Rode to work . Was early . Face book . PP Stream .
Worked . In charge of Room 19 and Room 20 . Room 19 self extubated . Never mind , they were trying to self breath test anyway . So I asked the Doctor Su Ann if they wanted to transfer her out . The reply I got was that Renal side is trying to push to Cardio .
I passed over to Yvonne .... and they told me to transfer patient to Ward 42 ICA . Room 08 Bed 07 . Excellent ! So last minute ! May helped me e-porter . Yvonne helped me to fill up the transfer check list . Michelle actually went to do turning and helped me do ECG . Sorry . I did not know that the patient is for transfer as well .... Other colleagues helped me pack and prepare , transfer the patient to the trolley . And the porter came just as I was trying to write my report . Excellent ! Henna actually asked me if I need her to help me transfer . Nope . I was close to tears by then ....
I went down . There was no patient at all . It was so peaceful .... but I heard got 3 patients coming in . I passed over the Citrix , CLMM , COPE . I never even pass the case notes and the staff was aright with it . Their old patient .
I finished my report and went back .
I passed over Room 20 to Lu Han . Doctor Mark started Morphine all because that patient complained of stomach pain and they can do nothing about it .
Noradrenaline - 0.3mcg/kg/hour . Fentanyl at 0.6mls/hour . Dextrose saline 1 litre over 24 hours , 21 drops per hour .
I came back from break and realized that my Fentanyl was up to 2mls/hour . 200mcg/hour . Okay . I did not get to see Saw when I came back from break . They removed the Swan Gauze as well .
I helped Saw to take ScVo2 and emptied the effluent bag while he went for " break . " He forgot that it was Friday and he got to go for later break time .
I passed over to Lu Han . Realized that there was no range for my Fentanyl . 0.6mls/hour was what the night staff passed over to me .
Then , since I have 2pm antibiotics to run as well , I totally forgot all about the femoral vascular catheter ! I asked Ber and she told me that hydration and antibiotics run together with the monitoring port , with another 3 way . Then both Fentanyl and Morphine as 1 port . And the Noradrenaline as 1 .
Not happy .
It was shortly after that then I realized that actually , she saw 7mls of Fentanyl when she took over . Jieling asked me about it . I explained to her . Jane , Ber and Michelle asked as well .
The story goes -
I was inside my Room 19 , feeding 2pm medications , even thought it was only 12pm plus . But I gave early since her irritating family members kept asking about the eye drops . So I dropped , and fed her her medications .
Tse Lert came in . She told me that my Room 20's Fentanyl finished ! SHIT ! If I had prepared any syringe .... nope . And it suddenly occurred that I left both Fentanyl and Morphine on the computer outside only !
WIN !
Thank god that my medications did not lost , if not my head will row !
So , I settled my Room 19 ( because I thought that the patient will be just .... the same . Not going out . ) and went to Room 20 . My Fentanyl was already in stand by .
Extra work . Doctor Mark wanted to start Morphine . So I prepared my Morphine - 1 vial mixed with normal saline 10mls . Fentanyl 2 vial into 20mls normal saline .
She came in to check patient just as I was by the basin preparing the medications .
So , how can there be 7mls of Fentanyl when it was already in stand by mode and I was preparing it ?!
The seniors even log in and went into the system to check the timing I took out the medications . 2 vial of Fentanyl . I was correct . Not as if I took 3 vial and gave it within an hour - just like what Nor An said .
Lu Han asked me who counter check my medications . Saw . But according to Saw , Lu Han said that it was HIM who prepared the medications . But nope . She asked me who counter check the medications for me ! I even double checked with him how to dilute the medications - which I am correct .
Nor An was asking me what happened , Jason was around as well . Saw admitted that he checked the medications with me , and that I am correct . He will answer if there's anything ..... He said it to them .
So I explained to everybody . Jane , Ber , Michelle , Nor An all said that I got to at least explain to Lu Han , in case the misunderstanding get worst . Nor An assisted me with the documentation . Said that I got to write purge how much during the procedure and the clinical charting .
So I approached her . Nor An was nice , she helped me speak up and explained as well .
She answered , since that's what you said , then I just take it .
I rode home at once , without bathing ....
Zoom !!!!!!!!!!!!
First thing !
Pasted my fake nails !
I slept on the floor .... waiting for him . He told me that he was with his patents at Expo . The Natas fair . For Taiwan tour to visit him .
Slept .
They finally called .
Ku Clinic offered $2700 . But I'm waiting for another response as well . He asked me to call them ... which I did not .
He called me again . I told him that nobody answer . He said he would sent my application to the Neuroscience ....
That was when she called ! $16 per hour .
I asked him . We discussed .
I slept again .
So last minute . So I changed and everything . He got for me Ee Mian at the smaller hawker centre . He went back to the car to get his Ipad so that he can search about the labour law .
Went home ... He drove back ....
Worked . In charge of Room 19 and Room 20 . Room 19 self extubated . Never mind , they were trying to self breath test anyway . So I asked the Doctor Su Ann if they wanted to transfer her out . The reply I got was that Renal side is trying to push to Cardio .
I passed over to Yvonne .... and they told me to transfer patient to Ward 42 ICA . Room 08 Bed 07 . Excellent ! So last minute ! May helped me e-porter . Yvonne helped me to fill up the transfer check list . Michelle actually went to do turning and helped me do ECG . Sorry . I did not know that the patient is for transfer as well .... Other colleagues helped me pack and prepare , transfer the patient to the trolley . And the porter came just as I was trying to write my report . Excellent ! Henna actually asked me if I need her to help me transfer . Nope . I was close to tears by then ....
I went down . There was no patient at all . It was so peaceful .... but I heard got 3 patients coming in . I passed over the Citrix , CLMM , COPE . I never even pass the case notes and the staff was aright with it . Their old patient .
I finished my report and went back .
I passed over Room 20 to Lu Han . Doctor Mark started Morphine all because that patient complained of stomach pain and they can do nothing about it .
Noradrenaline - 0.3mcg/kg/hour . Fentanyl at 0.6mls/hour . Dextrose saline 1 litre over 24 hours , 21 drops per hour .
I came back from break and realized that my Fentanyl was up to 2mls/hour . 200mcg/hour . Okay . I did not get to see Saw when I came back from break . They removed the Swan Gauze as well .
I helped Saw to take ScVo2 and emptied the effluent bag while he went for " break . " He forgot that it was Friday and he got to go for later break time .
I passed over to Lu Han . Realized that there was no range for my Fentanyl . 0.6mls/hour was what the night staff passed over to me .
Then , since I have 2pm antibiotics to run as well , I totally forgot all about the femoral vascular catheter ! I asked Ber and she told me that hydration and antibiotics run together with the monitoring port , with another 3 way . Then both Fentanyl and Morphine as 1 port . And the Noradrenaline as 1 .
Not happy .
It was shortly after that then I realized that actually , she saw 7mls of Fentanyl when she took over . Jieling asked me about it . I explained to her . Jane , Ber and Michelle asked as well .
The story goes -
I was inside my Room 19 , feeding 2pm medications , even thought it was only 12pm plus . But I gave early since her irritating family members kept asking about the eye drops . So I dropped , and fed her her medications .
Tse Lert came in . She told me that my Room 20's Fentanyl finished ! SHIT ! If I had prepared any syringe .... nope . And it suddenly occurred that I left both Fentanyl and Morphine on the computer outside only !
WIN !
Thank god that my medications did not lost , if not my head will row !
So , I settled my Room 19 ( because I thought that the patient will be just .... the same . Not going out . ) and went to Room 20 . My Fentanyl was already in stand by .
Extra work . Doctor Mark wanted to start Morphine . So I prepared my Morphine - 1 vial mixed with normal saline 10mls . Fentanyl 2 vial into 20mls normal saline .
She came in to check patient just as I was by the basin preparing the medications .
So , how can there be 7mls of Fentanyl when it was already in stand by mode and I was preparing it ?!
The seniors even log in and went into the system to check the timing I took out the medications . 2 vial of Fentanyl . I was correct . Not as if I took 3 vial and gave it within an hour - just like what Nor An said .
Lu Han asked me who counter check my medications . Saw . But according to Saw , Lu Han said that it was HIM who prepared the medications . But nope . She asked me who counter check the medications for me ! I even double checked with him how to dilute the medications - which I am correct .
Nor An was asking me what happened , Jason was around as well . Saw admitted that he checked the medications with me , and that I am correct . He will answer if there's anything ..... He said it to them .
So I explained to everybody . Jane , Ber , Michelle , Nor An all said that I got to at least explain to Lu Han , in case the misunderstanding get worst . Nor An assisted me with the documentation . Said that I got to write purge how much during the procedure and the clinical charting .
So I approached her . Nor An was nice , she helped me speak up and explained as well .
She answered , since that's what you said , then I just take it .
I rode home at once , without bathing ....
Zoom !!!!!!!!!!!!
First thing !
Pasted my fake nails !
I slept on the floor .... waiting for him . He told me that he was with his patents at Expo . The Natas fair . For Taiwan tour to visit him .
Slept .
They finally called .
Ku Clinic offered $2700 . But I'm waiting for another response as well . He asked me to call them ... which I did not .
He called me again . I told him that nobody answer . He said he would sent my application to the Neuroscience ....
That was when she called ! $16 per hour .
I asked him . We discussed .
I slept again .
So last minute . So I changed and everything . He got for me Ee Mian at the smaller hawker centre . He went back to the car to get his Ipad so that he can search about the labour law .
Went home ... He drove back ....