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.