Fifth Week ~~ January 14-18, 2013 

   Auditing the planned and unplanned discharge was my task this week. Auditing the time was the most important then everything follows, like the turn-in, the discharge summary, discharge orientation, the inpatient evaluation form (PEF) and the gate pass, sometimes there's are more than five patients discharge. There are different kinds of payments: the individual,express VIP, and the HMO.

Sorting the Policy and accepting telephone calls.

       My boss was invited to lecture the nurses about the Joint Commission International Accreditation (JCIA). It says that every day is a JCIA day, because it’s not the popularity but the service that they gave to their patient and the trust that the patient gave to them.     

       We also segregate different policies, after we need to distribute it to the 32 units of nurses. Policies are very important because it is the baseline of every act in the hospital.

Fourth Week ~~ January 7-11, 2013  

            

              After a long vacation, this was our first week to be in the office. The things that I've done this week were like the things that I made in my previous weeks. We distributed the policies to the 32 units of nurses. I also computed the result of the multidisciplinary initial assessment database (MIAD) most of the nurses got a perfect rating, but still there is a unit of nurses that acquire less than a hundred percent. Then after computing, I made an analysis and recommendation of the multidisciplinary initial assessment database (MIAD), functional assessment record (FAR) and the nutrition risk screening (NRS).

Third Week ~~ December 17-21, 2012

      This week was very interesting, because I experienced to audit some units of nurses with my boss. The first thing that we did was to gather all the tools that we are going to used. That is why we have the nutrition risk screening, multidisciplinary initial assessment database and functional assessment record, this are the tools that we're going to use for auditing. Before we went to the different units of nurses, I asked my boss if he would let me take some pictures while auditing, but sad to say he didn't let me, that's why I just take a pictures of the units after auditing. The first unit that we audited was the orthopedic care unit, when we went to the unit it seems that most of the nurses were surprised of our arrival. Upon our arrival, the nurses gave us their census; they have 26 patients and out of the 26 patient we need to audit five patients charts randomly. The orthopedic care unit did not have a perfect rating, because they did not comply with the needed requirements.
       The next unit was the pulmonary care unit, this unit was rated with a perfect rating because the nurse manager of this unit have a tool by herself in checking the patients charts, so if ever there is an audit at their unit they are ready and confident that they are going to have the perfect rating.
I just observed that in auditing even if it’s exciting to do, still it is not as easy as what I have expected. By doing this, we can see the nurses’ output are performed properly or not. 

Second Week ~~ December 10-14, 2012 

Research Systems Management formerly Quality Assurance was the division that I was assigned. My boss is the one that is in charge in auditing the 32 units of nurses. After auditing the nurses’ units, he needs to make an analysis and recommendation report out of it. He already finished auditing some nurses units. He allowed me to do the analysis and recommendation of the result of the auditing he made and gladly, I made it properly.

My second week as a trainee at St. Lukes Medical Center.

My second week as a trainee at St. Lukes Medical Center.

The 32 units have four clusters: the maternity and child nursing unit (MCNU), the Medical Surgical (MS) and the Intensive Unit (IU).

           To pass through the audit those units must have the Nursing Care Plan (NCP), some units got a perfect rating yet some did not. After the analysis and recommendation we need to construct a cover letter for the audit result.
       He also handles fall incidents. The three main common fall incident are: the clinical process/procedure, communications, and behavior. Every single detail of fall incident should be reported. Safety Learning Event Analysis (SLEA) is the document that contains those report 

My first week ~~  December 03 - 06, 2012 

We took this picture at skills la

     During my first week as a trainee at St.Luke’s Medical Center, I really felt nervous. It is the fact that we are not just simply going to encounter regular staff or employee in our division, but the manager and also the vice president of the Nursing department as well.
     The first thing that they asked me to do was to count the number of votes in the internal feedback form for the employee and for the company. Before I forget the first thing that they told us was the proper telephone manner in the office, and now we are confident to answer those calls. They also discussed with us the policies, work instructions and quality procedures. Those documents are needed to be distributed to all 32 units of Nursing department. This is necessary for them to know the changes in the policies. Before circulating the documents to the different units, we must give it first to the authorized persons for signing. I have found out that policies must be revised every three years.
     In general, I did enjoy my first week.