...pt's family "Thank you for seeing my mother. Do you want me to get you something to eat?"
.."emmm no....I am good"
.."but you are pregnant, you have to take care of yourself"
..stunned..am I that fat? or is it the scrubs+outer gown
HAHA
Wednesday, September 22, 2010
Thursday, September 16, 2010
Moving forward
We had a Christian Medical and Dental retreat nationwide recently.It was short, but it feels good to play a small part in organizing...makes me take ownership and responsibility instead of just taking things forgranted.
Funnily enough, everyone raved about the hotel buffet breakfast-maybe because we normally don't get the luxury of hot breakfasts-bacon, eggs, chocolate crossiants...yumm...
Maybe it's the Asian in me (I always use that term but it's kind of stating the obvious because I am Asian inside out), loves buffets even though I am not a huge eater.
Monday, September 06, 2010
Realization no 5
I have a temper within me that I have not known for a long time...
and mainly to the nurses...
...who call me at 230 am to say "I need an IVC now...."
.."what is it for?"
.."Antibiotics"
.."Isn't antibiotics given at 6am earliest. I do a morning round anyway at 530-6 and always do all the IVCs and other tasks then. If I come around now, I will have to come again a few times throughout the night. If the cannula is for heparin infusion/PCA I can come immediately. and I am covering the whole hospital. I cannot be walking up and down for a cannula that is needed at 6"
.."yes, but if I don't tell you now, I cannot write it in my nursing notes 'MO contacted'"
.."then what is the use of the M0 communication book?"
.."I need to write in the notes that I have contacted you."
.."but it is not an urgent cannula."
...........at this point I give up trying to make paging a little more systematic/triage based.
And multiply this by 3-4 different wards and at random hours of the night.
^_^
Note: not all nurses are like that, I have done nights too at another hospital where they will only page when the cannula is urgent-PCA/heparin/somac infusion. They trust doctors enough that we will come around in the morning and we trust them enough that when they page, it is urgent and we will come immediately. The problem with nonsense paging is that after a while, you do not know when to take them seriously or not.
Page beeps..
..Reply page..rings and rings and rings and rings..
No one picks up phone
..Call again
Finally someone picks up the phone.
.."Hello you paged?" (hold my tongue-wanted to say if you page, wait by the phone. What is the use of paging and running away? And I take pages seriously and reply immediately!)
.."Come and review patient, she has respiratory distress"
.."1st of all where are you calling from, what is the patient in for?"
.."some history given..."
.."What are the obs"
.."I haven't done them"
.."How can you tell me patient is in respiratory distress when you haven't counted the respiratory rate, 02 stas. Again, I am covering the whole hospital and I need to triage which patient needs to be seen urgently more than the others..look someone else is paging me now..
You also need to do the obs because it might be severe enough to be a MET call!"
^_^
God I need a lot of patience!
and mainly to the nurses...
...who call me at 230 am to say "I need an IVC now...."
.."what is it for?"
.."Antibiotics"
.."Isn't antibiotics given at 6am earliest. I do a morning round anyway at 530-6 and always do all the IVCs and other tasks then. If I come around now, I will have to come again a few times throughout the night. If the cannula is for heparin infusion/PCA I can come immediately. and I am covering the whole hospital. I cannot be walking up and down for a cannula that is needed at 6"
.."yes, but if I don't tell you now, I cannot write it in my nursing notes 'MO contacted'"
.."then what is the use of the M0 communication book?"
.."I need to write in the notes that I have contacted you."
.."but it is not an urgent cannula."
...........at this point I give up trying to make paging a little more systematic/triage based.
And multiply this by 3-4 different wards and at random hours of the night.
^_^
Note: not all nurses are like that, I have done nights too at another hospital where they will only page when the cannula is urgent-PCA/heparin/somac infusion. They trust doctors enough that we will come around in the morning and we trust them enough that when they page, it is urgent and we will come immediately. The problem with nonsense paging is that after a while, you do not know when to take them seriously or not.
Page beeps..
..Reply page..rings and rings and rings and rings..
No one picks up phone
..Call again
Finally someone picks up the phone.
.."Hello you paged?" (hold my tongue-wanted to say if you page, wait by the phone. What is the use of paging and running away? And I take pages seriously and reply immediately!)
.."Come and review patient, she has respiratory distress"
.."1st of all where are you calling from, what is the patient in for?"
.."some history given..."
.."What are the obs"
.."I haven't done them"
.."How can you tell me patient is in respiratory distress when you haven't counted the respiratory rate, 02 stas. Again, I am covering the whole hospital and I need to triage which patient needs to be seen urgently more than the others..look someone else is paging me now..
You also need to do the obs because it might be severe enough to be a MET call!"
^_^
God I need a lot of patience!
Sunday, September 05, 2010
Realization no 4
I started off internship with terrible cannulation and blood taking skills.
Somehow (which I attribute to God's wisdom) I started off in a hospital where there's an after hours specialist nurse who can come and help with difficult cannulas.
Plus it was a surgical term so I certainly got lots of practice.
It was then followed by ED, then 1 week of nights (with another resident).
By the time I was placed on nights alone (only me for the whole hospital-but at least there's a med reg), thank God my cannulation has improved. Plus I had a gradual weaning to doing nights alone.
Somehow (which I attribute to God's wisdom) I started off in a hospital where there's an after hours specialist nurse who can come and help with difficult cannulas.
Plus it was a surgical term so I certainly got lots of practice.
It was then followed by ED, then 1 week of nights (with another resident).
By the time I was placed on nights alone (only me for the whole hospital-but at least there's a med reg), thank God my cannulation has improved. Plus I had a gradual weaning to doing nights alone.
Friday, September 03, 2010
Realization no 3
I can actually sleep anywhere.
I used to be sleep resistant, even as a student-never been able to doze off on the bus etc
But now, I can sleep on the couch in the doctor's common room, sitting upright on a chair....
...and I am not even doing the crazy hours doctors in Malaysia do
I used to be sleep resistant, even as a student-never been able to doze off on the bus etc
But now, I can sleep on the couch in the doctor's common room, sitting upright on a chair....
...and I am not even doing the crazy hours doctors in Malaysia do
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