Universal Health Care (UHC), also referred to as Kalusugan Pangkalahatan (KP), is the provision to every Filipino of the highest

possible quality of health care that is accessible, efficient, equitably distributed, adequately funded, fairly financed, and appropriately used by an informed and empowered public. The Aquino admi nistration puts it as the availability and accessibility of health services and necessities for all Filipinos. We provided first aid measures to wounds related to fall, accidents before referring them to tertiary hospitals for further medication and/ or treatment. To envision a succesful program, an organized approach is inherent. Efforts from the agencies and parties involve is necessary to achieve a common goal. In this program, Im projecting that the outcome of this project would be succesful if all parties involved in here will actively participate in the program especially us, RN heals, with support coming from the different agencies concerned. Political will is essential in realizing this joint effort. Proper coordination to all agencies concerned will make this program into victory. As part of our effort to achieve Kalusugan Pangkalahatan, I am confident that these programs will help contribute to rapid increase in PhilHealth enrolment, improved access to quality care in hospitals and other health care facilities, and in the attainment of our Millennium Development Goals, as quoted by Ona. I learned to manage my time effectively especially during the morning shift where a lot of work has to be done. I learned to prioritize my patients according to their condition and needs. I learned to be extra cautious in giving meds. I learned to deal with people of different ages and with different attitudes. Sometimes, patients relatives could really be annoying but as a nurse, I have (we have) to do our best t o understand them and give our support. I am learning the skill needed to inject BCG vaccine via intra dermal by practicing it, this skill is also applied in giving PPD skin tests. In time, I will be able to master the art of vaccination or immunization to children or babies. I was also acquainted in responsible parenting movement and rapid population control. I am giving more devotion now in the family as a catholic. I learned how to effectively manage my time so as to finish all tasks assigned to me. I learned how to prioritize the patients needs; which one needs to be attended first and which one could wait. I became more familiar with IV drugs and how to properly administer them. I learned to take precautions before giving the medication and to assess patients for possible side effects of the drugs. Charting/documentation is a vital part of our job, and I learned well on how to accurately document procedures done to the patient, including vital signs and medications given. Working as nurse in hospital are full of challenges, trials, stress but also full of joy, happiness and satisfaction especially if we see our patient healed and recovered from their illness. The Community Health Team training educates and prepares the Health Workers to enhance social welfare and health care services being rendered; thus, improving life of the populace. After attending seminars and trainings, we understand deeply about the National Tuberculosis Program of DOH. The importance of patients compliance to DOTS treatment.

I know I will learn a lot in this period of deployment. I am confident that I will be able to use my skills as a nurse to help people in need especially my fellow Milaorians. I am not oblivious that we really lack proper education and implementation of good health measures. In order for me to do this, I had just observed some minimal things in the center that needs to be addressed. With regards to patients record system: it is not well stored in the assigned record section.

Most of the records are lacking in its storage cabinet. Patients also forgot to bring their records specially when it is below 5 yrs old. The tendency is to duplicate the record and therefore clogging the record system. The risk for this is that the record will either be misplaced, destroyed or worst, falsified. First: I made numbers 1-50 for the patients who are coming in. In the first week, 5 numbers went missing. Its either the patient brought it home or they misplaced it. I gave it to the patients by order and in turn they give me their records so that I can put their initial vital signs and clinical complaint there. Then their numbers will be called in order for them to be seen by our Municipal Health Officer. Once they had been given primary treatment and prescriptions they will get their record back and thus give the number back. But not everyone in the center or the patients understood the process. Second: Most of them are not even bringing their record upon consultation. We had to make a new record and thus result to duplication and are most likely misplaced by the client again and again. Third: As per the Municipality of Milaors counterpart for the DOH RN Heals agreement, specifically Joint Memorandum Circular No. 2011-0044 between the DILG, DOH and DSWD, we did not receive anything yet since we started last November. Midwives assigned in other municipalities were already given by their LGUs. We already followed up at our HR but we were endorsed to our Head Nurse which is Glenda T. Lucea. That our Head Nurse should be the one to talk to our Municipal Mayor. Fourth: Our Monthly Stipend. We were not advised any specific date when we will receive it. We dont even know if its already in our ATM or not unless we follow up from our DOH Rep. Inappropriate nurse-patient ratio is still a concern that needs to be addressed immediately. The hospital should only cater patients it can handle. Nurses also feel exhausted and need to rest sometimes. An inadequate hospital supply is still an issue. We cannot always improvise in order to do a certain procedure. As much as we want to render utmost nursing care, we lack the necessary tools to do that. Limited number of medical supplies (gloves, alcohol medicines etc.) Not all community people are aware of the programs offered by the government.

For the betterment of the quality of care we render to our clients, we need to do or plan actions on how to improve our service. With my first concern regarding gadgets like BP apparatus, the institution could solicit funds from Non-Government Organizations or from people who are wholeheartedly willing to share their blessings to the community. In my second concern, an IVFluids tags, the institution could have allotted budget on it. I think it will not be a big lost on the budget since it is not that costly to make IV tags. They could print out and cut it into small sizes that are appropriate for the size of the IVFluids, and see to it that it is readable. We could paste it on the IV bottles every time we insert or change IVFluids of a certain patient. With this, the quality of care and service to our patients will be further enriched making the institution a very conducive ground for health restoration and prevention of illnesses. Hopefully our government put enough budget in health program so that we can have enough supplies and equipments. I must adjust myself and be familiarize in the military time and always double check everything for the safety of my patients and also mine. There must be a good relationship and communication among the staff and if in doubt, asking questions and confirmations is the right thing to do to avoid misunderstanding. I think LGUs or NGOs must provide more seminars and trainings for health care workers (Doctors, RNs, RMs etc.) to update and add- up knowledge about programs offered by the government for the health of the people. Thus, more medical missions and free medicines for the community people especially to indigents.