A time to rest..

.Exam.

.Is.Over.

That time of the sem again

Preparation for war

Stationeries
Check!

...

Note papers
Check!

...

Supplement
Check!

...

Fuel
Check!

...

Notes to study:
TOO MUCH!

~~~

Write till no ink!
LOL

A new beginning in semester 4

Too long not blogging, hope my readers are still here..


Anyway, the new semester started with a theory block and there are loads of subjects for this sem!!
One of them is my all time favorite O&G Nursing..

Anyway, this sem is full of topics!!

• Communicable disease


• Endocrine disorders


• GU disorders


• Integumentary disorders


• O&G


• Peads


• Nursing Professionalism

Uuhh!! Very much to study!!

But not a problem as I had turn over a new leaf, so I shall conquer this semester!


This year's resolution in nursing:

1. Study hard, VERY HarD



2. Pay attention in class



3. Be more Diligence, Alert & Hardworking

This sem I want to do my best!

Happy 2012

Semester 4 coming soon....!!!

Towards the final goal...

Nurse Practitioner

I did nothing wrong

This happened about 2 or 3 hours ago..
I was just about to finish my shift when I saw my friend attending a patient..
I want over to help.. The patient was ill..


As he was on hourly BP monitoring, I check his BP using a machine..
Manual BP couldn' be done as the korokoff sound cannot be heard..
It shows error at first, but then the staff nurse managed to get the result which was 45/38..


Then my friend discovered that the patient's fingers was a little cyanosed..
So I check his SpO2 level, it was 66% in O2-2L..
I informed the staff nurse and she ordered to increase the O2..
The SpO2 was fluactuating so I charted his results in the observation chart..
The SpO2 was still in abnormal range..
The nasal prongs was changed to face mask, then non-rebreather mask and O2 increasing..


As the staff nurses was managing the patient, I charted the progress of what is happening..
All of sudden, on of my senior asked why am I charting??
I was like, am I wrong doing it???


Not just that, the staff nurse said I shouldn't be doing the chartings!


I was so dissapointed in their response!


Am I doing wrong?
Is it my mistake?
Was that incorrect?


If so, I really don't know which is the right way..
I was thought that documentation is very important, and I stand by this principle!

I did nothing wrong..

Spoil my day...

As you all know,
Today is Saturday..
I'm on morning shift today..

Saturday mornings in the ward are usually the calmest..
The day went off being good, everyone did their duties well..

Quite busy at times but manageable..
I was in a good mood until suddenly someone did something which I cant tolerate at all!!

I was waiting for a patient to be back from the imaging department..
I was going to give her an insulin injection and a medicine..

Since her diet tray is on her table top, so I placed the UNOPENED sachet of medication in a MEDICATION CUP aside in the diet tray..

As I'm managing some admission at the other bed, one of the attendant came into the bay to collect diet trays as it had passed lunch time..
After managing the admission, I noticed that the tray of diet was gone, together with the medicine!!
I was shocked!! Totally!
I went to her, and indeed she threw all the food in the tray into a plastic bag together with the medication..
I query her why she threw it, she just acted calm and said I can get another one..

Later, the patient came back..
I gave her the insulin, but she refused the medication..
Later before I left, she asked me for her lunch..
I was shocked, second time! She haven't eaten yet???
That tray of diet was untouched??

I was so frustrated!!
I cant face that attendant so I asked my friend to request a diet from her..
In the end, she only ordered some bread and milo for her!

I cant tolerate this!
You might think that it's just a tray of diet, why make a fuss out of it?

You will know when you look at the patient's face..
She was starving! Asking where is her diet..
She was so lethargy..
When the bread was served, she was glad and was really enjoying the food..
This shows how hungry she actually was..
And she was just injected with insulin!

And I did complain this matter to my college..
I shall not let this pass..

A nurse's job include a lot of aspect..
From major, emergency procedures to minor, simple tasks..

A nurse's job is to care.
I am a nurse.
If I don't care, who else cares?

A Rememberance

Before I even step into the ward for practical, I was told by my tutors:

"There is a line between patient and nurses, dont cross it, be professional"

and I finally knew why..

We were told to talk to the patients in the ward by our clinical instructors, help them pass through time, cheer them up..
But there is always a borderline which we must not over stepped..

If you're lucky, it does no harm..
Unfortunately, mine was bad..

I still remember in Semester 1, when a group of us friends were posted to the same ward..
There we met an Indonesian lady, came in because of Ca Colon..
She had done an operation and was having a colostomy..
She was quite ill, she only lies on her bed even during mealtime..

We finally got close to her and her husband (which was good in joking), and her daughter..
Then one day, she collapsed and fortunately she was resuscitated and placed in CCU..
Even more fortunate was, she eventually was transferred out to the normal Cardiac Ward for heart monitoring..

This is when we met her son as her daughter went back to Indonesia..
Then we would be visiting them whenever we got the time..
And one day, I was so happy to see her finally sat up by herself to the bedside, taking her lunch!

Few days later, she was fit for discharge!
Before they left, we exchange our Facebook email with her son to stay in contact..
One of my friend asked
"is it ok to be so close to the patient?"
I replied that it was her son, not the patient..

Whenever she came back for a follow up, her husband would sure to contact one of us..
And we will always have a small gathering..
Their visit during my last semester was her final one..

2 days ago, I received an inbox message in my Facebook..
It was her son telling that her mom had passed away on the 11th of November..
I was shocked..
We never expected it..

Truly it was sad..
What we can do now is to hope she is in a better place..

..Nursing is a job not only of its skills and knowledge..
..But it also involves emotion and values..
..It is not an easy job, it was never an easy job..

Still, I did not regret crossing the line, because I know, we made a difference in their life..
We may not find another patient to be this close to again, but I really enjoy the time I can care for others..

Visit to Health Clinics

The next stop of our CHN visit is to rural health clinics..
The purpose is to understand the health settings and the services provided..





And the other group went to the BAKAS unit...
Enjoy the pics!

Very syok sbuject!!

Community Health Nursing (CHN) is a very good subject!
The whole oreintation week, we were all going for field trips!

Sadly, our group is too big, so we were divided into 2..
Therefore there are some places that I didnt go for..

Anyway, before the orientation week, we had a field trip we learnt about Environmental Health which is a sub-topic of Health Promotion, which is a sub for CHN..

We headed for 2 water purification centre..
First the Indah Water & second the PBA..

~Indah Water~

~PBA~

Stay tuned for CHN's orientation week!