FA-June 2-12

I have officially made it and settled into my home for the next two months. Living in Sto. Tomas has so far proved to be challenging yet possible and fun yet educational. I’m getting used to both the subtle and obvious differences in life here compared to The States. Things like getting around and communicating have required me to adapt and adjust which was tough at first but now I see it as an awesome opportunity for growth. The highlights of this past week include our day of cultural orientation with all of the IWU FA interns, interacting with patients, making our living space a home, practicing nursing skills, riding the Jeepney, adventuring with new foods, playing basketball, enjoying live music, and seeing beautiful views. Above all, I’ve enjoyed getting to know and live alongside the resourceful, resilient, kind, smiley, and smart Filipinos.

the people

One thing that I have been consistently shocked by is the welcoming kindness of the Filipino people that we have encountered. Despite our differences in age, language, and culture, our hospital coworkers that we have met throughout our first week here have been incredible. They have fed us, driven us to see places in the Batangas, taught us Tagalog, and so much more! Making plans to go out with our coworkers after our shifts has made this week super fun!

the hospital

Our first internship day was an orientation which included a presentation and a tour of the hospital. On our second day, I got to administer COVID-19 vaccines to hospital employees which was an awesome experience and great practice. For the rest of the week, Sir Jeff (our preceptor) had us on Station 1, the general ward. They have a wide variety of patient population and is comparable to a med surge floor. While here we have gotten to interact with patients, observe IVs, learn about meds, review nursing procedures like catheter insertions, prepare and pass meds, assess, and meet other practitioners. I am looking forward to more experiences at St. Cabrini because in this short time I feel like I’ve already learned so much!

activities

Throughout the week I’ve eaten lots of good and some exotic food including Sisig, Lomi, Chami, halo-halo, squid, intestine, pancit, and of course lots of rice! There are so many food options around the town that I could try somewhere new every day! While we’ve been here we’ve explored the wet market, ridden the jeepney to and from work, gone out for dinner and drinks with coworkers, played basketball like a local, visited the Taal Lake, saw the San Padre Pio shrine, and visited the Monte Maria (from a distance).

I can’t wait to see what the rest of this experience holds, stay tuned for more next week!

June 27-July 3

One more week in the books! This week included lots of learning experiences, some stressful events, relaxation, and more.

the hospital

This week Sir Jeff led us through our rotation to the Operating Room/Delivery room. working in the OR this week allowed us to make more connections with the nursing staff at Cabrini, learn the tools use in surgery, see how sterilization is done, and so much more. The coolest thing about this week is that we each got the unique experience to scrub into a procedure and assist the surgeon! This is an opportunity that would pretty much never happen for a nursing student in the U.S. We saw lots of cases from minor excisions, to scope procedures, major surgeries, and a newborn assessment. Personally, I got to scrub in on an AVF procedure. It was meaningful to me because I had a loved one who had this procedure done and I finally got a good picture of what she might have experienced. The surgeon I was assisting was very kind and was genuinely asking me questions about myself and my experiences. Again, something that would not happen very often in the U.S.

Solving problems

Technically the rainy season in the Philippines starts in June. This became obvious this week. Each day around 3 or 4 it downpoured and left us drenched by the time we got home. Usually, I enjoy the rain but this week it caused us a few issues. When we returned from work on Monday we walked in on water flooding into our home from the back door. We spent quite a few hours problem solving and trying to find the best way to get rid of the water that was collecting around a drain that would not drain. We used everything we could find – spoons, forks, syringes, chemicals, buckets, etc. Eventually, we got rid of as much water as we could but were not able to fix the drain on our own. Although the situation was smelly, frustrating, gross, and tiring, I’m proud of how we handled it. The next evening, a kind repairman came and also spent a few hours tackling the drain. We haven’t had any problems since, so keep your fingers crossed that that remains true!

activities

This week we spent a lot of our downtime relaxing and catching up on rest from the early wake-up calls for early surgeries. On Thursday, Jake and I joined Sir Jeff and some other guys from Cabrini for weekly basketball, which I always enjoy. They are all WAY better than me but it is so fun to be able to be active and play.

This weekend we stayed at home making friendship bracelets, hanging out, and watching TV. It was nice to have some time to myself and chill.

FA- June 20-26

This was another week full of adventure while figuring out life in The Philippines! I’ve enjoyed getting to know more people, exploring new parts of the town, learning so many skills in the hospital, experiencing nursing “firsts,” and topping it off with traveling to Manila! You can read more about the highlights of this week below!

The Hospital

This week we had our rotation, led by Sir Jeff, in the ICU. It was my first time working in the ICU and was a really neat experience. It was also my first time working a 12-hour shift (we had two this week). Because of our experience this week, I feel more prepared and confident to start our critical care clinicals next year. We got to care for patients in a more severe state where they require much closer monitoring and are not as autonomous as a gen floor patient is. Some patients were there with infections, seizures, sepsis, TBI, and more. We wore protective PPE when in the ICU and in patient rooms. We became pros at NG feedings since they are done as often as anyone else would normally eat. Along with doing feedings, I assisted in an NG insertion, foley insertion, and IV insertions.

It was neat to see how the status of the patients we saw in the ICU changed. Unfortunately, one of the patients we cared for did pass away. There was another patient there who we had worked with all week but improved so much by the end of it that he could finally recognize that there were a bunch of foreigners in his room. We introduced ourselves and he could communicate (via another nurse’s translation) just a bit! We also saw how the nurses interacted with doctors, patients, and families and could compare how that environment differed from the general ward and the ER.

One of our most memorable experiences was when one of the ER nurses called us down to help in/observe a code situation. We assisted in reviving a 12 yo 3 times until our measures outweighed her physiologic state. I drew up medications, took her blood glucose, and suctioned her trach during the codes. The health care team eventually abided by the family’s wishes and let her pass. After the family had their time with her, Jake, Aileen, and I assisted in performing post-mortum care. It was a tremendously emotional experience to be a part of my first code and patient death, especially with a child.

Weekday Activities

Because we worked two 12s, we were able to take a day off to do a hike with Sir Jeff and his father-in-law! They picked us up bright and early on Thursday morning so that we could beat the Filipino heat. It started with a McDonald’s breakfast and a drive to a nearby mountain. Our plan was to hike up it but we learned from some locals that it is still closed due to COVID. So, we took another “hike” down to Taal Lake. It was 1,500 steps down with beautiful views along the way. Once down, Sir Jeff’s Father-in-law cut down some mangoes for us. We caught our breath, ate our mangoes, skipped some rocks, took pictures, and enjoyed the view. Then, we trekked back up the stairs for our workout of the week. After that, Sir Jeff took us to his family business – a store and a restaurant. I ate some yummy Lomi at their lomi house before they took us to see their backyard – full of livestock like chickens, turkeys, pigs, and more! They even had people climb a palm tree and cut down bukos (coconuts) for us! We hung out with them and made our own buko juice (fresh coconut water, condensed milk, and brown sugar), and ate some hard-boiled duck eggs which were even better than chicken eggs. It was a really awesome day and a great way to break up the week.

Weekend Travel – Manila

This weekend we also found our way to Manila. It was so refreshing to be in a city. Never have I ever even imagined so many malls in one area! Not only were they everywhere, but they were huge! Our hotel was right across the SM Megamall where we happily spent our morning and afternoon watching basketball competitions, shopping, eating, and people-watching. We didn’t participate but we also could have ice skated, bowled, or done archery in this mall! We explored a little of Manila on our own during the day but it wasn’t until one of our classmate’s aunts took us out that we saw more of what Manila has to offer. She brought us to a shopping area and a fun bar/bistro on Saturday night. On Sunday we stuffed ourselves full of all-you-can-eat Korean bbq in, you guessed it, another mall. It was delicious! After that, we visited a knock-off market which was so fun to look around in and see. We also visited a coffee/donut shop to hold us over for the drive back to Sto. Tomas.

FA- June 13-19

We’ve been living and working here for a little over two weeks now. Throughout this last week we have had many new experiences, been challenged, seen lots of new things in the hospital and town. We’ve deepened our new frienships and even created some new ones. We also took this week to try almost every restaurant around the hospital which has been fun. Along with the exciting new experinces of cultural immersion we have also faced adversities.

The Hospital

This week we worked on Monday and Wednesday-Friday (we were off tuesday so our preceptor could spend the day with his family). These four days were much different and more exciting than any other clinical experience I’ve had because we got to work in the ER. I could immediately tell that there was a vast difference in the personality, pace, and work balance in this area of the hospital. While we were there we treated lots of animal bites (with tetanus and rabies vaccines), observed the cleaning and dressing of one puncture wound to the hand as a result of a metal saw accident, triaged a woman who came into the ED in labor, observed sutures get put in and removed, took the vitals of many sick kids, and lots more! It was really cool to experience this area of nursing. We also got to be a part of the station 1 monthly meeting on Wednesday morning. I feel like I learned a lot about patient communication, medications, emergencies, triage, and procedures this week.

Our Activities

During our breaks from work our favorite thing to look forward to is getting coffee/tea at a nearby shop and finding new places to eat (mostly fast food that is dangerously enjoyable). One day our preceptor took us to a stand right outside of the hospital and I ate isaw (chicken intestine), lumpia (egg roll), fish balls, and kwekkwek (quail egg). I enjoyed all of these street foods more than I expected! It was fun to explore some new foods especially with our preceptor, Sir Jeff who showed us how to eat these goodies like a pro. On tuesday (our day off) our friend Kit drove us to SM Calamba and another mall to experience what it is like and do some shopping. We also stopped for pizza before heading home. Of course, I also enjoy our frequent trips to the local store, AllHomes. Thursday night was spent at Sir Jeff’s house where we got to eat, play basketball, and see his business (chickens, pigs, turkeys, etc!) On Friday night I hung out with Jake, Kit, and some of Kit’s friends and got to know them which was fun. On saturday we were picked up by a family of a classmate who drove all the way from Manila to bring us to Tagaytay, a cute and popular town for locals. While there we ate at a great Filipino restaurant with a view of Taal lake, saw the largest puzzle and puzzle collection in the world, explored the People’s Park in the Sky, and ate at Ruined Project while it downpoured. It was so kind of them to take such good care of us for the day.

pre-departure prep

Hi there! My name is Mia Davis, a rising senior nursing major at IWU. I recently returned from another study abroad opportunity in Hawaii! I just arrived home with what seems like just enough time to unpack, do laundry, and pack it all back up! I am equally nervous and excited about the adventure ahead. Follow along here as I post weekly blog updates on the things I do, see, try, and learn!

Mia