Aish~!
My cellphone...spoiled~
Want to buy a new one...
Wednesday, April 29, 2009
Tuesday, April 28, 2009
Chest tube
14/M came in with complain of chest pain.
27/4/2009
1000H Walked in admission, accompanied by porter. Pt G/C conscious and alert. Was seen by Dr. SY in clinic. Ordered to admit and to do chest tube insertion. Called up Dr. SY about Pt has admitted to the ward. Same said will do a chest tube insertion in the ward. Obs taken, stable. NFO.#
Pt = patient
G/C = general condition
Obs = Observation
NFO = no further order
When Dr. SY came to the ward. I was so brave to ask Dr.'s permission to observe the procedure. He was very kind to allow all the students in. Beginning of the procedure, check the procedure trolley prepared, whether anything has not prepared.
Needles and syringes for Local Anaesthesia. Forceps and Scissors for cutting and holding. Blade for cutting the skin. Iodine as a antiseptic solution. Chest tube size 28 *larger diameter, less complication in clogging*, free end Chest Drainage Device (suction) to connect to the tube inserted to enable fluids, gases, blood or pus to drain out with only one direction via a valve, which prevent backflow.
1. Clean skin with Iodine solution
2. inject LA(Local Anaesthesia) to numb the area around the targeted place for chest tube
3. Cut the skin using a blade
4. Scissors to make a passage into the pleural cavity (not sure about this part)
5. Cut tube with few holes.
6. Insert to the passage.
7. Connect to a Chest Drainage Device.
When I was inside the room, standing just in front of pt 14/M, I prayed very hard that the procedure can finish smoothly. This is the first time I saw such a terrible procedure done in ward. During the LA injection, I was in mild feeling of nausea. Then making a passage through a fresh cut wound to the pleural cavity was the most terrible part.
I saw the patient's expressions, he was in pain but he kept not to shout out. I saw his mother standing behind the curtain peeping in (She cried after the procedure). When making a passage, Dr. tried very hard to pook through something, Dr. pull out scissors and insert back again for few times and finally a sound 'Pop'. Dr. has pooked through something (I'm not sure what is it, a intercostal muscle or something) Then insert the chest tube.
I felt very very bad to show unstable body movements like playing fingers in front of pt. My stomach was acidic, I felt throwing up. My back spine got a severe cold feeling from the sacral region until cervicle region, I was slight sweating and I feel lack of Oxygen supply to my brain. I'm about to faint. I hardly make a move to take a deep breath outside the room. My legs were difficult to move. When I was outside. I breathed like I got an Asthma attack, sweating like fountain.
I quickly ran to the toilet when I was able to move. I saw redness on my face, I was totally unable to control my emotion. I waited until I'm okay, I walked out and started to work again. I had a slight affected performance after the procedure. I was doing not very efficiently.
I had my lunch after my work, I can't finish my meal.
27/4/2009
1000H Walked in admission, accompanied by porter. Pt G/C conscious and alert. Was seen by Dr. SY in clinic. Ordered to admit and to do chest tube insertion. Called up Dr. SY about Pt has admitted to the ward. Same said will do a chest tube insertion in the ward. Obs taken, stable. NFO.#
Pt = patient
G/C = general condition
Obs = Observation
NFO = no further order
When Dr. SY came to the ward. I was so brave to ask Dr.'s permission to observe the procedure. He was very kind to allow all the students in. Beginning of the procedure, check the procedure trolley prepared, whether anything has not prepared.
Needles and syringes for Local Anaesthesia. Forceps and Scissors for cutting and holding. Blade for cutting the skin. Iodine as a antiseptic solution. Chest tube size 28 *larger diameter, less complication in clogging*, free end Chest Drainage Device (suction) to connect to the tube inserted to enable fluids, gases, blood or pus to drain out with only one direction via a valve, which prevent backflow.
1. Clean skin with Iodine solution
2. inject LA(Local Anaesthesia) to numb the area around the targeted place for chest tube
3. Cut the skin using a blade
4. Scissors to make a passage into the pleural cavity (not sure about this part)
5. Cut tube with few holes.
6. Insert to the passage.
7. Connect to a Chest Drainage Device.
When I was inside the room, standing just in front of pt 14/M, I prayed very hard that the procedure can finish smoothly. This is the first time I saw such a terrible procedure done in ward. During the LA injection, I was in mild feeling of nausea. Then making a passage through a fresh cut wound to the pleural cavity was the most terrible part.
I saw the patient's expressions, he was in pain but he kept not to shout out. I saw his mother standing behind the curtain peeping in (She cried after the procedure). When making a passage, Dr. tried very hard to pook through something, Dr. pull out scissors and insert back again for few times and finally a sound 'Pop'. Dr. has pooked through something (I'm not sure what is it, a intercostal muscle or something) Then insert the chest tube.
I felt very very bad to show unstable body movements like playing fingers in front of pt. My stomach was acidic, I felt throwing up. My back spine got a severe cold feeling from the sacral region until cervicle region, I was slight sweating and I feel lack of Oxygen supply to my brain. I'm about to faint. I hardly make a move to take a deep breath outside the room. My legs were difficult to move. When I was outside. I breathed like I got an Asthma attack, sweating like fountain.
I quickly ran to the toilet when I was able to move. I saw redness on my face, I was totally unable to control my emotion. I waited until I'm okay, I walked out and started to work again. I had a slight affected performance after the procedure. I was doing not very efficiently.
I had my lunch after my work, I can't finish my meal.
Monday, April 27, 2009
College Life
I'm the most outstanding...because of my stupid spec.. haiz
Alicia Amy Ming
On and off..going out with my friends...
enjoying great BR~!!
Aili Engina Christine Alicia Jun Amy Ming Nicole
the great great friends together...
结婚？
最近身边的朋友都会谈到未来自己身边的男人会是长什么样？
会为自己做些什么家务？会做些什么逗开心？
未来的男人须具备什么样的条件？
现在我们这个年龄好像都会想家庭、以后的生活、孩子有多难养……
想象着老公的样子，孩子的样子……
今天，因月事来潮的抽痛惊醒。
整天都因它害得我睡不能、坐不能、站不能、蹲不能、吃不能、读不能……
被逼服食 T. Paracetamol 11/11。太可怜了~
突然，想到以后生孩子会是怎样的痛？
就问朋友：“Eh（敏），生孩子有多痛？”
敏：“100倍啦！”
我立刻再躺上床，想着多庆幸自己只是有1%的痛。
我对生孩子产生了绝对巨大的恐惧。
平时每个月的某一天已经活得不像人活的生活，
还要想生孩子？真的很恐怖。
为丈夫怀孕，再为他生下孩子绝对是很伟大的。
男人啊，要珍惜啊~！
会为自己做些什么家务？会做些什么逗开心？
未来的男人须具备什么样的条件？
现在我们这个年龄好像都会想家庭、以后的生活、孩子有多难养……
想象着老公的样子，孩子的样子……
今天，因月事来潮的抽痛惊醒。
整天都因它害得我睡不能、坐不能、站不能、蹲不能、吃不能、读不能……
被逼服食 T. Paracetamol 11/11。太可怜了~
突然，想到以后生孩子会是怎样的痛？
就问朋友：“Eh（敏），生孩子有多痛？”
敏：“100倍啦！”
我立刻再躺上床，想着多庆幸自己只是有1%的痛。
我对生孩子产生了绝对巨大的恐惧。
平时每个月的某一天已经活得不像人活的生活，
还要想生孩子？真的很恐怖。
为丈夫怀孕，再为他生下孩子绝对是很伟大的。
男人啊，要珍惜啊~！
Tuesday, April 21, 2009
不是男朋友的男朋友
(Ming Ming and her very best friend, Henry)
每一个女孩的身边都有一个不是男朋友的男朋友...
但是，为了什么原因你们没能在一起？
也许他为了朋友之间的义气，不能追你。
也许为了顾及家人的意见 ，你们没有在一起。
也许为了出国深造，他没有要你等他。
也许你们相遇太早，还不懂得珍惜对方。
也许你们相遇太晚，你们身边已经有了另一个人。
也许你回头太迟，对方已不再等待
也许你们彼此在捉摸对方的心，而迟迟无法跨出界线。
不过即使你们没在一起，你们还是保持了朋友的关系。
但是你们心底清楚，对这个人，你比朋友还多了一份关心。
即使不能跟他名正言顺的牵着手逛街，
你们还是可以做无所不谈的朋友。
他有喜欢的人，你口头上会帮他追，
心里却不是很清楚你是不是真的希望他追到。
他遇到困难时，你会尽你所能的帮他，
不会计较谁又欠了谁。
男女朋友吃醋了，你会安抚他们说你和他只是朋友，
但你心中会有那么一丝的不确定。
每个人这辈子，心中都有过这幺一个特别的朋友，很矛盾的行为。
一开始你不甘心只做朋友的，但久了，突然发现这样最好。
你宁愿这样关心他，总好过你们在一起而有天会分手。
你宁愿做他的朋友，彼此不会吃醋，才可以真的无所不谈。
特别是这样，你还是知道，他永远会关心你的。
做不成男女朋友，当他那个特别的朋友，有什么不好呢？
你心中的这个特别的朋友...? 是谁呢？
很多的感情，都因为一厢情愿，最后连朋友都当不成了
常常觉得惋惜，可惜一些本来很好的友情
最后却因为对方的一句喜欢你，如果你没有反应，这一段友情似乎也难以维持下去，这也难怪有些人会因此不肯踏出这一步。
因为这就像是一场赌注，表白了之后不是成了男女朋友，要不就连朋友都当不成了。
有些事不是你能预料的，或许对方不在意，你们还可以是朋友，但却已经不如从前的好.
希望你们能珍惜身边的人，
可能在这一刻你们不觉得他/她是你生命中最重要的人...
一旦他/她已离你身边而去时，才发觉...
一切都太迟了....
Friday, April 17, 2009
OPD's life
OPD stands for Out Patient Department.
It is located at 1st floor of SunMed. I posted to OPD for 2 days with Amy.
We observed various type of dressing there, Simple larr, Irrigation & Packing larr and some procedure too, Removal of Staple, STO (suture to off), Removal of Corrugated drain, on POP (plaster of paris)...very interesting.
It seemed I learned some Dr.'s personal perference of some procedures. Some like this, some prefer that... haha, but all applicable larr..
Dr. S asked us to do his homework too. He wanted us to read up a bit on Compartment Syndrome which I did a Simple Dressing on 22/M with this diagnosis. He wanted us to remind him to ask us this question when meet. hahaha~!
In fact, this syndrome is quite complicated and difficult to understand (for my level larr) but I hope to see him soon to tell him back the answer..
OPD's life is fun but free. See larr, when next time I have family, I might request for OPD.
*Heard Kiss The Baby Sky's song on the tv in front of Dr. Sh's clinic.. I went to watch the mv.. so nice~ and got MIMS and set for free from the SN. ~ *v*
It is located at 1st floor of SunMed. I posted to OPD for 2 days with Amy.
We observed various type of dressing there, Simple larr, Irrigation & Packing larr and some procedure too, Removal of Staple, STO (suture to off), Removal of Corrugated drain, on POP (plaster of paris)...very interesting.
It seemed I learned some Dr.'s personal perference of some procedures. Some like this, some prefer that... haha, but all applicable larr..
Dr. S asked us to do his homework too. He wanted us to read up a bit on Compartment Syndrome which I did a Simple Dressing on 22/M with this diagnosis. He wanted us to remind him to ask us this question when meet. hahaha~!
In fact, this syndrome is quite complicated and difficult to understand (for my level larr) but I hope to see him soon to tell him back the answer..
OPD's life is fun but free. See larr, when next time I have family, I might request for OPD.
*Heard Kiss The Baby Sky's song on the tv in front of Dr. Sh's clinic.. I went to watch the mv.. so nice~ and got MIMS and set for free from the SN. ~ *v*
the Skin Breakdown
on the 13th, I took care of 23021/F.
I knew she is a shy person, I gave her chances to do her own ADL (activities of daily living) with assistance larr, of course. Know what.. I can't detect that she has a slight redness on the lower back, which is the lumbar sacral region. It is sign of skin breakdown, must write incident report already. She initially only ada few Nursing Intervention like 1.)O2 2L/min via nasal prong 2.)RIB 3.)4H neuro obs. Now...added 1.)2H neuro obs 2.)ripple mattress 3.)2H turning... arsh~
Firstly, because she is a shy person, she wanted to wear hospital gown with her own pants inside but family members did not bring enough pants for her, she wore the wet pants for some time. When I did her a sponging with my colleague, noticed it was wet+ hmm, it made skin soggy. Soggy skin appeared in red and easily breakdown if proper pressure area care doesn't carry out like 1.)good back rub while sponging to improve bld circulation 2.)clean and make sure affected area dry 3.)sleep with different position to reduce pressure on one area.
She looks very good but obs quite unstable, BP suddenly can shoot up to very high level. It may indicates something occured. Close monitoring her condition is very important.
Today, I introduced her to her neighbour...but she claimed that she doesn't know how to speak Cantonese..luckily neighbour what language also know... hehe =p Happy larr~ Oh, she will discharge soon... =)
I knew she is a shy person, I gave her chances to do her own ADL (activities of daily living) with assistance larr, of course. Know what.. I can't detect that she has a slight redness on the lower back, which is the lumbar sacral region. It is sign of skin breakdown, must write incident report already. She initially only ada few Nursing Intervention like 1.)O2 2L/min via nasal prong 2.)RIB 3.)4H neuro obs. Now...added 1.)2H neuro obs 2.)ripple mattress 3.)2H turning... arsh~
Firstly, because she is a shy person, she wanted to wear hospital gown with her own pants inside but family members did not bring enough pants for her, she wore the wet pants for some time. When I did her a sponging with my colleague, noticed it was wet+ hmm, it made skin soggy. Soggy skin appeared in red and easily breakdown if proper pressure area care doesn't carry out like 1.)good back rub while sponging to improve bld circulation 2.)clean and make sure affected area dry 3.)sleep with different position to reduce pressure on one area.
She looks very good but obs quite unstable, BP suddenly can shoot up to very high level. It may indicates something occured. Close monitoring her condition is very important.
Today, I introduced her to her neighbour...but she claimed that she doesn't know how to speak Cantonese..luckily neighbour what language also know... hehe =p Happy larr~ Oh, she will discharge soon... =)
Saturday, April 11, 2009
Tuesday, April 07, 2009
Friday, April 03, 2009
DBSK
Don't know why... just love them very much.. you? hehe...
They are the famous Dong Bang Shin Ki!!`~~` Woohooo!!
(hehehe.. sorry, these are their quiet old photos... because I like Micky's previous hair style)
Woah~!
Did my very first Oral suction for 88/M.
I did two times and my Clinical Instructor two times.
I manage to suck out some white fluid by asking him to cough out...
Hmm, Clinical Instructor praised. I was so happy that I did good to 88/M.
Oh yea, we have a Smile Project now in SunMed.
This works like...err...make sure pt remember my name.
Whoever I attend to, I introduce myself to that pt.
"Good morning Uncle Wong, I'm Student Nurse Hsin Ni. I am the Medicine Nurse In-charged today. I will be taking care for you. If you need any help, just press the call bell and I'll come." hehehe....!~~ geng leh... then repeat "Remember, my name is Hsin Ni."..hehehe fine.
I did two times and my Clinical Instructor two times.
I manage to suck out some white fluid by asking him to cough out...
Hmm, Clinical Instructor praised. I was so happy that I did good to 88/M.
Oh yea, we have a Smile Project now in SunMed.
This works like...err...make sure pt remember my name.
Whoever I attend to, I introduce myself to that pt.
"Good morning Uncle Wong, I'm Student Nurse Hsin Ni. I am the Medicine Nurse In-charged today. I will be taking care for you. If you need any help, just press the call bell and I'll come." hehehe....!~~ geng leh... then repeat "Remember, my name is Hsin Ni."..hehehe fine.
Thursday, April 02, 2009
Sun Med life started
In clinical, I can learn a lot from pt.
This sem, our focus is on medication, dressing, intravenous drip, care for dying and many more.
Share some interesting cases in ward 4B.
25/M has a long hair, I did one nice hair wash for him with my friend, Syuhada. Hoho, I comb his hair until floor full of terputus hairs.. kesiannya. Luckily he didn't mine. hehehe!!~^^
77/F has a pretty face like Hong Kong actress although she is old. She ambulated with our assistance for the first time after 2weeks on the bed without moving. She looks healthier now.
18/M is very tall.. He slept with comfortable position...but his legs were hanging on the air as too long.. haiz.. kesiannya..~~
This sem, our focus is on medication, dressing, intravenous drip, care for dying and many more.
Share some interesting cases in ward 4B.
25/M has a long hair, I did one nice hair wash for him with my friend, Syuhada. Hoho, I comb his hair until floor full of terputus hairs.. kesiannya. Luckily he didn't mine. hehehe!!~^^
77/F has a pretty face like Hong Kong actress although she is old. She ambulated with our assistance for the first time after 2weeks on the bed without moving. She looks healthier now.
18/M is very tall.. He slept with comfortable position...but his legs were hanging on the air as too long.. haiz.. kesiannya..~~
Be professional
Infront of patient..have to be professional as you did things thousand times, see things thousand times, eventhough never expose to it before. Confidence is very important to patient, if not patient won't give any chance to student nurses anymore...
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