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Saturday, July 26, 2008

75%

Earlier this morning, the medical ward head nurse, who i shall name sir mike, visited the unit where i am currenly assigned to, the surgical unit. He said he was bored and his ward was in a state of utter 'benign' so he thought, what better way to spend precious time than visit the next to the most boring unit, which is a connecting bridge and two floors away?

Now, i'm not usually sociable, but since i am supposed to be happy, welcoming and warm to certain 'people' are around, i summoned my alter-ego within and acted in a manner that even the blind could 'see' a good soul in me.

Everything was going smoothly. I mean, why not, it was so boring afterall. I went home earlier than expected, which i thought was ok. Then my co-trainee texted me and asked if i was going to be rotated in the medical unit.

I said no.

Then she shared an incident about a complaint from a staff regarding my documentation.

I asked about the specifics of the complain.

She said, "Nasabon ako kanina sa charting mu. Sobrang ikli kasi... nevermind... Ay d mo alam? Itinawag pa nga ng staff sa staff ng surge eh. Sobrang iksi daw kasi ng charting mu. Hehe. Kasi wala magawa si sir mike kanina, tinignan nya yung chart na inendorse mu, nakita charting mu... oo, mejo nagalit sya. kukwento ko nalang sau bukas.”

On my defense, my duty started with the usual enorsement from the previous shift. A receiving staff at surgery, who i shall call sir Sarsi, complained about the admission of a patient with a medical complaint in the surgical unit. He then requested for the patient to be transferred to the medical unit. After the rounds, the institutional worker on duty came in the Surgical unit to transport the patient with medical case to the medical ward. The staff nurse, who is in charge of the patient asked my help in completing the paper works. She asked me to give the due meds and to complete the chart for her. I did what I was asked to, but I only documented by brief assessment and the only interventions which I was able to perform, given the matter-of-minutes-span of time. I then got all the patient’s stuff and endorsed the patient to the medical ward.

I don’t know whether sir mike plainly is evil and mistake-finder or just outright inconsiderate and unthinking. Is a nurse’s capacity to care for the patient measured in the number of words she writes on the chart? I only wrote pertinent assessment findings and interventions relative to solving of the problem. Given the amount of time, which was roughly 15 minutes, how could I perform the actions necessary so I could have a 1-page-charting which he seems to want? Andami talagang hindi nag-iisip sa mundo minsan. Hayz. Buti sana kung kinausap ako regarding dun, eh umakyat lang ata sa ward namin para mag-chismiss ang ginawa nya. Kung may problema sya sakin, he should have called my attention. Headnurse pa man ding naturingan. Hay talaga ever.

Thursday, July 10, 2008

taken from: http://knightstemplar.blogs.friendster.com/the_knights_templar/2008/07/abode_ng_banzai.html

This was posted by one of my favorite authors, melay-junior bob ong..
nakakaiyak tol..

ABODE NG BANZAI

ABODE ng Banzai

-para sa Ikatlong Taon

By: Armely Joyce P. Obungen

SIGMA BETAN, SLU 05-S

Ang pinaka nakakaiyak gawin ngayon eh yung kumain ka mag-isa,na kahit na ka price pa ng Burgoo eh hindi mo talaga ma-aappreciate dahil walang nakikipag agawan sayong mga batchka mo. Di gaya ng dating Buguias Fries lang ng Balconaje eh nag uumapaw na kayo sa kasiyahan, kahit na ang iba nama’y nag mamasimpleng pumapapak nalang ng coffeemate at brown sugar.

Mag t-tatlong taon na kami, madaming nawala, nawalay, humiwalay at kung anu pa mang panlapi ang idugtong sa root word ng HIWALAY.. may babalik, babalik-balikan, nagbabalak bumalik, bumabalik. Alam kasing pag dating doon, may babalikan..

Saan??...... hmmmm... Doon..

Nagkaroon na nga rin kami ng Batch- Cat . Si banzai na laging present sa mga importanteng pangyayari, laging nag hihintay kahit ang habol lang naman talaga niya eh ang masarap na pagkain. Naisip ko tuloy, para nga yata kaming mga pusa ng batchmates ko kung tutuusin. Si banzai kasi, minsan Umaalis, babalik man siya, nagdadalang pusa na. Ganun din siguro kami, umaalis man, bumabalik pa din dala dala ang mga masasayang alaala at lubos na pagpapasalamat dahil kamiy napag-buklod buklod ng SIGMA BETA SORORI TY

Yung kwarto ni Ching na masahol pa sa payatas, nagkakasya ang 12 na tao, yung mga panahong may tinatago kaming kadeteng AYER sa kuwarto kasi part kami ng welcoming committee, bilang residente.. yung pag bumabagyo eh wala talagang liguan at pag brown-out eh nagtatakutan pa sa haunted Mansion sa Gibraltar. Yung mga panahong yosi at alak at ang pag patak sa jug ang tanging kinatatakutan.. Mga panahong inakala mo’y ordinaryong araw lang nun, pero lahat ng yun, part nalang ng nakaraan.

Madalas din akong mag-day trip pag galing akong Baguio. Mamarapatin ko talagang mag- day trip nalang. Nahihirapan kasi ako pag paalis ako ng Baguio tapos nakikita ko yung mga ilaw ng siyudad na nawawala ng tuluyan hanggang hindi mo na talaga makita sa kapal ng fog..zero visibility pa. Hindi mo alam kung san ka pupulutin.

Bawat ilaw na nakikita mo, ay may naipapaalala sayo na minsan, isa sa mga ilaw na yon ay naging liwanag sa buhay residente mo:

Habang nag-hihintay ka ng taxi pagkatapos ng Jug sa Nevada, sa tavern ,pagtapos ng FR, habang pauwi ka ng new Lucban, Aurora Hill, Bonifacio, Irisan, Trancoville at kung saan pa man. Nagpapaalala din ito ng mga posteng nasipa mo sa pag- aakalang voice command with kick and mga street lights ng Session road. Mga ilaw na nag bigay liwanag sa mga panahong madidilim at hinihiling mong mag dilim nalang. Nagpapaalala din ito ng mga Amuyang days naming lahat. Ito yung mga panahong nag-s-service kami kina Lovell Mars para makalibre ng dinner at umuwi ng late dahil madami kaming nakain, minsan ayaw pang umuwi dahil hours parin naman yun.

Sa may baba nila dun sa may poste at ilaw, dun kami nag hihintay. Dun Madalas mangyari ang self-evaluation bilang amuyang, kung nakasagot ba sa mga tanong ng lovell, sinong pumalya, sinong nakakatawa, kaninong mata yung nakita...

Ang mga amuyang na sandali din na gusto mong maging gallon ng tubig.. bakit? Kasi didiligin mo ang sorority.. gusto mong maging walis tingting dahil wawalisin daw ang sorority. Gustong maging yosi, kasi ang usok eh nagiging clouds, at ang clouds eh malapit sa langit:, at gustong maging martilyo.. kasi “i’ll be the one to pull you up when you are down”..

Ang mga amuyang na sandali din na nalaman mo kung bakit bawal i-rap ang LUPANG HINIRANG at mag –ala gloc-9. Duty to country nga pala..

Ang mga sandaling naging ka close namin ang tissue paper, at kahit kailan hinding hindi mkakalimutan..

Doon..

Doon, isang text mo lang pag gusto mong mag- kape.. aasahan mong may dadamay sa iyo. Gaano man kapait, katamis, ka creamy ng kape, Starbucks man ito o Balconaje brew, may kasamang kwento bawat hithit, sipsip at sawsaw ng fries mo.

Doon, pag mga oras na gusto mo lang ng makakasama dahil wala ka lang talagang magawa sa buong araw, in the end of the day, meron at meron kang makakamayan.. mayayakap at mkakakwentuhan.

Doon, sa panahong may problema ka, asahan mong may mag-mumura para sa yo, may makikipag away at may magtatanggol sa paniniwala mo.

Sa mga panahong ang tangi nalang nag-sasalba sa kumakalam mong sikmura eh noodles, asahan mo paring may kaagaw ka dahil lahat masarap, maging ang tuna with sky flakes masarap, kasi alam mo ding pag gising mo sa umaga eh hindi sila mawawala, hindi ka nila iiwan, lagi kang may Batchka.

Gaano ko na ka-miss? Pucha..Sobra...

Doon.. sa Baguio..

Tricks

Some make-life-easier stunts I've picked in my playground:

  • fluimucil increases metabolism of diazepam. in case of diazepam toxicity, have some fluimucil available
  • lidocaine, may it be in spray or solution form, can be very helpful during simple insertions. mix a little of lidocaine to the ky jelly during NGT and IFC insertions and *spoof!* a swabe and discomfort free insertion process results. The patient might even request to see you again for being unable to thank you enough for the unbelievably comfortable experience.
  • request for an autograph. i.e. referral slips given to interns, denied medications, in-case-of arrest-please-withhold-all-life-saving-interventions-as-per-relative-request, controlled drugs yellow prescription, errors...etc..
  • always suction before feeding. position patient on modified semi-fowler's before NGT feeding
  • ways of assessing NGT patency: inspect the placement of the NGT - the first visible calibration should appear about an inch away from the nose and the second should be visibl as well, auscultate for bowel sounds, feel for the rise of abdomen upon introduction of air, make sure that the rubber of the asepto syringe that you press for the introduction of air returns to its unpressed form briskly-if not, suspect kinking.
  • don't mix trental and calcium drugs with feedings
  • oral anti-ulcer drugs can be powdered and used simultaneously with bactroban in treating bed sores
...more lessons soon..

Friday, July 4, 2008

adding a search tab on your blog

don't have a search box?

don't worry, i'm going to assist you on how to add a search box in your blog.

you don't have to install anything. just include this code somewhere in your blog template to create the search box. This code is edited for my blog so you'll have to edit the texts which describe the URL of my blog and replace it with the URL of your own blog.



Here's another way of adding a search tab on your site, a trick i got from live search. Just copy and paste the html code somewhere on your blog template.

To let your visitors search your site, add the following code to your page(s):


To let your visitors search your site, add the following code to your page(s):

when the stars go blue

rather nice song..

Adams Ryan Lyrics

Wednesday, July 2, 2008

Coincidences

It's just funny how certain things happen with almost certain identical features with what happens to other people. Take for instance my siblings. We were in different places yesterday, like miles away from each other, but we all felt similar food poisoning-like symptoms (vomiting, diarrhea, pain) just after lunch.
Every time my older sister and her boyfriend argues, i am also at war with my so called bf.
When my brothers sings a song, that song usually became something of relevance to my earlier experience that day.
When my sister grows a pimple, i'll have a pimple on the same spot a few days after.
When my sister dreamt of an accident involving my family sustaining injuries and me, almost dying, i fell down a flight of stairs earlier and my brother almost got his finger grinded of in a machine accident during his class.
Oh, what funny link we have.