Dragged myself to work , slept a little on the train , was trying to Face book . So , Room 17 and Room 20 .
Everything was going on smoothly at first . My Room 20 might be able to extubate .
Then , during the grand ward round - Doctor Liza presented my Room 17 . Waited for 2 weeks for them to arrange for transfer back to the country . Heard that the wife told lots of different stories . Told the team doctors that she would arrange for the transport , then told the IMS that the doctors told her to wait till patient is more stable . Told the doctor that she would arrange the transport with IMS . Registrar asked if the ethics community are on board - which they are not .
It was then decided that no further blood taking ... etc for the patient . RT WX was asking about the ventilation settings - just leave it .
Before I know it - my patient deteriorated STAT ! SpO2 became 64% ....
Saw helped me to contact the patient's wife , Doctor Poon called as well - only ringing tone and nobody answer .
Everything was very messy - I don't even know what was happening . So , I did turning , changing ....
And my patient passed away . 1017 hours - I think . The very last thing I heard was that I answered the call from IMS . The wife was on her way , panicky . Asked us not to do anything harmful to the patient - not to cut off his oxygen supply ...
I left for break . One of the table inside the tea room was missing . Just my luck ! I tried searching for my lunch box on the another table - nope .
I asked Roz , she don't know about it , she asked Joanna . Joanna accompanied me to look for Sister Mani . Sister Mani told me that the table was inside the Day Room . I rushed there , there was nothing . Sister Mani and I went to look for another Sister , whom claimed that she transferred everything to another table .
I went back to the tea room again .... Searched . And finally found it ! Had my lunch with Chilli and Sharon .
Went back to the ward .... They were having family conference . So I just continued nursing my current alive patient .
Yvonne , Sharon , Chilli all asked me if I need any help . Yvonne helped me calculate my shift intake and output and gave 80mg of lasix .
The conference was still going on ....
Then I heard Leong announced to pass central . I went in - only to realized that they were just beginning .
Passed over to Olive . Should not have changed shift with her !!! Her BIG present inside Room 17 , waiting to be packed .
So , in the end , my Room 20 not for extubation . I went in , ran the potassium replacement , 4 hours of Tazocin and started 20mls/hour Ensure .
Heard the IMS staff mentioned that the Room 17's wife wanted to transfer patient to Mount Alvernia !!!
The IMS staff even mentioned that she wash her hands off and not to contact her any more about this case , to contact her another colleague .
!!!!
Asked Leong to read through my report , added in staffs , then Saw , added more stuffs .
Read the Doctor's report as well - " May his soul rest in peace . "
It was almost 1545 hours . Was chatting with RT Matthew and Ivan . They were teasing me about my 2B . Kan S.H was reading my report , I went to her , and she asked me to add more staffs .
Heard that Sister Mani switched back on the ventilator , and the monitors and did CPR !
Left the ward .
Had more good news - more interviews . Hopefully .......................................
Called him , no answer .
Showered , contacted him .
To meet at the usual bus stop . I went , then I suggested him to call me when his bus reach , so that I can just hop on .
He agreed , but called me again and asked me to take the bus myself . ANGRY .
Board the bus , he called . Dhoby Ghaut MRT station . Met him .
Maucks .
My handsome , cute meow .
We went Astons at The Cathay . Lemon Lime Chicken for me and Char grill Chicken for him .
We talked . He was supposed to be due for some function at the Hotel .....
We walked around . Brought me to Gong Cha - but I refused to buy after knowing that he don't want .
Ended up at Ya Kun Cafe . He said that he know that I love Milk Tea , and got a $2.20 worth of Milk Tea for me !
Talked . Hugged .
He promised one more date before ................................
Our numbered days .
Took the train with him till Sumerset . Thought of taking it straight to Jurong East , but the train terminate at Yishun .
Alighted from the train together with him , he gave me a good bye kiss .................
Took the train again ...
But decided to get out at Toa Payoh . Went to the NTUC .
Brought my universal adaptor charger , with USB . Not enough for $20.00 . Walked around and around ........
Finally brought another $20.00 worth of Kotex , and got a free umbrella .
Took 157 straight home . Had a nice sleep on the bus , till I wake up automatic .
Went home and used my adaptor with the Wire House !
Yeah !
I just hope that my patient .... will be able to rest in peace .
Everything was going on smoothly at first . My Room 20 might be able to extubate .
Then , during the grand ward round - Doctor Liza presented my Room 17 . Waited for 2 weeks for them to arrange for transfer back to the country . Heard that the wife told lots of different stories . Told the team doctors that she would arrange for the transport , then told the IMS that the doctors told her to wait till patient is more stable . Told the doctor that she would arrange the transport with IMS . Registrar asked if the ethics community are on board - which they are not .
It was then decided that no further blood taking ... etc for the patient . RT WX was asking about the ventilation settings - just leave it .
Before I know it - my patient deteriorated STAT ! SpO2 became 64% ....
Saw helped me to contact the patient's wife , Doctor Poon called as well - only ringing tone and nobody answer .
Everything was very messy - I don't even know what was happening . So , I did turning , changing ....
And my patient passed away . 1017 hours - I think . The very last thing I heard was that I answered the call from IMS . The wife was on her way , panicky . Asked us not to do anything harmful to the patient - not to cut off his oxygen supply ...
I left for break . One of the table inside the tea room was missing . Just my luck ! I tried searching for my lunch box on the another table - nope .
I asked Roz , she don't know about it , she asked Joanna . Joanna accompanied me to look for Sister Mani . Sister Mani told me that the table was inside the Day Room . I rushed there , there was nothing . Sister Mani and I went to look for another Sister , whom claimed that she transferred everything to another table .
I went back to the tea room again .... Searched . And finally found it ! Had my lunch with Chilli and Sharon .
Went back to the ward .... They were having family conference . So I just continued nursing my current alive patient .
Yvonne , Sharon , Chilli all asked me if I need any help . Yvonne helped me calculate my shift intake and output and gave 80mg of lasix .
The conference was still going on ....
Then I heard Leong announced to pass central . I went in - only to realized that they were just beginning .
Passed over to Olive . Should not have changed shift with her !!! Her BIG present inside Room 17 , waiting to be packed .
So , in the end , my Room 20 not for extubation . I went in , ran the potassium replacement , 4 hours of Tazocin and started 20mls/hour Ensure .
Heard the IMS staff mentioned that the Room 17's wife wanted to transfer patient to Mount Alvernia !!!
The IMS staff even mentioned that she wash her hands off and not to contact her any more about this case , to contact her another colleague .
!!!!
Asked Leong to read through my report , added in staffs , then Saw , added more stuffs .
Read the Doctor's report as well - " May his soul rest in peace . "
It was almost 1545 hours . Was chatting with RT Matthew and Ivan . They were teasing me about my 2B . Kan S.H was reading my report , I went to her , and she asked me to add more staffs .
Heard that Sister Mani switched back on the ventilator , and the monitors and did CPR !
Left the ward .
Had more good news - more interviews . Hopefully .......................................
Called him , no answer .
Showered , contacted him .
To meet at the usual bus stop . I went , then I suggested him to call me when his bus reach , so that I can just hop on .
He agreed , but called me again and asked me to take the bus myself . ANGRY .
Board the bus , he called . Dhoby Ghaut MRT station . Met him .
Maucks .
My handsome , cute meow .
We went Astons at The Cathay . Lemon Lime Chicken for me and Char grill Chicken for him .
We talked . He was supposed to be due for some function at the Hotel .....
We walked around . Brought me to Gong Cha - but I refused to buy after knowing that he don't want .
Ended up at Ya Kun Cafe . He said that he know that I love Milk Tea , and got a $2.20 worth of Milk Tea for me !
Talked . Hugged .
He promised one more date before ................................
Our numbered days .
Took the train with him till Sumerset . Thought of taking it straight to Jurong East , but the train terminate at Yishun .
Alighted from the train together with him , he gave me a good bye kiss .................
Took the train again ...
But decided to get out at Toa Payoh . Went to the NTUC .
Brought my universal adaptor charger , with USB . Not enough for $20.00 . Walked around and around ........
Finally brought another $20.00 worth of Kotex , and got a free umbrella .
Took 157 straight home . Had a nice sleep on the bus , till I wake up automatic .
Went home and used my adaptor with the Wire House !
Yeah !
I just hope that my patient .... will be able to rest in peace .