Nurse Deployment Project Journal | April 2014

April had been a pretty busy month for me; hence, the lack of regular updates and posts. (Or maybe I was just feeling lazy. haha) Time flies so fast and before I even know it, I have to do my monthly journal for Nurse Deployment Project again. Sometimes, oh-no, maybe always, I feel like I am just saying the same things over and over---like a pirated DVD that got stuck and plays the same line non-stop.

Okay. I know you are excited to read my journal. Admit it! haha. *insert delusional grin here* So here it goes:

I. ACTIVITIES

We assisted the midwives in the regular EPI schedule on the first week of the month. We explained well the possible side effects of the vaccines the child received and what they can do to manage them.

We participated in the seminar held at Gapan City Hall dubbed as “Interpersonal Communication and Counseling Rollout,” wherein Tuberculosis was explained as well as its management and the roles of healthcare providers in the course of TB treatment.

As part of the LGU’s program, we assisted in the “Operation Tuli” which was held in the RHU twice a week.


We did defaulter tracking in our priority Barangay and we assisted the Midwives too in vaccinating the defaulters. We also looked for pregnant women who don’t have prenatal check up yet, explained the importance of doing so and encouraged them to visit the health center as soon as possible. We also did contact tracing of our TB clients.

The rest of the days were spent in the RHU doing routine nursing responsibilities such as assessing patients, providing health teaching and carrying out doctor’s orders.

II. LEARNING AND INSIGHTS

I am more confident and at ease in giving vaccines now. Experience really is the best teacher and I would not have enhanced my skills if not for the opportunity this program has given me.

The seminar held re: Tuberculosis taught me a lot of important lessons when dealing with TB clients. I learned the proper way to discuss, ask and communicate with them without hurting their feelings and making them feel isolated.

I learned to be patient in looking for EPI defaulters and to be persistent in convincing parents to have their child vaccinated.

I learned how to prioritize clients and how to manage my time to be as productive as possible during duty hours in the RHU.

III. ISSUES AND CONCERNS 

There is still a lack of supply of Penta Vaccine. This situation results to an increase in our defaulters. Some, those who can afford, just resort to bringing their children in private clinics to receive the said vaccine.

There are people who still believe that vaccines will harm their children. During our defaulter tracking, one parent didn’t allow us to vaccinate her child because she believes that MMR can cause autism. Despite explaining everything to her, we didn’t succeed in convincing her.

IV. RECOMMENDATIONS

Timely distribution of vaccines should be looked into. This would allow us to reach our targets and prevent the increase in our defaulters.

Intensify information dissemination regarding vaccine preventable diseases through lectures in Barangays, print ads and/or TV commercials. 

***end of journal***

Just so you know, this journal is being read by our Municipal Health Officer so I am very careful with what I say (or write?). I can't put things like "there is a hostile environment" or "some employees are too chismosa" and the likes. hahaha. I am not saying that those things are true but they could be.*wink* 

That's all for now, read my other journals as you wish! :)

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