DRUG STUDY

Name: Incorporado, Justin Carl Canete Age: 3 months old Sex: Roman Catholic
Address: Blk. 1lot 5 Rosalina 3 Baliok Davao City
Chief Complaint: LBM
Date of Admission: December 12, 2009
Admitting Diagnosis: Acute Gastroenteritis with some Dehydration
Brand Name: Erceflora
Generic Name:

CLASSIFICATION ACTION INDICATION ADVERSE CONTRAINDICATION NURSING RESPONSIBILITY

REACTION
Anti-diarrheals Contributes to the For Acute No known Not for use in 1.) Observe the 5 rights in
recovery of the diarrhea with adverse immunocompromised giving medications
intestinal duration of ≤14 effects. patients (cancer
DOSAGE microbial flora days due to patients on 2.) Shake drug well before
altered during the infection drugs or chemotherapy, administration.
1 vial B.I.D course of poisons. Chronic patients taking
microbial or persistent immunosuppressant ® Allows equal distribution of
disorders of diarrhea with meds) the drug in the fluid it is in.
diverse origin. It duration of >14
produces various days. 2.) Monitor patient for any
vitamins, unusual effects from drug.
particularly group
B vitamins thus ® Monitoring allows detection
contributing to of possible side effects of the
correction of drug since there has been no
vitamin disorders known side effect of the drug.
caused by
antibiotics & 3.) Administer drug within 30
chemotherapeutic minutes after opening
agents. Promotes container.
normalization of
intestinal flora. ® To avoid contamination of
the drug.

4.) Dilute drug with sweetened

milk, orange juice or tea.

® To allow easy
administration of the drug.

5.) Administer drug orally.

® Proper administration
allows better effects of the
drug and prevent possible
complications
 DRUG STUDY

Name: Incorporado, Justin Carl Canete Age: 3 months old Sex: Roman Catholic
Address: Blk. 1lot 5 Rosalina 3 Baliok Davao City
Chief Complaint: LBM
Date of Admission: December 12, 2009
Admitting Diagnosis: Acute Gastroenteritis with some Dehydration
Brand Name: Co-amoviclov
Generic Name: Amoxil

CLASSIFICATION ACTION INDICATION ADVERSE CONTRAINDICATION NURSING RESPONSIBILITY

REACTION
Antibiotics Is an antibiotic • For Gastrointestin Co-amoxiclav may 1.) Observe the 5 rights in
that is a abdominal al reactions : not be administered to giving medications.
combination of infections Diarrhoea, patients with verified 2.) Assess for infection
DOSAGE penicillin and a • Infections in indigestion, hypersensitivity to ß- 3.) Monitor the bow function.
substance called the organs nausea, lactams (e.g. 4.) Instruct the watcher to take
1 ml every 12 clavulanic acid. It associated vomiting, and penicillins, the medication around the
hours P.O kills bacteria by with breathing mucocutaneou cephalosporins). clock and to finish the
interfering with including s candidiasis Attention to possible drug completely as
their ability to nasal have been cross-sensitivity with directed.
form cell walls. passages, reported. other ß-lactams 5.) Advise watcher to report
The bacteria sinusis, should be considered. signs of superinfection
therefore break up windpipe and Genitourinary
and die. lungs. effects:Vagina Co-amoxiclav may
• Infections of l itching, not be used in patients
connective soreness and with a previous
tissue, discharge may history of Co-
commonly the occur. amoxiclav or
skin. penicillin-associated
jaundice/hepatic
dysfunction.
 FUNCTION OF THE CHIEF NURSE

The Head Nurse reports to the Medical Director and liases closely with the FEH team.
Supervises a team of 4 to 6 staff nurses.

1) Operational Management:

• Ensure high quality patient care and maintain the overall recognition of and adherence to
( U.S.) Association of periOperative Registered Nurses published Standards,
Recommended Practices, and Guidelines as well as focus points from the ( U.S.) Joint
Commission on Accreditation of Healthcare Organizations during patient screening days,
patient assessment, intraoperative care, and postoperative care.

• Ensure compliance with all ORBIS policies and procedures.

• Prepare program plans and reports as directed.

• Monitor expenditures and ensure FEH nursing department costs are within budget.

• Work closely with the medical and anesthesia teams to facilitate supply requests and
orders.

• Ensure adequate supplies and coordinate supply requests; monitor inventory usage and
assist with efficient use of Supply Chain Management system by medical, nursing,
biomedical, and anesthesia teams.

• Assist biomedical engineers to monitor all medical equipment functionality.

• Forward all necessary patient records and information to appropriate staff as directed.

• Ensure daily aircraft cleanliness; monitor compliance of recommended guidelines for

surgical suite disinfection ensure aircraft is disinfected at the beginning of each program
and actively participate in the cleaning activities.

• Assist staff nurses and nurse technicians as needed i.e. cover for sickness.
2) Staff Management:

• Participate in recruitment of staff nurses and nurse technicians and liaise with HR staff in
New York

• Orient new staff nurses and nurse technicians

• Manage and motivate the nursing team

• Prepare nursing and nurse training staff schedules

• Facilitate nursing meetings as well as attend medical and staff meetings

• Plan, implement, monitor and evaluate nursing training programs so that they are tailored
to the needs of host institutions and trainees in collaboration with the planning team and
FEH program manager

• Assist staff nurses and nurse technicians with their professional development needs and
identify appropriate staff development activities.

3) Additional Duties:

• Participate in media events, goodwill tours, and fundraising activities.

• Work closely with Flying Eye Hospital Director as part of the FEH Core Management
Team.

Participate in projects and perform other duties as requested by Medical Director

 FUNCTION OF THE STAFF NURSE

The Staff Nurse reports to the Head Nurse and works closely with FEH medical
personnel (anesthesiologist & nurses), visiting Volunteer Faculty members, and local medical
professionals.

1.) Deliver quality nursing care (in accordance with the American Nursing Standards as
informed by the Association of Operating Room Nurse and Joint Commission on
Accreditation of Healthcare Organization).

2.) Assist Head Nurse in the planning, implementation, monitoring and evaluation of nursing
training programs.

3.) Prepare nurse training materials including lectures and practical adult learning
technologies.

4.) Assist Head Nurse in ordering and maintaining sufficient inventory levels to meet
program requirements.

5.) Ensure trainees, program participants, staff and Volunteer Faculty, working in the
surgical area, adhere to ORBIS policies and procedures.

6.) Scrub and circulate for all ophthalmic subspecialty surgical cases as scheduled by Head
Nurse.

7.) Actively involves local nurses in all aspects of patient care and maximize opportunities to
exchange knowledge and skills with local nurses in all settings both on and off the FEH.

8.) Participate in local hospital surgeries. This includes bringing the required supplies;
completing all required paperwork and ensuring all supplies, files, equipment and
instruments are returned to the aircraft.

9.) As assigned by Head Nurse serve as Nurse-in-Charge of screening, provide required

materials and ensure availability of equipment for each subspecialty.
10.) Support the Volunteer Faculty during screening process. Coordinate patient-flow;
prepare patients for examination, and complete required paperwork.

11.) Help the staff ophthalmologist in obtaining consents and explain pre-operative
requirements to all selected patients.

12.) Attend nursing and FEH staff meetings

13.) Assist in the daily cleaning, set-up and packing of the aircraft

14.) Participate actively in fund raising events and goodwill tours on and off the plane
and represent ORBIS at social functions.

Perform other related duties as required

FUNCTIONS OF HEAD NURSE AND STAFF NURSE
DRUG STUDY
JOURNAL

A Requirements Presented to
Mr. Erico Panerio R.N

In partial Fullfilment to the Requirement of

Nursing Care Management 105

By

Ms. Honey Jane T. Sismar

December 16, 2009

E-Zinc® [syr]

Indication: E-Zinc is used for the following conditions: As an adjunct in the management
of acute diarrhea; to help boost immune function; to help support optimum physical
growth and development.
Administration:
Should be taken on an empty stomach (Best taken at least 1 hr before or 2 hr after
meals. May be taken w/ meals to reduce GI discomfort.).

Adverse reaction:
GI side effects eg nausea & vomiting are seen in doses of elemental Zinc >30 mg.

Contraindication: Allergy to any component of E-Zinc.

Side effect: Gastrointestinal side effects eg, nausea and vomiting are seen with doses
of elemental zinc >30 mg.

Mechanism of action:
E-Zinc contains zinc. Zinc helps the body's natural defense against damaging free
radicals (antioxidant effect) and helps boost immune function. Free radicals are highly
reactive and unstable chemicals generated during normal body activities that require
oxygen (eg, respiration, digestion, blood circulation, immune system response, etc) and
after exposure to ultraviolet (UV) light, cigarette smoke and various pollutants. One
major effect of zinc is on the ability of cells to properly replicate the deoxyribonucleic
acid (DNA), which is required for cells to multiply. Hence, zinc is needed for normal
growth.

Zinc has other known functions/effects:

Cofactor of various enzymes in cell division and growth.

Required for the normal development and maintenance of the immune system; helps
regulate the activity of cells involved in immune function.

Functions as an antioxidant by being a cofactor of the enzyme superoxide dismutase,

which is involved in the removal of harmful free radicals.
Zinc is also recommended by the World Health Organization (WHO) and UNICEF as an
adjunct in acute diarrhea management together with reduced osmolarity oral
rehydration salts (ORS).