Judith Aimee P. Ligawen

• Worked within interdisciplinary health care team to develop, implement and make adjustments to patient care plans, individualizing strategies and methods to improve health and meet recovery goals.
• Taught patients how to improve lifestyle choices, dramatically reducing chance of symptom reoccurrence.
• Delivered medications via oral, IV and intramuscular injections, monitoring responses to address new concerns.
• Performed various nursing interventions such as wound dressing, vital sign monitoring and specimen collection.
• Educated patients and answered questions about health condition, prognosis and treatment.
• Effectively prioritized assignments, executing care based on each patient's relative condition and delegating tasks to available personnel deliver safe and efficient care.
• Observed and reported patient condition, progress and medication side effects to accurately document updates.
• Assessed physical, psychological, physiologic and cognitive status of patients.
• Identified learning needs of patients and families and responded with advocacy and health education.
• Assessed medical status of patients pre and post-operation by checking vital parameters and supervising food intake.
• Formulated plans for nursing measures to restore, maintain and promote patients' physical and mental health.
• Promoted patient independence by teaching self-care skills.
• Identified patient care requirements by establishing personal rapport with patients and families.
• Monitored patients' conditions and reported changes in physical ability, appearance and behavior to discuss treatment with physicians.

• Provided clinical and holistic care for mothers and babies within a 25-bed unit. Provide health teachings in accordance to latest, evidence-based practice. Works effectively, independently and within a multi-disciplinary/multi-cultural team to deliver the highest quality of care.
• Implemented interventions, including medication and IV administration, catheter insertion and airway management.
• Accurately documented all elements of nursing assessment, including treatment, medications and IVs administered, discharge instructions and follow-up care.
• Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
• Reviewed post-operative orders and continuously monitors patients' post-operative vitals, set up PCA and fluids and oriented patients to unit to achieve optimal outcomes.
• Collected blood for lab testing.
• Delivered medications via oral, IV and intramuscular injections.
• Managed care for post-operative patients from initial recovery through discharge.
• Provided health teachings regarding breastfeeding, newborn care, diet, wound care (for post cesarean section patients), vaccinations and post-hospitalization checkups.
• Supervised and assisted patients in breastfeeding their newborn.
• Promoted an environment that enables patient safety and independence.
• Performed direct newborn care.
• Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Performed role of preceptor for new staff and for student nurses as required.
• Demonstrated observable clinical competency in accordance with hospital and unit policies and procedures
• Ensured knowledge and skills are up to date and evidence-based
• Demonstrated evidence of continuous learning

• Provided clinical and holistic care for premature babies within a 21-bed unit.
• Assessed the neonate's care needs and plan, implemented and evaluated programs of care that reflect the needs of patients
• Inserted and changed peripheral IV as needed
• Administered medications and fluids and checked vital signs on critically ill newborns.
• Collected blood for lab testing.
• Coordinated and provided direct patient care within scope of RN license with emphasis on the special needs of neonates
• Ensured environmental cleanliness of care setting reflects the KHUH Infection Control Policies and Procedures.
• Developed effective communications between all members of medical staff and the families of the neonates.
• Ensured all medical devices within care setting are maintained in safe working order and are used in compliance with the manufacturer's instructions and KHUH policies
• Actively participated in staff development and performance review.
• Demonstrate observable clinical competency in accordance with hospital and unit policies and procedures.

Description of Unit

NICU (Level 1 and 2) is committed in giving the full range of services in the region to well, sick and critically ill newborn babies. It has a total of 37 beds which includes 7 incubators and 30 bassinets. The unit is divided into NICU, Septic-in, Septic-out, Isolation and Well Babies. The Patient/Nurse Ratio for NICU patients is 1 nurse to 1 or 2 patients; Septic-in/out is 1 nurse to 5 patients; Isolation is 1 nurse to 1 patient; Well Baby is 1 nurse to 8 patients.

(Well-Baby)

• Assisted pediatric doctors upon delivery of the newborn then places the foot tag for proper identification
• Places the newborn under a warmer
• Administered vitamin k intramuscularly in anterior lateral thigh and eye ointment on both eyes for prophylactic treatment
• Recorded newborn measurements; footprint labeled for proper identification of the newborn
• Wrapped newborn with double and thermal blanket and placed under droplight to prevent cold stress
• Monitored and recorded vital signs until the newborn is stable
• Fed newborn every 3 hours or per demand then burped thereafter
• Monitored newborn's passing out of meconium and urine within 24 hours of life
• Observed strict handwashing before and after handling the newborn
• Provided health teachings to parents during newborn's admission until discharge

Septic/NICU Level 2

• Followed all policies, procedures and hospital regulations for protocol compliance and patient safety
• Inserted IV and changes IV site as necessary
• Administered emergency drugs as needed as to doctor's orders
• Assisted doctors in endotracheal tube insertion, umbilical catheterization and other procedures
• Inserted orogastric tube
• Performed gastric lavage if necessary
• Performed orogastric tube feeding as to doctor's orders
• Administered IV medications as to doctor's order and charted patient’s reactions to medications
• Assisted doctor in administering surfactant
• Provided psychological assistance and health teachings to newborn's relatives
• Performed post mortem care

• Shadowed senior team members to learn all related jobs.
• Performed clinical duties within the scope of practice and based on hospital's policies and protocols.

• Shadowed senior team members to learn all related jobs.
• Performed clinical duties within the scope of practice and based on hospital's policies and protocols.

Description of Unit (General Ward)

This area has a 37 bed capacity divided into 2 pediatric wards (one with 5 beds and the other with 4 beds), 1 general ward (3 beds), and 25 private rooms. It manages a wide variety of acute general pediatric, obstetric, medical and surgical patients. Functional Nursing is the mode of patient care. The Nurse/Patient ratio is 2 nurses to 18-19 patients.

• Reported directly to the head nurse and charge nurses
• Supervised, taught and directed registered volunteer nurses, nursing assistants, midwives and clerks assigned in the respective area
• Coordinated with personnel of the medical services, ancillary services, administrative services, and other departments as the need arises
• Identified nursing needs of patient through assessment and performed direct nursing care
• Planned, implemented and evaluated nursing care
• Modified patient treatment plans as indicated by patients' responses and conditions
• Performed nursing activities as required in the implementation of proper nursing care
• Reports observations to the physician as deemed necessary
• Observes and responded to patient's emotional and spiritual needs
• Prepared patients for, and assist with, examinations and treatments
• Administered medications via oral, subcutaneous, intramuscular or intravenous route
• Inserted, reinserted and removed intravenous catheter, foley catheter or nasogastric tube as ordered or as needed
• Provided health teachings to patient's and patient's family
• Involved the patient and family in the implementation of care
• Performed other job related duties as determined by the head nurse and/or nurse supervisor