Wednesday, October 7, 2009
goodness, my 2 morning shift sucks like hell.
Monday 5/10/09
morning shift.
i regretted changing shift with elcy.
Monday morning, 3 teams, hell lot of things to follow up!
so many hourly CLC.
this one amkch, need to create application, ask pt/ot to key in
the other one need renci but got CSC card, so going amkch instead, need to key in application again
goodness, I'm like creating ics the 2 of them can!
a pt going rehab tomorrow and i started with booking bed from ttsh rehab bmu, and doing everything
one pt going discharge and the wife calling every few hours to ask if the pt confirmed for discharge when all the Dr's cannot confirm.
and kena scolded by the wife because nc told her to come when the pt not supposed for home yet.
one off IDC and cannot pu, so need to reinsert and go home with catheter
zz
one need to off malecot drain, and waited for damn long for the Dr to off, and they only came at 2pm when I'm supposed to pass report and they don't know how to flush and off the drain at all!
while I'm assisting the drs, the whole world kept calling me, looking for me, goodness!!
and as usual, the damn confused and restless pt who kept praying kind of turn violent.
expected, he pulled out the plug, refused food and medication, spitting saliva on everyone.
and guess what, the team ordered drip for him and when the stupid dr came to set plug, he just told us to go restrain the pt.
fine, few of us tried, and our arms are all pinched, near fractured, LOL
seriously, he was that strong that 5-7 of us cant even hold him down.
when i walked out to inform the dr that we cannot restrain him, guess what, he told us to get the
security and inform him after restraining him.
when me and ilfan was already like
#@%$#@^%$^
and asked him, what makes him think that the plug will even last, and he just was damn sarcastic, asking us if he should withhold all treatment for the pt instead.
ma de!
fine, security came, and he is no where insight to help out.
only left with the female mo instead.
after trying damn hard damn hard, even sister tan came in to help us, we managed to hold him down with 3 point restrain.
and the female dr took damn long to decide wad sedative she wants to use.
from im halo to diazepam, and ended up ordering PO olanzapine, which took the pharmacy 1 hr to supply and the pt spit out the moment i put it, attempting to bite my hands.LOL
after multiple attempts, he kind of took it partially. which melted in his mouth, LOL
and worse of all, with so many things on hand, i have to guide ilfan's disciple which made me even more busy to guide her to do this and that, answer to all her questions.
cool cool. chill chill. that's what i told myself throughout everything.
this and that things, and finally work ended.
went town for a while with ilfan, nicole and lingyan. and i left earlier because my lip swell out of no where and I'm still on morning shift on Tuesday!
bought cornery popcorns again. the honey mustard is damn nice, caramel is so-so only.
went back home and sleeeeep!
Tuesday 6/10/09
morning shift again!
goodnessly goodnessly goodness.
stat doses of IV medications not given.
one doing bone marrow aspiration. as usual, the haemato lab people is damn kan chiong and everything must be ready ready.
and the MO doing the procedure don't know what he whats to use, and kept asking for things here and there. the lab person was like instructing him here and there la.
and i spent 1 hr in there la!!!
my new case came when I'm still doing the BMA, luckily izzati did for me and low helped me inform the drs.
and transport for my pt that is going rehab came
luckily I've already got the medications and milk, handed over the case etc.
luckily i settled most of the things yesterday.
but the pt had to soil the whole bed just before going.
as usual, everyone calling me here and there
and this katini kept telling me to bathe in 7 flower water, cause im always so busy. LOL
hourly hypocount remained hourly hypocount.
few hourly parameters
confused pt remained confused. but luckily i managed to stuff one of the medication in
and he managed to quieten down a little, late morning.
pt going home with catheter, CGT to be done. luckily izzati do it for me because as usual the pt kept asking and asking and asking.
just like when he asks for tramadol. lol!
i think it is a family trait la, the daughter also same.
when i barely settled my new case, another came to occupy the bed the went rehab.
and confused pt had to go down for MRI with sedation. and i feel like scolding the mri room person. tell me is open time. of cos i know that, if not i wouldn't call them to it during office hours because the pt needs to be sedated!
i don't know if the mri room person is deaf or hard of hearing that she don't understand the pt needs to be sedated orally and kiv for IV sedation, and keep telling me need consent need consent. when ppl ask her the time so that we can give the sedation and ask stupid questions!
ma de!
luckily celine helped me send this pt down.
out of no where, another pt for discharge.
and that GM reg is so sickening. don't know when her mo ordered SC insulin and kept asking why we didn't serve when i didn't even see the order the last time i did the hypocount
arggggg.
i felt like my legs are breaking.
I'm kind of happy to change shift with rabia, to do afternoon tomorrow.
i slept till 10pm right after i reach home.
