Monday, May 18, 2009
lost track of what to write.
morning shift on Tuesday was a little sian at first
because they put izzati to team2she was team 1 with me the day before.
zz
i was rather busy
and i think my new AN was even busier
all thanks to izzati who help me insert 2 IDC, damn the doctors who wants PVRU like so randomly and happily IDC IDC.
met tang and janeyjaneyjane after work
and my hp went low batt again
zz
we went for mos burger for our late lunch
and kbox after that
pang pang has his nights out and he joined us
and went back home about 10pm
and that 2 stupid irritating woman laughing at my eIMR login name.
the ugly ugly us
and imitating ppl. hahaha


i went back home and slept early early
because i had to work 3 nights
damn sian damn sian!
first night
busy like siao
i dont know how to describe
but it was just super busy
3 admission within 15 mins intervals
i couldn't finish my report until almost 4am
so many hourlys.
wah kao!
had to give the morning IVs which is like hell lot of it
and all my pts are all climbers lor.
we nurse like 5 pts outside?
2nd night was a breeze because its all full house
still have hourlys but its ok
3rd night was very okay at the start
but i couldn't agree more with Janice's 3rd night curse
the GM on call was like shit because she doesn't know how to give a iv 1g rocephine and kept on asking me how long she should give it.
and whether she has to sign the eIMR now or tomorrow morning!
a new admission came at 5am
HI, GCS 11, 100% o2, spinal nursing
some more the NS oncall that day was damn irritating and stupid
the moment she came and clerk the case at 6, she wants everything STAT
stat hypocount, stat fast drip when the pt bp is damn ok
off oral airway and off the 100% o2 just like that
and i was very shocked at that point in time that i said u cant off the 02 just like that! u have to wean it off!
and she happily just turn the o2 down to 9L
and i rushed to do the one whole stack of hypocount when the doctor continued asking ppl to do things stat for her
she took ABG without keying in, fine, i could still use a manual form
but she cover the ABG syringe with a needle, and i had to rush to prepare the ice and rush back to her to get the cap for the syringe, and label it for her because she is still busying finding a vein for a plug
and worrying that the specimen might get clot at the same time.
ma de!
when i finally done with the damn ABG, i rushed backed to the pt and my AN still inserting IDC
and the doctor happily wine up the bed when the pt is spinal nursing
i asked her does the pt still need spinal nursing, she asked me "the CT head is clear is it?"
hello? u r the doctor leh!
and because she wind up the bed, of coz its very difficult to insert the IDC la,
and at the same time the doctor is still finding the vein to insert the plug
so we said, to wait for her to finish setting the plug before we cont with the IDC
and the doctor said "if u cant insert the IDC i will"
fine.
and while she is still setting the plug, the saturation kept dropping
so i put her back on the 100% 02
it still didn't improve
and out of the sudden the doctor said activate the airway team
when we haven even push the e trolley
luckily celine helped me to bag the pt.
i wanted to push the e trolley and she asked for a STAT hypocount again
i had to ask my colleagues for help to call the airway team since the doctor wants it even she haven even tried anything yet'
when i took the hypocount, it shows 24.3
i asked her is she wants to give more insulin, she said no.
and i asked her like 5min later if she wants to recheck hypocount, she said no need
and i don't know whats wrong with her that she walked off
when the airway team arrived, we asked the doctor whats the resus status, is it for active.
she say she don't know!
and when the airway team asked what happened to the pt, the doctor couldnt tell her and we nurses had to update the airway team.
and the airway team was damn pissed because the doctor didnt try intubating before calling on her
the airway doctor had to update the relatives for her, book an ICU bed for her because she doesn't know that she has to book an ICU bed until i told her to
when she still happily still writing the clerking sheet.
zzz!
the whole process, i was damn angry because she doesn't know what's she doing
luckily the airway doc was there.
3 nights was finally over
i was very tired when i reached home
went to cwp for late lunch at ichiban when i got up
and to ben house then to toh hsien yew house to sleep
my whole Sunday was spent sleeping and watching repeated shows on tv at toh hsien yew house because he is happily playing his com ignoring me
because i don't have a com to play at his house.
=(
and went ichiban with his family during evening.
sian sian sian
morning shift tomorrow