16th October (Thursday) - No Q&A today since I'm in the noon, and that staff nurse is in a different shift, or clearing her leaves. So today I'm going back to my normal routine for today. I got my room assignments, but to start things off I ended up helping a prof syringe out. What does it mean? I was shoved into the room with a couple of 10cc syringes with a kidney dish. The prof took a look and shook her head and said she wanted a 20cc syringe. So I gotten one, unfortunately it doesn't fit. Neither does the 10cc one. Argh, how can a drainage tube be so funny? Seeing as neither tube fits, we discarded the syringes and the prof ask me to fold the tube while she 'milk' it. Thank God the drain managed to vacuum and flow in the end, so the outpatient went back with relief in his heart.
Then there's a patient who's in ERCP, And lucky me, I remembered where Endoscopy is, 6th Floor South Tower, so off I go to fetch the patient. She has been there for 2 hours and I was handed over the report. Post procedure order : NBM til review. Um, okay. When I took the patient back, first thing first, made sure patient's okay, and then vital signs. The usual stuff. At least I know what to do at this point, if I don't, I might get a healthy does of yelling from the senior nurse. She's okay, it's just that, she's impatient to teach and she expect you to pick up fast. Alright, alright. I'll just take them as they come.
A new child had came into our ward. I saw his hand in a bandage and I saw the note,s but all I saw is the hand with a part of it shaded in. Turning it around 360 degrees got me nowhere, so when the prof finally came, we asked him what is wrong with the child's hand and he showed us the before and after shots. It's creepy. The child's hand looks alright on first sight, but his pinky finger is massive like gigantism. It's a congenital thing and he had to go for surgery which they cut part of his muscles and tissues to shrink it into an ordinary size. I can't tell you the diagnosis because its spelling is complicated, but you get the idea.
Then I was ordered to change a nasal pack. When she said nasal pack, I thought it was the nostrils one, the one that you stuff ribbon gauze with, but she said, no it's just gauze, Then I realized, nasal pack is not the one in the nostrils, but the one outside, the little gauze. Ah. That's nothing. I just have to fold it into a rectangle, fix the hyperfix into place and ta-da. Nasal pack changed.
Then there's the PEG feeding, I think most of you got it by now. Uncle got a new wheelchair. not the remote control one, that costs a lot, but just a brand new one, I think I'll know once uncle takes it out for a spin.
Okay, about reports. Anyone, and I do mean anyone can write a report. But how do you write a good report, one that follows the flow? That's one of the things that you have to practice you see. A good report follows the flow, it's detailed and with the relevant information. On occasion when I'm rushing, my reports sometimes tends to jump about. The info are all there, but the flow, on and off. A senior staff nurse who had the patience taught me how to write a good report by practicing on post op reports. I would love to show you the format, but it's P&C.
On a brighter note, I'm getting the hand of the profs except for certain few, whom shall not be named.
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