Wednesday, 11 May 2016

Happy nurses day, unsung heroes...

hakikat hidup nurses medical ward :
- bgn pagi2, sblm sarapan, hadap gambar2 bedsore patient
- sampai2 tempat kje, sblm take over, assignment wajib menanti. kira DDA, emergency trolley, CSSU, MC book and others.
- take over time! segala beban tugas tergalas di bahu, terjunjung di kepala serta merta. kena ingat patient bed 1 on apa, drip apa, due pukul berapa, neb apa, berapa hourly, dressing apa, CBD size pe, change bila, antibiotic apa, day berapa, culture ad growth x, formal report dh balik ke, so on and so on.......... ALL PATIENTS - minimum patients medical ward 20pts, maximum staff 4 org. so nisbahnya 5:1. sy ulang MINIMUM ye. MINIMUM.
- taking over done. assignment wajib lagi. ubat, vital sign, neb, so on and so on... make sure pesakit took diet pun termasuk tugas hakiki kami. tu belum kira pesakit dgn ryles tube tau. lg la perlukan perawatan n perhatian.
- doctor round pulakkkkkk.... kena follow bontot depa. kena lari sana sini dapatkan apa yg depa nak. time tu, patients pun nk kne tgk. haissshhhh.... tak menang tangan. paling sekejap pun 4 jam kne follow. tergendala la kerja2 lain.
- selesai round, back to assignment wajib. bagi ubat, check diabetis, cucuk insulin, amik darah, so on and so on......
- selesai tu, carry out orders pulak. kalau satu patient ada 2 changes, 20 patients bermakna 40 changes kena buat. tu belum kira pesakit allow discharge. kalau discharge, kena kejar doktor utk fill discharge note, amik date appointment, up form, lengkapkan referral letter, enter billing, DLL....
- toleh jam, kol 1330. alamak, report xbuat lg. jap lg kwn2 next shift sampai, nak pass over... tulis report pulakkkk.... 20 patients woiii, bkn sikit2. tulis pt alert x, mkn x, neb bg x, drip apa, due kol brpe, kencing berak smue kne tulis.
- sharp kol 1400, kwn2 smue dah sampai. pass over. siap prepare kertas sebelah, utk jot down apa yg x settle lg. belum lg kira kena marah ngn kwn2 sbb x confirm order ngn doctor. sabar je laaa....
- selesai pass over, JANGAN BERANGAN NAK BALIK. I/o chart, reflow chart, thrombo chart, Morse fall scale, v/sign smue kne check dulu updated ke x. semua hutang2 yg jotted down tu kena selesaikan dulu. klu branulla patient bengkak or tercabut, kena set dulu. kena check ubat2 smue dah serve ke belum. result2 darah kena trace dulu.
- cencus adalah benda paling penting dan wajib settle. kira tally atau x. kalau x tally, kena cari mana silapnya, sampai la tally ngan jumlah pesakit in, out, discharge and in ward.
- dah clear semua, tgk kawan2 masih berkejar sana sini settlekan kerja. gi tolong kawan2 pulak.
- selesai. masing2 tarik nafas lega, nak balik. patient collapse pulak!  tangguh niat nak balik. attend sama2.
- selesai? lebih kurang laaa..... maka kami pun beransur. jeling jam di dada, kol 1630.
- sampai rumah, teringat nak upload gambar wound patient. upload done. team noted.
- mandi. baring jap, fon bunyi. HOSPITAL. angkat. kwn2 next shift tanya so on and so on psal patient polan bin polan bed 100..... info clear. line cut.
- tengok jam fon dah kol 1700. time to have a little personnel time. esok nak kerja lagi....

*rutin yg hampir sama setiap hari. kadang2 worse. tapi kami ada something yg team lain xde. teamwork and selfless. selagi kwn2 x settle kerja, semua takkan balik.

minggu ni minggu kami. esok hari jururawat. nurses, I'm proud being one of u.

Sunday, 24 April 2016

Pronounce death

bahawasanya ajal itu sentiasa mendekat dan tidak terduga bila tiba saatnya.
------------
jam 0700 ambil report, patient g toilet.
0745 kwn serve sarapan n pt mkn.
0830 aq serve ubat, pt still alert n communicating.
0915 incharge ambil v/sign. masih sembang2.
1000 pt complaint panas, aq turunkan suhu aircond. masih alert n no sign of detoreating.
1015 pt baring atas katil.
1030 kwn found no spontaneous breathing. attended stat. v/sign unrecordable. pupils dilated. asystole.
CPR started. max anetrodes given.
15mins, still no heart rythm.
30mins, nothing. family members unreachable.
cont CPR for almost 1 hour - no sign of life.
death pronounced.
--------------
janji Allah itu pasti. ajal tidak akan ditundakan walau sesaat, dan tidak pula diawalkan walau sesaat. 

Naah

Wednesday, 10 February 2016

??

hospital kerajaan lembap? fikir la dulu saudara-saudari sekalian.
1. kami memberi perawatan mengikut priority. cth, pesakit jantung dan demam. kami akan utamakan pesakit jantung, walaupun pesakit demam datang dulu.
2. kami kekurangan staff. masuk dan tengok sendiri bagaimana kami bekerja. kami hantar pesakit ke x-ray department, kami cucuk, kami jgk yg lari hantar darah ke makmal.
3. kerja kami amat mengguna banyak tenaga. tak percaya? try saudara-saudari CPR org. xpayah lama la, 90 saat pun cukup.
4. kami berhadapan kerenah manusia. kami perlu tenang. salah cakap kang kena viral pulak kan...
5. kalian bayar RM1 utk perawatan. anda TIDAK MEMBAYAR GAJI penjawat awam. yg anda hebah2 konon cukai anda diguna utk gaji kami, ANDA SILAP. cukai anda kembali kepada anda sendiri. satu batang jarum yg digunakan utk cucuk anda tu berharga rm12. xpercaya? pergi tanya private lab. adakah rm1 anda itu cukup?
6. kami tidak boleh announce yg kami sedang handle pesakit kritikal, itu etika kami. takkan kami nk ckp, kat dalam tu ada pesakit tenat nk mati kn? logically, kami memang struggle for the best.
-saya tidak mengecam semua. SEGELINTIR yg bercakap tu tlg kaji semula.
-hospital private pun sama je lambatnya. sy sendiri admit di KPJ. casualty cuma ada 2 patients dan sy di admitkan ke wad setelah 3 jam menunggu. sy rasa anda pun pernah mengalaminya cuma tidak bising. tau kenapa? sebab anda BAYAR.
-kami manusia. ada salah, ada masalah. please tolerate with us as we tolerated to you.
-kami bekerja dgn nyawa. sesaat terlambat, anything may happen. 

?

"Yg duk kerja kt hospital mmg xrasa sgt ..sbb anda berda dlm hospital tu ...cuba laaaa ...letak dri anda sbgai org biase g check ....tgk la ape yg berlaku"
- kami bkn lahir2 terus jd staff. tlg faham. kami pn org awam.
- kami g klinik/hosp pn pkaian awam. klu blh xnk ngaku pn staff. org mmg xknal pn kami.
anda nk kami rasa tempat anda yg sememangnya kami lalui tanpa anda cuba memakai kasut kami dan berjalan di laluan kami.
adil? adil utk kalian, tidak utk kami. 

Saturday, 30 January 2016

Thursday, 28 January 2016

Losing my patience

Sewa umah n utility aq byr sama byk ngn ko. Ko mkn kat meja aq. TV ko kat rak aq. Ko masak pkai dapur n gas aq. Tp..... Eemmm... Xpe2, jgn sampai aq buat bende yg sama.

Naah

Tuesday, 26 January 2016

Setiap gambar ada kenangan

We are

Merindui

Been so long since my last entry. Errmmmm...
Actually
Changing isn't easy. Especially when u decided to leave your whole heart. Starting a new life means a lot of pain. All seems so plain.
The thing u never realized
Is the person who stand behind u the moment u was so down. The person who lend his shoulder to cry. The person who grab u from falling away.
They are friends. True friends. A friend in need is a friend indeed.
So they are.......