SPEECH NURSING ROUND

Good morning. I am students nurse Siti Zulaikha Binti Mazlan. Today I will

conduct nursing round with nurse instructor and others student nurse.Start with the nearer room.

Firstly nock the door and wish good morning and introduce self to the patients. The objective of

nursing round are to observe patients current condition and to check the ward environments.

The things I will observe when do the nursing round are patients general

condition such as stable , calm, conscious and patients complain. Then , observe post-operative

wound if present within the patients. Other than that, check the intravenous site such as phlebitis,

the drip running well or not , ensure no pain and swelling at venofix site

Prepared By ,

(STN SITI ZULAIKHA BINTI MAZLAN)

Management Students

DOCTOR’S ROUND REQUIMENTS

Patient’s case note Medication/Drug chart Doctor’s charges All results to be noted Lead doctors to the correct patient’s room

Stethoscope – To check the respiration & heart beat

Sphygmomanometer –To check the blood pressure

Ophthalmoscope – To examine the internal ear

Pen Torch - To examine the inside mouth (multi-function)

After rounds,reconfirm regarding changes in treatment or medications ordered by doctor prepare the necessary form to be write and filled u p and inform staff nurse in-charge regarding the changes or condition.

Prepared By,

(STN SITI ZULAIKHA MAZLAN)

Management Student

FEEDING PATIENT VIA A NASOGASTRIC TUBE

1. Check doctor’s written order

Type of feed

Amount

Frequency

Consistency

2. Greet and explain the procedure to the patients

3. Assess patient’s toleration to feed to prevent aspiration

Presence of nausea and vomiting

Abdominal discomfort

Diarrhea

4. Position patient into semi-fowlers or fowlers position

5. Check intake and output chart to confirm feeds not yet given

6. Wash hand and wear disposable glove

7. Place protective sheet over the patients chest

8. Assess gastric emptying

Aspirate and measure residual contents

Re-instill the aspirated contents

Hold feeding if residual volume is more than 50-100ml or confirm the doctor in

charge .

9. Clamp or pinch tubing

10. Remove spigot and place inside clean receiver

11. Connect syringe without plunger to nasogastric tube

12. Pinch the tube while connecting the syringe

13. Feed patient through the nasogastric tube

Flush the nasogastric with little water

Fill the syringe with formula

Unclamp or release pinch to allow the formula to flow in

Adjust the height in which the syringe is held to control the flow .

Refill the syringe when it is three-quarters empty

Do not allow the syringe to be empty during feeding

Flush the nasogastric tube with about 20mls of cooled boiled water to prevent

blockage

14. Observe patient during feeding

Cyanosis , coughing , vomiting

15. Pinch the tube and disconnect the syringe

16. Spigot the nasogastric

17. Instruct patients to remain in the same position for 30 minutes

18. Ensure patient comfortable

19. Documents the date ,time, amount of feeding in intake and output chart .

DATE

TIME

SHIFT

INFORMER

Prepared by ,

(STN SITI ZULAIKHA MAZLAN)

DELEGATION OF WORK

HOSTEL MEETING

NO NAME MATRIX NUMBER

WORK DELEGATION REMARKS

1 CHARENYA A/P SUBRAMANIAM 12DIN0128

- Letter & roster hostel

- Memo

- Minute meetings

- Give Attendance list

- Presenter

2 SARANYA A/P CHADAYAN

12DIN0156- Explain regarding

Gotong-royong

activities

- Prepared equipment for

activities

- Talk about facilities

hostel

- Presenter

3 SITI ZULAIKHA BT MAZLAN

12DIN0164- Explain the

Rule&regulation

regarding the hostel

- Giving Talk regarding

cleanliness in hostel

- Explain regarding

hostel duty .

- Presenter

4 MATHULEKAA A/P RAVINDRAN

12DIN0133- Prepared slide show

- Prepared of the picture

- Inform the students

regarding meeting

activities

- Prepared the room for

meeting activities

- Presenter

DELEGATION OF WORK

EDUCATIONAL TALK

NO NAME MATRIX NUMBER

WORK DELEGATION REMARKS

1 CHARENYA A/P SUBRAMANIAM 12DIN0128

- Prepared and assist in

CVP line procedure

- Monitor and record

CVP procedure .

- Prepared the room

(Dewan Anugerah)

during educational talk

- Presenter and prepared

the slide show

2 SARANYA A/P CHADAYAN

12DIN0156- Lumbar puncture

procedure

- Equipments during

procedure

- Prepared the room

(Dewan Anugerah)

during educational talk

- Presenter and prepared

the slide show

3 SITI ZULAIKHA BT MAZLAN

12DIN0164- Bone marrow puncture

procedure

- Equipments during

procedure

- Inform the students on

morning shift to

involve the educational

talk ..

- Giving the attendance

list .

- Presenter and prepared

the slide show

4 MATHULEKAA A/P RAVINDRAN

12DIN0133- Care of tracheostomy

- Dressing for

tracheostomy

- Equipments during

procedure

- Prepared the

environment such as

air cond .

- Presenter and

prepared the slide

DELEGATION OF WORK

ORIENTATION

S/N

NAME MATRIX NUMBER

WORKS DELEGATION

REMARKS

1 CHARENYA A/P SUBRAMANIAM

12DIN0128 - Objective for orientation

- Introduction of KPJ

- Presenter

DONE

2 SARANYA A/P CHADAYAN

12DIN0156

- Management and Head of services

- Consultant - Locum of services - Staff facilities- Presenter

DONE

3 SITI ZULAIKHA BINTI MAZLAN

12DIN0164 - Rules & regulation .

- Management of needle stick

- Standard People Practice .

- Presenter

DONE

4 MATHULEKAA A/P RAVINDRAN

12DIN0133

- Case presentation- Emergency

response - PSG - Clinical objective- Presenter

DONE

PROCEDURE FEEDBACK

DATE

TIME

NAME

GROUP

DESIGNATION HOSPITAL

WARD

PROCEDURE

SUPERVISED BY

FEEDBACK

SIGNATURE : PREPARED BY :

DATE : (STN SITI ZULAIKHA MAZLAN)

TIME: