Jan Kathleen Rafols

Level 3 Tertiary Hospital| 600-bed capacity
Accredited by Joint Commission International (JCI) since 2012
Pathway to Excellence® nursing designation by ANCC – the only hospital in the Philippines with this recognition, highlighting a supportive nursing practice environment
Specific Area Assigned:
MICU: 12-bed capacity | Nurse-Patient Ratio: 1:1 to 1:2
Medical Intensive Care Unit (MICU), specializing in the care of critically ill adult patients with complex medical conditions.
Types of Patients Managed:

• Patients with respiratory failure (e.g., ARDS, COVID-19 pneumonia)
• Septic shock, DKA/HHS, multi-organ failure
• Stroke patients requiring intensive monitoring (non-surgical)
• Acute exacerbation of chronic illnesses (e.g., COPD, CHF, liver failure)
• Renal failure requiring continuous renal replacement therapy (CRRT)

Clinical Equipment & Machines Handled
Mechanical Ventilators (Hamilton C3 and C6)
Cardiac Monitors (Philips Intellivue)
Defibrillators (Zolls R Series)
Infusion Pumps (Plum 360, Alaris)
CRRT machines (Bbraun, Fresenius)
Suction Machines (wall mounted)
Arterial Line & Central Venous Pressure (CVP) Monitoring Systems
ECG Machines (MAC 2000)
Glucose Monitoring Devices (Nova StatStrip)
Feeding Pumps (Applix, Medcaptain)
Temperature Management Devices (cooling/warming blankets)

Responsibilities:

• Provided bedside care to critically ill adult patients with life-threatening medical conditions requiring mechanical ventilation, hemodynamic support, and organ monitoring.
• Managed patients with severe respiratory conditions such as ARDS, COVID-19 pneumonia, pulmonary embolism, status asthmaticus, and COPD exacerbations.
• Delivered care to patients in cardiogenic and septic shock, hypertensive emergencies, acute decompensated heart failure, and life-threatening arrhythmias.
• Monitored and managed neurologically compromised patients including ischemic stroke (post-thrombolysis), intracerebral hemorrhage, Guillain-Barré syndrome, and status epilepticus.
• Provided critical care to patients with endocrine/metabolic crises such as DKA, HHS, thyroid storm, and adrenal insufficiency.
• Handled toxicologic emergencies including drug overdose, alcohol withdrawal syndrome (delirium tremens), and metabolic encephalopathy.
• Initiated and maintained continuous renal replacement therapy (CRRT) for patients with acute kidney injury and fluid overload.
  Delivered complex care to immunocompromised and septic patients with multi-organ dysfunction syndrome (MODS).
• Assisted with bedside procedures such as intubation, central line insertion, arterial line setup, paracentesis, and EGD, thoracentesis and pigtail catheter insertion.
• Administered high-alert medications including vasopressors (norepinephrine, dopamine), sedatives, insulin drips, and electrolyte infusions with close titration.
• Collaborated in multidisciplinary rounds and contributed to daily care planning with intensivists, RTs, pharmacists, and nutritionists.
• Documented nursing assessments, care plans, and patient responses using Epic EMR and complied with hospital protocols for infection control and patient safety.