northern Samar. The map of Northern Samar represents the geography and 24 municipalities of the
province, including the five island towns. The galleon represents the Spanish conquistadors that reached the
land of the Ibabao to preach the gospel of Christianity, spread the Creed of Roman Catholicism and
introduce civil governance thru the Royal Port of Palapag in 1640. Mount Bubuya (Palapag Mesa)
represents the highest mountain range in Palapag, where Agustin Sumuroy and his men retreated to and
encamped after killing Fr. Miguel Balberan, thus starting the Sumuroy Rebellion. The rice
field, abaca, timber, and coconut are all economic representations.

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The following are the allegorical ideas of
the province: Blue, the color is symbolic of
vast marine and aquatic resources, a source
of livelihood for the fisher folks of the
coastal
towns. Tangerine represe nts the
cheerfulness, high spirits, and optimism of
the people of the province. Yellow represents golden harvest, and abundance of resources. White symbolizes
transparency in governance. The torch is meant to illuminate the province and set it afire with quality
education, a primary thrust of the provincial government. Rope ties the emblems together in a circular shape,
it represents equality in rights and justice, and unity for peace and development.
6.
The festival will be launched on June 4 with a grand float parade participated in by the 24 component
municipalities around the capital town Catarman.Northern Samar, referred to in the olden days as Ibábao,
was known for the ancient valor and bravery of its people.
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With the
creation of the province of Northern Samar, separate from
Eastern and Western Samar, in 1965,
the place was thereafter formally known
under its new name until today.He added
that the provincial government is
steering Northern Samar into an era of
continued economic growth, aptly
commemorating its 58th year with the theme “Proudly Ibábaonon: Promoting Tourism, Preserving History,
Sustaining Progress.”
7.
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NORTHERN SAMAR PROVINCIAL HOSPITAL

OPERATING ROOM DEPARTMENT
VISION
WE ENVISION THE NORTHERN SAMAR PROVINCIAL HOSPITAL
1.) To be a model Povincial Hospital in ( Eastern Visayas Region 8) in government service
Capability
2.) To Provide accessible healthcare to Nortehanon that will allow them to lead socially and
Economically productive lives:
3.) To offer the resources of the hospital for the experiences of the affiliates and students to ensure
That the educational program for the allied medical science will produced professionals who are
Responsive to the needs of Nortehanons
4.) To be financially self sustatining and
5.) To be upgraded to a level 3 health facility 8.

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MISSION
The Northern Samar Provincial Hospital (NSPH) shall endeavor to deliver accessible quality
healthcare to the Nortehanons by the proper management and utilization of its, manned by qualified
and responsible Staff who are:
 Committed
 Innovative
 Professional
 With strong personal and Institutional integrity
 Socially responsible, A team worker
 Compassionate and
 Respectful of human dignity
GOAL
To enable the Nortehanons to achieve full access to quality patient care that will allow
them to lead a socially and economically productive life, low mortality and dis ability
through measures that will guarantee success of everyone to essential health care
GEOGRAPHICAL LOCATION OF THE PRACTICUM SITE

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Norther
n Samar covers a total area of 3,692.93 square kilometres (1,425.85 sq miles)occupying the northern section
of Samar Island in the Eastern Visayas region. The province is bounded by north by the San Bernardino
Strait, on the east by the Pacific Ocean, on the west by the Samar Sea, on the southwest by Samar and on the
southeast by Eastern Samar. It ranks thirty-seventh (37th) in size among the 80 provinces of the Philippines
and accounts for practically 1.2 percent of the total land area of the country. About 52 percent of the total
land area is covered by forest and 42 percent is classified as alienable and disposable.
The province is composed largely of low and extremely rugged hills and small lowland areas. It also has
small and discontinuous areas along the coasts and its rivers are usually accompanied by alluvial plains and
valleys. The province is endowed with relatively rich and fertile soil that most crops can grow on
9.
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PROFILE OF THE INTERN

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Good day, I'm Chito Wayne A. Esponilla, a PeriOperative Registered Nurse. from Purok 6 Brgy,
age 32. Dalakit Catarman Northern Samar I attended Dalakit Elementary School and Catarman National
High School, where I graduated with honors. I then decided to pursue a bachelor's degree in nursing at
Southwestern University in Cebu City, where I currently working at Northern Samar Provincial Hospital
currently assign at the Operating Room Department. I chose this career path because performing surgical
work in the nursing field increases one's sense of fulfillment.
MY OBJECTIVE:
To provide competent nursing care which is safe, of highest quality, in accordance with the agency policy
and standard nursing care.
JOB FUNCTION:
Responsible for the planning, execution, directing and evaluating direct and indirect nursing care given to
the surgical patient. This nursing care ranges from preoperative intervention on to postoperative evaluation.
It is a practice design to meet a patient’s needs through the nursing process, ensuring continuity of care
during the surgical experience. 10
JOB DUTIES AND RESPONSIBILITIES
 Supervises and directs patient care in an individual operating room

 Ensures that proper techniques are used according to accepted standards of practice
 Supervise other personnel in the room and directs or assist as necessary
 Immediate reports any unusual occurrences to charge personnel, documents appropriately in the
patient records, and completes Hospital Incident Reports form if indicated
 Performs scrub duties as necessary and to keep current
 Maintains count on sponges, needles, and instrument to ensure no loss of items according to present
policy
 Performs all circulating duties with efficiency and speed
 Supervises and assists scrub nurse as necessary
 Positions patient. Prepares operative area, and adjust table to proper position according to standard
policies
 Has all supplies and equipment in room and provides to team as necessary
 Opens all sterile packs and supplies according to aseptic technique
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 Assist surgeons, anaesthesiologists and other personnel as needed to ensure good patient care
 Observes patient for changes in condition
 Reviews surgeons preference cards for desired medications and verifies same with surgeon
 Ensures all medications are administered and charted according to established policies and
procedures
 Identifies and records patient’s response to medication when necessary
 Promptly reports medication errors
 Cares for specimens and cultures as directed by set policies and procedures
 Maintains records of procedure and reports any unusual occurrences
 Provide orderly progression of schedule by sending for following patients at proper times and
notifies charge personnel of any changes
 Accompanies patient to Post Op or patient’s room and reports to nurse on patient, procedure, and
special happenings to ensure continuity of care
 Provides for continuity of individual patient care
 As staffing allows, utilize program of pre and post-operative visits to facilitate of patient, condition
and needs
 Receives and gives report to and about patient as necessary to ensure good care
 Provides for psychological needs of patient
 Assists in control and maintenance of supplies and equipment
 Records used items in proper place and method directed
 Helps with maintenance of records and statistics
 Assists in establishment and maintenance of procedures, policies and standards
 Assists in scheduling operative procedures
 Check rooms, material and equipment for proper care and handling 11
SURGICAL CASES THAT I PERSONALLY HANDLED (ASSISTED) (SCRUB) (CIRCULATING)
GENERAL SURGERY:Major and Minor

 Exploratory Laparatomy -due to Trauma & certain conditions like obstruction, ascites & others.
 Appendectomy
 Open Cholecystectomy
 Thyroidectomy
 Herniorraphy with mesh and
 Hernio plasty
 Mastectomy
 Orchectomy
 Hemorrhoidectomy
 Colostomy
 Ileostomy
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 Duodenectomy
 Below the Knee Amputation(BKA)
 Above the Knee Amputation(AKA)
 Gastrostomy
 Chest Tube Thoracostomy
 AV shunt fistula
 Excision and drainage
 Removal of foreign body
 Circumcision
ORTHOPEDIC CASES HANDLED:(Assisted)(Scrub)(Circulating)
ORTHO: Major and Minor

 Open Reduction External Fixator (OREF)
 Open Reduction Internal Fixator (ORIF) Implant
 Hand surgery.
 Shoulder and elbow surgery.
 Total joint reconstruction (arthroplasty)
 Pediatric orthopedics.
 Foot and ankle surgery.
 Total Hip Replacement –(Prosthetic)
 Partial Hip Replacement
 Intramedullary Nailing
 Bone grafting
 Long leg Casting
 Arm Casting
OBSTETRICS-OB CASES HANDLED: (Assisted)(Scrub)(Circulating)
OB:Major and Minor

 Cesarian Section (Pfannestiel)
 Total Abdominal Hysterectomy Bilateral Salpingo oophorectomy(TAHBSO)
 Eploratory Laparatomy- ectopic pregnancy, cyst,myoma,cancer tumor,
 Bilateral Tubal ligations
 Fractional Curettage
 Dilation and Curettage
 Suction Curettage
 Hysteromy
 Myomectomy
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12
Practicum Journal/Narrative Record Experiences
July 03, 2023 – Monday

8am to 5pm (8hours)
Post Convention Conference
On this Day , I was with my supervisor discussing about the agenda and the topic was conducted
during our convention in manila in held in the Manila Hotel and conducted by the (ORNAP) or the
periOperative Registered Nurses Association of the Philippines , topic Nursing leadership and management
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and staffing about exodus of trained staff , we discuss about on how we will be ready and prepare in case of
short staffing in our area which is very difficult to handle because we are using team nursing.
July 04, 2023-Tuesday

8am to 5pm (8hours)
Topics: Innovation
My supervisor reminds me that my generation is capable and adaptable to the current technologies,
whereas their generation is having difficulties handling this but they have best practices and traditional ways
that can be useful now a days. She said that every person, regardless of the generations gaps, should address
the current trends in operating rooms regarding the staff's generation gaps in handling the most advanced
machine that we are using at the area.
13
July 07, 2023-Friday

8am to 5pm (8hours)
Topics: Absenteesiem and Tardiness of the Staff
Our Supervisor discussed to me about the rampant abensteesiem an tardiness of the staff she
emphasize that this should not be tolerated in can cause delays’ of the surgeries and malfunction of the
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team in area she said that all off this staff is subject for the disciplinary action , everyone must be punctual
in duties and must think their job responsibilities and should be compassionate to their profession.
July 10, 2023-Monday

8am to 5pm (8hours)
Replacement of Operating Room Supplies
During the morning shift endorsement my supervisor assign me to request and replenish all the supplies
needed , so I do a list of list of OR supplies and have a request to the Central Supplies Office but before I
do and ocular inspection around the OR supply room a while waiting for CSO I arrange and organize the
cubicle after that I make and inventory list to expiry supplies and and need to discard , when the supplies
arrive I receive and counter sign the recieble papers and supplies and after that i place the supplies to the
respected cubicle and and steel cabinet and I informed my supervisor .
July 12, 2023-Wensday

8am to 5pm (8hours)
Making Operating Room Staff Schedule
My supervisor gave me instructions to create a schedule for the shifting. The first thing I did was to
compile a list of the staff members' requests for leave of absence, special leaves, and requested shifts. I then
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created a draft schedule with an equal distribution of senior nurses, team leaders, and staff members, and
submitted it to my supervisor for review and approval. She then put her signature on the schedule.
July 14, 2023- Friday

8am to 5pm (8hours)
Organizing the Operating Room Set Up
The big surgical case is performed in Operating Room Number Two, thus my shift's first hour was
spent there with my supervisor. She lectures on how the operating room set up to be organize base on
surgical standards , OR tables , Suction Machine , Anesthesia Machine etc . she emphasis the importance
of the maintaining the sterility of the area to avoid surgical site infections .
July 19, 2023-Wensday

8am to 9am (8hours)
Topic :Operating Room Procedures and Policies
We discuss the rules for operating room procedure in terms of patient preparation during pre-op, op, and
post-op, and what needs to be done in accordance with normal practice without violating hospital and
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department policies. She emphasize the importance of WHO surgical checklist for insuring the safe safe
and quality patient care during entire surgical procedure.
PERIOPERATIVE PHASES
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Intra Operative Phase

Before the Operation After the Operation
Pre Operative this is were patient is
Checklist During Operations in PACU and Recovery
Initial Data of the TIME OUT Possible Room
Patient Blood Loss and and Post Operative
Laboratory and Xrays Transfusion to be done Monitoring
Pre Operative Phase Post Operative Phase
14
GLOSARRY
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Operating Room- The operating room (OR) is a sterile, organized environment. As a health care provider,
you may be required to enter the OR during a surgical procedure or to set up before a surgical procedure. It
is important to understand how to enter an OR area and how the OR area functions to maintain an sterile
environment.
World Health Organization(WHO)- is a specialized agency of the United Nations responsible for
international public health It is headquartered in Geneva, Switzerland and has six regional offices and 150
field offices worldwide.
Sterilization- a process that destroys or eliminates all forms of microbial life and is carried out in health-
care facilities by physical or chemical methods
Practicum- a course of study designed especially for the preparation of teachers and clinicians that
involves the supervised practical application of previously studied theory
PeriOperative Nurses Association of the Philippines- or (ORNAP) this Organization is for the
Nurses who Specialize in field of surgical procedure aims to deliver for safe and quality perioperative
technique.
References :
Saver C. Staff input enriches labor benchmarking data. OR Manager. June 18, 2019. Accessed March 28,
2023. https://www.ormanager.com/staff-input-enriches-labor-benchmarking-data/
Ahmadi E, Masel DT, Metcalf AY, Schuller K. Inventory management of surgical supplies and sterile instruments
in hospitals: a literature review. Health Syst (Basingstoke). 2018; 8(2): 134-
151. https://doi.org/10.1080/20476965.2018.1496875
Lundberg A. Sterile processing technician career overview. Trusted. February 2, 2023. Accessed May 8,
2023. https://www.trustedhealth.com/blog/sterile-processing-technician-career-overview 15
CERTIFICATIONS
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REQUESTING AND REPLENISH OPERATING ROOM SUPPLIES AND MEDICINE
16
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PERIOPERATIVE REGISTERED NURSES ASSOCIATION OF THE PHILIPPINES CONVENTION

(POST CONFERENCE FOLLOWS)
17
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MAKING SCHEDULE AND OR STAFFING
OPERATING ROOM POLICIES AND PROCEDURE
19
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OPERATING ROOM INNOVATIONS
20
NORTHERN SAMAR PROVINCIAL HOSPITAL OPERATING ROOM
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21
NORTHERN
SAMAR PROVINCIAL
HOSPITAL
OPERATING ROOM
DEPARTMENT
ORGANIZATIONAL CHART
Dr. Ninfa Caparroso Kam

Provincial Health Officer II
Chief of Hospital II
Dr. Joseph Estanislao MHA

Chief of Hospital I
Dr. Evangeline Cua

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Wesleyan University- Philippines

Master of Arts in Nursing

NORTHERN SAMAR PROVINCIAL HOSPITAL

A Journal Presented to the Faculty of the Graduate School

In Partial Fulfillment of the Requirements for the Course

CHITO WAYNE A. ESPONILLA, RN

WU-P Vision Statement

WU-P Mission Statement

creation for the glory of God.

2. Socially responsible academic environment

3. A culture of lifelong learning

4. Cutting- edge physical and digital infrastructure

5. Transparent and accountable governance

6. Visually demonstrated Wesleyan spirituality

7. Partnership for superior performance and sustainability

The Wesleyan Graduate

A Wesleyan University-Philippines graduate embodies global competitiveness, servant leadership, and

as an effective agent to change in a dynamic society

community and goal development.

Master of Arts in Nursing (MAN)Program Objectives

teaching in the field of nursing.

innovations needed to pervade the total democratic nursing education.

the teaching-learning processes

of the quality of human life.

gains on-the-job experience in a field of study

military, schools, and research facilit 3.

As student in Master of Art in Nursing Program in Wesleyan University –Philippines I am

guidelines should be followed.

patterns and, in some cases, lead to shift-worker sleeping disorder

Province of Northern Samar

are Norte-Samarnon, Cebuano and other local dialects.

hinterlands due to the varied challenges it offered.

field, abaca, timber, and coconut are all economic representations.

The following are the allegorical ideas of

the province: Blue, the color is symbolic of

vast marine and aquatic resources, a source

of livelihood for the fisher folks of the

towns. Tangerine represe nts the

cheerfulness, high spirits, and optimism of

creation of the province of Northern Samar, separate from

Eastern and Western Samar, in 1965,

the place was thereafter formally known

under its new name until today.He added

that the provincial government is

steering Northern Samar into an era of

continued economic growth, aptly

NORTHERN SAMAR PROVINCIAL HOSPITAL

5.) To be upgraded to a level 3 health facility 8.

 With strong personal and Institutional integrity

 Socially responsible, A team worker

 Respectful of human dignity

GEOGRAPHICAL LOCATION OF THE PRACTICUM SITE

PROFILE OF THE INTERN

work in the nursing field increases one's sense of fulfillment.

and standard nursing care.

during the surgical experience. 10

JOB DUTIES AND RESPONSIBILITIES

 Supervises and directs patient care in an individual operating room

SURGICAL CASES THAT I PERSONALLY HANDLED (ASSISTED) (SCRUB) (CIRCULATING)

GENERAL SURGERY:Major and Minor

ORTHOPEDIC CASES HANDLED:(Assisted)(Scrub)(Circulating)

ORTHO: Major and Minor

OBSTETRICS-OB CASES HANDLED: (Assisted)(Scrub)(Circulating)