有一位middle adulthood的病人，他進院看腸胃專科。
他的脾氣真的非常不好。
我學過，這是grief的一種。
Grieving，因為他失去了健康。
他動不動就破口大罵，我可以明白。
因為anger是grief的第二的階段。
我了解他那樣暴躁的行為，
但是我真的很難不被他影響。
看來，體諒是我接下來的目標。
Showing posts with label Sun Med. Show all posts
Showing posts with label Sun Med. Show all posts
Sunday, May 22, 2011
明白但不能體諒
有一位middle adulthood的病人，他進院看腸胃專科。
他的脾氣真的非常不好。
我學過，這是grief的一種。
Grieving，因為他失去了健康。
他動不動就破口大罵，我可以明白。
因為anger是grief的第二的階段。
我了解他那樣暴躁的行為，
但是我真的很難不被他影響。
看來，體諒是我接下來的目標。
Friday, April 15, 2011
Diverged roads
Drawing above is a composition of Ming and it shows exactly the feeling I have lately.
Especially after I heard a sentence from her, my recently-good-friend.
Loyalty or experience? Easy or busy?
ICU posting
Today will be my last day in ICU, if the following schedule I am not assigned to this department again.
There are too many to learn in a day. I feel very tired (mentally) even only the names of the machines and devices. ICU is so different from Medical-surgical wards.
Life supports, inotropes, detailed until 1ml of fluid also cannot afford to miss out.
Patient's from tip of the hair till the nail of the toe are yours, this is what we called as 'Holy nursing care'.
So far, I am still very into this department. Especially come to patient's family members.
The way to convey message and understand their grieving process.
Dined in Garden lifestyle store and cafe.
Photo taken by Ming.
There are too many to learn in a day. I feel very tired (mentally) even only the names of the machines and devices. ICU is so different from Medical-surgical wards.
Life supports, inotropes, detailed until 1ml of fluid also cannot afford to miss out.
Patient's from tip of the hair till the nail of the toe are yours, this is what we called as 'Holy nursing care'.
So far, I am still very into this department. Especially come to patient's family members.
The way to convey message and understand their grieving process.
Dined in Garden lifestyle store and cafe.
Photo taken by Ming.
Saturday, March 12, 2011
Management Nursing
Started my very first management posting last Monday, 28th February 2011. As it is still new to me, I was tagged with the in charge of the shift. I am very happy that all the in charge I tagged to are very friendly and super willing to teach me everything they know. These days I was working happily due to the conducive learning environment I had.
What are the things that in charge do?
* Ward rounds to check on patients for complains and health progress
*Follow Dr.'s ward rounds to know the plans and changes made
*Admission, transfer in and out, discharge and home leave processes
*Liaise with other departments for procedures planned for patients
I am happy that management (in charge) is my cup of tea. I love to be the in charge but not the writing and passing report parts. I dislike writing and talking in fast speed. ^^
Thanks to Suhana, Diana, Liza and Erin helped me to learn and absorb as much as I can!
Sunday, August 01, 2010
Updates
This is the photo taken by Hannah Hing at the Orientation Day.
I was so scared..as I was thoroughly shivering plus a bit fine motor tremor.
This look was still thinking what should I do? What can I do? Really scared outside..
Please larr, I look strong but I am still a timid little lady, okay?
This is the cert I got today. The blood donation day in Sunway Medical Centre. I was quite late, but there was also still quite a few numbers of donors. Thanks to all the kind donors~ thanks for helping those who need your blood. Well done!
Friday, May 29, 2009
Last day of posting
Today is my last day in SunMed.
I miss all the SN, SEN, HA, portal, lab people, special diagnostic people, housekeeping people and porter. Last but not least, the doctors.
Hmm, today passing report, I really don't know why..
I just lyed on Syuhada's shoulder and I just slept away with saliva meleleh-leleh. (haha ^.^)
Nvm.
After report finished, SN asked Amy and me to return portable ECG machine to ICU. We went down with the machine..pressing the passkey and passed through the ICU. A staff asked me to leave it there on the wall, no need to go in HDU to plug it. Then I just obey her command. Soon, I saw a staff pushing it out to Daycare.
When I returned to ward, phones rang and rang....asking where is the ECG machine went? My goodness, it really scares me off. Amy and me quickly go to ICU to clarify it. Luckily, they know is at Daycare. No issue arise. Ah~ thanks!
Then, I did dressing and off CBD (urine bag connect to urethra). This is my first time off CBD, it was quite easy, no pain at all...
Last day of posting, I just started to do my CVS study case. CVS = cardiovascular system, dealing with heart and vessels. While doing case, I am waiting for Dr.S for his round. He finally came. I told him last day here. I wish to get a greeting from him. He is a nice person.
Today, SR.Q came to watch my friend's dressing. She told me that she only remember my name, which make me darn kancheong. Thinking what problem I've created that make her remember me. haha~ nevermind. She looks berniat baik. No harm to me. In fact, it is my pleasure that she remembers me and pronounced my name correctly. ^.^
I love today. I love 5-1's primary doctor's handwriting. I love the lift scene. I love the uncle. I love my CI. I love giving the best. Thanks ward 4B. everything everything......
I miss all the SN, SEN, HA, portal, lab people, special diagnostic people, housekeeping people and porter. Last but not least, the doctors.
Hmm, today passing report, I really don't know why..
I just lyed on Syuhada's shoulder and I just slept away with saliva meleleh-leleh. (haha ^.^)
Nvm.
After report finished, SN asked Amy and me to return portable ECG machine to ICU. We went down with the machine..pressing the passkey and passed through the ICU. A staff asked me to leave it there on the wall, no need to go in HDU to plug it. Then I just obey her command. Soon, I saw a staff pushing it out to Daycare.
When I returned to ward, phones rang and rang....asking where is the ECG machine went? My goodness, it really scares me off. Amy and me quickly go to ICU to clarify it. Luckily, they know is at Daycare. No issue arise. Ah~ thanks!
Then, I did dressing and off CBD (urine bag connect to urethra). This is my first time off CBD, it was quite easy, no pain at all...
Last day of posting, I just started to do my CVS study case. CVS = cardiovascular system, dealing with heart and vessels. While doing case, I am waiting for Dr.S for his round. He finally came. I told him last day here. I wish to get a greeting from him. He is a nice person.
Today, SR.Q came to watch my friend's dressing. She told me that she only remember my name, which make me darn kancheong. Thinking what problem I've created that make her remember me. haha~ nevermind. She looks berniat baik. No harm to me. In fact, it is my pleasure that she remembers me and pronounced my name correctly. ^.^
I love today. I love 5-1's primary doctor's handwriting. I love the lift scene. I love the uncle. I love my CI. I love giving the best. Thanks ward 4B. everything everything......
Wednesday, May 06, 2009
the Important lesson from Dr. S
Dr. S came for his round in my ward..and I brought out my book quickly to refer back what I have done about the Factors influencing wound healing.
He remembered that he asked me the question, then he asked :" Was it difficult?"
Poor me, I'd answered :"Yes." stupid Hsin Ni. I shouldn't.
He seemed not satisfy how I answer his question. I answered without prioritize the level of importance. I answered Haemorrhage, Immunosuppressed status, Hypovolemic, and all the rubbish. The correct ones are Immuno compromised, Age, Nutritional status, Underlying Disease such as Diabetes, Cancer, then followed by those rubbish...like infection larr, hypoxia larr...
He said I am not confident.
He pointed out all all all my problems
He taught me
1. Greet ppl
2. Introduce myself
3. Answer out accordingly
4. Look straight into examiner's eye
My god...I presented my answers terribly. He gave me one more homework for me to improve on. The question is What is Septic Arthritis? Point out a diagnosis and list out the treatment available for this diagnosis and the time limit is 2 days.
Don't worry Dr, I'll improve and make you change your mind! Check me out!
He remembered that he asked me the question, then he asked :" Was it difficult?"
Poor me, I'd answered :"Yes." stupid Hsin Ni. I shouldn't.
He seemed not satisfy how I answer his question. I answered without prioritize the level of importance. I answered Haemorrhage, Immunosuppressed status, Hypovolemic, and all the rubbish. The correct ones are Immuno compromised, Age, Nutritional status, Underlying Disease such as Diabetes, Cancer, then followed by those rubbish...like infection larr, hypoxia larr...
He said I am not confident.
He pointed out all all all my problems
He taught me
1. Greet ppl
2. Introduce myself
3. Answer out accordingly
4. Look straight into examiner's eye
My god...I presented my answers terribly. He gave me one more homework for me to improve on. The question is What is Septic Arthritis? Point out a diagnosis and list out the treatment available for this diagnosis and the time limit is 2 days.
Don't worry Dr, I'll improve and make you change your mind! Check me out!
Tuesday, May 05, 2009
Dr. S - Hi, Ladies!
Dr. S is an orthopaedic consultant in SMC.
It is nice to follow him for his orthopaedic round in ward and in Out-patient Department.
He is willing to teach us (student nurses) what about his own patients. Sometimes, when you are lucky, you can get homework from him and remind him to ask you to tell him what you've found about the homework he gave.
He is a very understanding dr. He will try his best to discharge pt whenever pt is okay to discharge. He thinks about pt's financial and family members, too! He always try to speak cantonese to pt "有痛？没痛？少少痛？" with a bit of his tamil accent...but understandable larr. Pt will answer accordingly.
There was one time in Out-patient Department, a female pt told Amy and me : "医生的样子像傻子，傻傻地。" Then, he asked : "What did she say?" ...we were scratching our head to think what to tell? the lie or the truth? as it was not a good word to tell in front of the dr. Pt was asking us not to tell but dr wanted to know..Then, I wanted to tell : "She said you look like sxxpxx." but I didn't say it because Amy answered faster : "She said you look blur blur." haha..what a great answer. That was a great scene to be there to watch the dilemma of two naive student nurses. hahaha \(*v*)/
Dr. S is gentlemen. Most of the time he will greet : "Hi, ladies!" to all of us..which is quite sweet to listen a dr. greets like this to nurses. When going out of the ward : "Bye, ladies!" hehe =p very shuang.
Last few weeks, he gave Amy and me a homework about Compartment Syndrome and we prepared something to tell him back. He really listen to us and explain more details to us. From 30% understanding flew to 80% understanding about Compartment Syndrome (general larr)... consider geng already you know... eventhough I checked through Wikipedia, it is also quite difficult to understand for a layman like me... ish~! but Thanks a lot, Dr. S! You taught me a lot.
Yesterday, like usual, I'd followed him for his orthopaedic round, something funny happened.
Dr. :"Okay ladies (Jun and me), this pt has Lew-Shin-Kou."
HN :"Ok.."
Dr. :"Do you know what is that?"
HN :oh shit.. "Hehe, no."
Dr. :"You mean you don't know what is Lew-Shin-Kou?"
HN :"Oh, yea lorr." shit lorr what medical term is that? I must know wan meh?
quickly took out my book and write down Lew-Shin-Kou..go back home google it.
Dr. :"It means this pt has high urine acid."
HN :"Oh, okay."
.............
.............
HN :"Oh!!! 尿酸高!!!!! hahahahahaha!!!"
Dr. :"Understood already?"
HN :"Haha, yes yes yes."
Dr. :"It is called Lew-Shin-Kou in cantonese."
HN :"Haha, yea lorr.."
He pulak yang teaches us cantonese...my god! His tamil accent ah..real funny one. =p
Today, he gave me a homework about wound healing.
Dr. :"Okay, you find out for me what is the factors influencing wound healing."
HN...blue-ed off~ =)
Now, google-ing. Factors influencing wound healing.
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.
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... =)
Tuesday, April 07, 2009
Friday, April 03, 2009
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...
Saturday, October 25, 2008
I love nursing~
As already forth week of posting in Sun Med, I've confronted so many patients(pt). My ward, which is 4A, almost everyday also full house. I've care for so many pts, old pt up to 91, an old woman who is already announced DNR(Do Not Resussitate) by dr., she has a huge bedsore at her buttock, youngest pt which is a 14 years old boy, when I see him, he reminds me of my brother. I care when he has difficulty in sleeping, feels hot or chill, sore throat.
I've did bedbath for 3 pts so far. The first was a 17 y/Male, second was quite old/Female, the latest was 31y/M, which is a tepid sponging, he has 38.6*C fever. Dr. asked to do tepid sponging for him and Nicole did it with me. When this pt discharged, he waved to me and said 'Byebye', I really feel glad to care for him.
In addition, I've also took 'good' care of a 22y/M pt, who has a fever also. He has a drip with a drip machine. Very 'fortunately', his machine is the very sensitive one, move a bit also make noise. That day luckily I was under his bed ward team, I solved all his drip problems. One day, when he discharged, his girlfriend thank me that I took care of her boyboy. I was very happy to hear that.
Of course, to let everything goes smoothly, including observation(obs), medicine, reports, admissions, discharges, transfer-in and out(t/i t/o), update charts, receiving calls, passing reports, pt's diet, maintain pt's cleanliness all cannot be done by only one nurse. We need two teams of nurses. Each team consists of In-charge(i/c), who is going to pass report and doing management of the day, Runner(R), who runs the ward to observe pt, charts and sends pt from here and there, Medicine Nurse(Med), who serves medicine, does dressing. Everyday, everybody will hold a different role of nurse, which I feel is enjoyable.
What I do everyday now is to tag with a Runner, make bed, do obs and do any procedure that can allow me to get a cross, say Oral care, Hand washing, Positioning, Charting, Admission... I love to see everybody working together as a team to make pt get well. Nursing is interesting, trust me!
I've did bedbath for 3 pts so far. The first was a 17 y/Male, second was quite old/Female, the latest was 31y/M, which is a tepid sponging, he has 38.6*C fever. Dr. asked to do tepid sponging for him and Nicole did it with me. When this pt discharged, he waved to me and said 'Byebye', I really feel glad to care for him.
In addition, I've also took 'good' care of a 22y/M pt, who has a fever also. He has a drip with a drip machine. Very 'fortunately', his machine is the very sensitive one, move a bit also make noise. That day luckily I was under his bed ward team, I solved all his drip problems. One day, when he discharged, his girlfriend thank me that I took care of her boyboy. I was very happy to hear that.
Of course, to let everything goes smoothly, including observation(obs), medicine, reports, admissions, discharges, transfer-in and out(t/i t/o), update charts, receiving calls, passing reports, pt's diet, maintain pt's cleanliness all cannot be done by only one nurse. We need two teams of nurses. Each team consists of In-charge(i/c), who is going to pass report and doing management of the day, Runner(R), who runs the ward to observe pt, charts and sends pt from here and there, Medicine Nurse(Med), who serves medicine, does dressing. Everyday, everybody will hold a different role of nurse, which I feel is enjoyable.
What I do everyday now is to tag with a Runner, make bed, do obs and do any procedure that can allow me to get a cross, say Oral care, Hand washing, Positioning, Charting, Admission... I love to see everybody working together as a team to make pt get well. Nursing is interesting, trust me!
Friday, September 26, 2008
Updates of myself
1. How are you?
ans: I am fine.
2. How is your clinical posting?
ans: Oh, initially I was so not looking forward to it but not I enjoyed confronting patients everyday.
3. What makes you happy?
ans: when patients are healthy discharged.
4. What special experiences you gained?
ans: I saw the thing of a man and it really shocked me, I didn't know it is like so big. >.<
hahaha...
ans: I am fine.
2. How is your clinical posting?
ans: Oh, initially I was so not looking forward to it but not I enjoyed confronting patients everyday.
3. What makes you happy?
ans: when patients are healthy discharged.
4. What special experiences you gained?
ans: I saw the thing of a man and it really shocked me, I didn't know it is like so big. >.<
hahaha...
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