Thursday, January 7, 2010
what a sucky day at work, on a wednesday morning
seriously, it started off like shit.
passed report so slow, passed till 820, somemore passing nonsense.
pt for coronary angio first case, NOTHING prepared, porter waiting there, no one willing to help, and we are still passing report!
NIC MIA as usual (ps, i was supposed to be nic la, but asked to take case, fine enough)
telling me nonsensical things when pt happily desat-ing behind me, telling me its ok when saturation is 50% on 100% o2, what the hell?
the pt is already going and she is still bothering me to ask the dr to key in the cardiac enzymes.
finish report don't know what she doing and she follow me around in the ward, kept asking me what has she left out, and don't want to go and do the checklist for the angio.
and i had to chase her to go back, because she is DAMN IRRITATING
the star team for that angio is damn irritating la. say must serve aspirin, no need give anti-hypertensive, luckily i check again and the instruction was to give the anti hypertensive.
then what la, she see me running around to get case sheet, do checklist still irritate me for denture box, and i had to tell her, to ask from someone else instead because she is telling me that the pt has to go down NOW!
fine settled the angio, i went back to see my dying pt, the team was there, so i went back to my medications. ask my preceptee to prepare first, when i finished 4 beds, she done with 1..
ok before i could finish more, the palliative team asked me to start fentanyl for the pt. fine enough i went immediately with help of lingyan to prepare.
at the same time, stupid cardiac lab called and say whatever supplemental consent wasn't signed, and consent was signed, and i had to ask the dr to sign the don't know what supplemental consent.
and when i went there with the pump and sc needle, the consultant told me not to start as pt has passed away.
hai, damn sad when i heard the words that the family told him, they couldn't accept it at all.
and i had to ask my preceptee to get someone else to finish up her last medication
and then meanwhile was starting spigot, arranging for my pt to go renci
and another NL pt who wants to go home, very insistent. well, refused the iv plug and the dr actually told me confirmed for home pm. so bloody hell, of cos the pt refused the plug we off it la, some more the damn irritating stupid dr told me, "u should sms me if the pt refused plug, and since when i told u the pt going home? i thought i said KIV?" and went on telling me that "we work as a team and ultimately i'll be the one who set the plug and imagine i told u that i see a pt, and the pt doesn't require ngt and i pull out the ngt, how will u feel" bloody hell make my blood boil, i don't need YOU to set plug for me, and whatever about the NGT, because u wouldn't be so good to remove the NGT for me if the pt dont require it.
bloody hell turn his words around, conveniently saying that he told me KIV
WHATEVER la, ended up the pt insisted for discharge anyway. even if we dont off the plug, the pt will pull it out anyway, because he refuses everything what! what is the point of the plug kept there then? and since when we inform doctors for this kind of issues?
to hell with u, irritating specimen.
ma de ji dan gao, spoilt my day
and stupid renci, refuses to accept my pt because the pt on RT, and luckily the dr arrange it for me. and i had to call the stupid star team to scold them because the gave me a porter to send the pt for RT and never even called to tell us, when the AN either is went for break or packing my pt
and then within 10mins i saw a HCA, what the hell right?
and the SN at renci ask so many wu liao questions when i pass case to her. HAIYO!
barely settled down, another case from ED resus came, with head bleeding like nobody's business.
don't know la, finish work still must go return the fentanyl to pharmacist, and waited damn long.
luckily lingyan accompanied me down.
sucks la, this kind of work sucks man. and i really threw my student alone for today because she is simply too dependent on me, even writing simple report she also want me to spoon feed.
hai. i think I'm a bit bad la, but i hope she learns from it.
i only finished everything at 5.
super shag and i fell asleep at toh hsien yew's bed while waiting for him to get ready before we went dinner with my mum.
Tuesday, January 5, 2010
my goodness, first monday of 2010
sucks totally.
sent my DIL active pt for ct thorax after he desat
and i was busy getting everything ready and it made me sweat like shit
imagine, u've got a monitoring machine and the damn sp02 canot work.
u went to get another sp02 monitor because that damn dinamap beside u got stuck somewhere
and that probe of the sp02 monitor just doesnt fit
with the dr and porter looking at me, in a ready-get-set-and-go mode.
and all the oxygen tank had to go almost empty
nooby me had to change the tank
goodness, luckily noor helped me
and janice's side had to sent another to HD and we were fighting for ekit
but she went first, and i went down with some drugs i could find here and there.
and that pt had to go HD after CT and the bed in HD wasn't ready and i had to go back to ward.
and oxygen tank went empty again.
then i had to change that tank again, this time, lingyan, noor and me was there
but i've forgot to attact that thingy first before opening the oxygen and the oxygen went "boom boom boom" rushing out, and janice came running in because it was too loud. HAHA!
finally sent off the pt to HD, and bla bla bla, some hiccups here and there, which includes no AN to sent down, and janice almost had to send down with me; isolation bed becomes normal HD bed; and bla bla bla.
finally ended, but back to ward, and entertain all relatives for updates
in conclusion, it sucks to work on a monday, worse still, a monday after long holidays