Busy night..
My 2nd night was horrendous!
Mic down with GE, after eating the food at 7/11 previous night! man, dont eat that next time. Shall remind my colleagues not to eat that. Then someone was called back for night duty, then she seems not willing.. and senior of the previous shift seems unhappy, and they had a small lil argument. But seriously, no one is forcing her to come.
I was general medical I/C.. however the oncology side is damn heavy when we took over. Report passing time, many of the charts not updated. No one bothered to update the charts. Last intake entry at 3pm. Last parameters taken at 5pm. Ohh.. so heavy in the PM...
One of the patient just transferred from HD, then her condition wasn't good. She's taking up a lot of effort in breathing, respiration rate - >60-70 Sao2 - highest was 91% when i went in to check on her, a transient pick up to 95% with much effort. Throughout, the sao2 dont seemed to pick up, and it de-saturate to 85%. Oxygen supplement was already 12L then.
I went to standby with a non-rebreathing mask. Then dr. asked me to prepare to tube the child, they might want to intubate in the ward then send to CICU. HUH?!?
I-stat, done for the child, put on non-rebreathing mask and ended up sending the child down to HD first after registrar came to R/V.
CPAP was initiated on her first, but it dont seem to work, saO2 still persists at 90%. She was sent down to CICU immediaely and was intubated.
I felt a tinge of sadness. She's a case of neuroblastoma, a huge tumor in the stomach is suppressing. She's only a year old. Her mom and dad, is shagged to the max after taking care of her.
Everything settled at 2 am. That's when i started handling back my medical case. Prior that i was doing the vitals, writing the I/O for the 5 onco case. Pre entry for all the IV's and 6hourly totalling.
I really wondered why! Why? Why is taking 4H parameters and BP for onco patient so difficult? The junior wouldn't do it.
I've got 3 new cases, all 3 of them have got procedures, 2 of which is blood c/s and all 3 needs a iv plug.
Everything more or less settled at 4am. Then managed to sit down to rest my feet, interrupted by the call bells again.
Ate my choco bread with milk. Infusion drip alarms, in the midst of flickering the bubbles in the tubing, my nail bed and my fingers accidentally shrugged it off, and slight bleeding and slight attachment was seen. Applied tetracycline, and i was immobile with the less movement of my right thumb. How suay!
Prepare the cocktails of IV's at 6am, and ready to pass report at 7am. Managed to pass over everything to the next shift by 7.30am and i left the ward.
Why is it 黑将油的皮肤，有很多话说，他一直告诉我很多我没兴趣的事。可能我跟他站的立场不一样吧！我也只点头回应，不想多说。但她还继续说。我啊，多么希望下一站快点到达。我闭着眼睛，她还说不停。真的佩服她。
Back home before 9. Bathed and all, off i went to snooze til now.
Mom bought India Rojak, and i was happily eating them and blogging away!
Guess, wont be meeting mylove tonight again. Shall stay home and rest then.
Wen be gone..
Mic down with GE, after eating the food at 7/11 previous night! man, dont eat that next time. Shall remind my colleagues not to eat that. Then someone was called back for night duty, then she seems not willing.. and senior of the previous shift seems unhappy, and they had a small lil argument. But seriously, no one is forcing her to come.
I was general medical I/C.. however the oncology side is damn heavy when we took over. Report passing time, many of the charts not updated. No one bothered to update the charts. Last intake entry at 3pm. Last parameters taken at 5pm. Ohh.. so heavy in the PM...
One of the patient just transferred from HD, then her condition wasn't good. She's taking up a lot of effort in breathing, respiration rate - >60-70 Sao2 - highest was 91% when i went in to check on her, a transient pick up to 95% with much effort. Throughout, the sao2 dont seemed to pick up, and it de-saturate to 85%. Oxygen supplement was already 12L then.
I went to standby with a non-rebreathing mask. Then dr. asked me to prepare to tube the child, they might want to intubate in the ward then send to CICU. HUH?!?
I-stat, done for the child, put on non-rebreathing mask and ended up sending the child down to HD first after registrar came to R/V.
CPAP was initiated on her first, but it dont seem to work, saO2 still persists at 90%. She was sent down to CICU immediaely and was intubated.
I felt a tinge of sadness. She's a case of neuroblastoma, a huge tumor in the stomach is suppressing. She's only a year old. Her mom and dad, is shagged to the max after taking care of her.
Everything settled at 2 am. That's when i started handling back my medical case. Prior that i was doing the vitals, writing the I/O for the 5 onco case. Pre entry for all the IV's and 6hourly totalling.
I really wondered why! Why? Why is taking 4H parameters and BP for onco patient so difficult? The junior wouldn't do it.
I've got 3 new cases, all 3 of them have got procedures, 2 of which is blood c/s and all 3 needs a iv plug.
Everything more or less settled at 4am. Then managed to sit down to rest my feet, interrupted by the call bells again.
Ate my choco bread with milk. Infusion drip alarms, in the midst of flickering the bubbles in the tubing, my nail bed and my fingers accidentally shrugged it off, and slight bleeding and slight attachment was seen. Applied tetracycline, and i was immobile with the less movement of my right thumb. How suay!
Prepare the cocktails of IV's at 6am, and ready to pass report at 7am. Managed to pass over everything to the next shift by 7.30am and i left the ward.
Why is it 黑将油的皮肤，有很多话说，他一直告诉我很多我没兴趣的事。可能我跟他站的立场不一样吧！我也只点头回应，不想多说。但她还继续说。我啊，多么希望下一站快点到达。我闭着眼睛，她还说不停。真的佩服她。
Back home before 9. Bathed and all, off i went to snooze til now.
Mom bought India Rojak, and i was happily eating them and blogging away!
Guess, wont be meeting mylove tonight again. Shall stay home and rest then.
Wen be gone..
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