2 weeks pa lang ako sa Ward as a trainee (meaning, I still need mentoring and coaching) nito nahihirapan na ako. What more kung rookie staff na ako? Oh gosh! Please pray for me. Any area but the other side of 4A. You're asking why? Because "nangangagat" ang ibang staff dun, based on my experience last Tuesday.
The experience was pretty... pretty ugly! 2-10 shift ko that day. Tapos absent ang mga senior staff namin kaya nag-pull out ng 2 senior staff from 2 different floors. Yung isa mabait, mahinahon, maayos ang trato sa mga noobs like me, and maayos makipag-usap.
The other one is the EXACT opposite of all the traits I've stated above. Hell yeah!
Toxic begins at around 4p.m. Patient X is for thoracenthesis stat due to some fluids accumulated in her lungs. "Stat" means now which results from panic among young doctors and nurses (me and my supposed mentor) because we have to prepare the materials needed which are not readily available in our area. True enough, when the consultant (specialist doctor) does the procedure, kulang-kulang ang gamit nila kaya labas pasok ako sa room ng patient.
After the procedure, the specimen aspirated from the patients lungs is MISSING. That's the start of the crankiness of my "buddy." She's a smoker, by the way, kaya ganun. She scolded me hanapin ko daw kase patient ko yun dapat alam ko ano ginamit sa kanya etc.
I found the specimen vial in the yellow trash bin (yellow=infectious). She's the one who discarded it. Darn it.
Toxic relative: Now, the patient's daughter, who turns out to be a health worker, arrives and complains that the procedure was incorrectly done daw. She wasn't even there kaya natatawa lang ako nung umaangal sya sa kin na kesyo "mali ang tusok nyo."
Toxic patient: The husband calls the nurse's station to report that his wife has turned into paper white appearance. Sobrang pale nya. So the resident doctors arrive and checks her blood pressure (60/palpatory=hypotension) and made some orders: ECG (c/o me), CBG (c/o me), dopamine drip (c/o me), lab works (c/o med tech.). My buddy left me alone on these tasks. Good riddance, tinulungan ako ng co-trainee ko who has 8 months experience in the ICU. What a relief!
Aside from these tasks, may mga documentation pa yan, may 2 pa akong patients na aasikasuhin who need medications and monitoring. May charting pa. In fairness to my senior buddy, she did naman the charting of the toxic patient. Grabe, every hour may doctor's order pa.
Finally, that patient was ordered to be transferred to ICU (c/o me and my senior buddy).
After transferring the patient, akala ko uwian na. May 2 patients pa pala ako. I did a skin test with the newly admitted patient to test if he's allergic to the antibiotic that he needs. Tapos charting/documentation ulit.
Ayon, natapos din ang gabi, nakauwi ako ng intact ang sanity at license ko.
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