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

DOCTORS ROUND REQUIMENTS

Patients case note

Medication/Drug chart
Doctors charges
All results to be noted
Lead doctors to the correct patients 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 doctors written order

Type of feed
Amount
Frequency
Consistency
2. Greet and explain the procedure to the patients
3. Assess patients 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.

14.

15.
16.
17.
18.
19.

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
Observe patient during feeding
Cyanosis , coughing , vomiting
Pinch the tube and disconnect the syringe
Spigot the nasogastric
Instruct patients to remain in the same position for 30 minutes
Ensure patient comfortable
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

N
O

NAME

MATRIX
NUMBER

WORK DELEGATION

REMARK
S

CHARENYA A/P
SUBRAMANIAM

SARANYA A/P
CHADAYAN

12DIN0128

12DIN0156

Letter & roster

hostel
Memo
Minute meetings
Give Attendance

list
Presenter

Explain regarding
Gotong-royong

activities
Prepared
equipment for

SITI ZULAIKHA BT
MAZLAN

12DIN0164

activities
Talk about

facilities hostel
Presenter

Explain the
Rule&regulation
regarding the

hostel
Giving Talk
regarding
cleanliness in

hostel
Explain regarding

hostel duty .
Presenter

MATHULEKAA A/P
RAVINDRAN

12DIN0133

Prepared slide

show
Prepared of the

picture
Inform the
students
regarding meeting

activities
Prepared the room
for meeting

DELEGATION OF WORK

activities
Presenter

EDUCATIONAL TALK

N
O

NAME

CHARENYA A/P
SUBRAMANIAM

MATRIX
NUMBER

12DIN0128

WORK DELEGATION

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

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

REMARK
S

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

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

CHARENYA A/P
SUBRAMANIAM

MATRIX
NUMBER

WORKS
DELEGATION

12DIN012
8

SARANYA A/P
CHADAYAN

12DIN015
6

SITI ZULAIKHA BINTI

MAZLAN

12DIN016
4

MATHULEKAA A/P
RAVINDRAN

12DIN013
3

Objective for
orientation
Introduction of
KPJ
Presenter
Management
and Head of
services
Consultant
Locum of
services
Staff facilities
Presenter
Rules &
regulation .
Management
of needle stick
Standard
People
Practice .
Presenter
Case
presentation

REMARKS

DONE

DONE

DONE

Emergency
response
PSG
Clinical
objective
Presenter

PROCEDURE FEEDBACK
DATE
TIME
NAME
GROUP
DESIGNATION
HOSPITAL
WARD
PROCEDURE
SUPERVISED BY

DONE

FEEDBACK

SIGNATURE :

PREPARED

BY :
DATE :
ZULAIKHA MAZLAN)
TIME:

(STN SITI