Today is my last 2nd day posting to ER,GH...
i have a lots of thing happen to me,just want to write out to relieve feeling now!
some are very interesting .some are very disappointing....
First,i need to do a ECG for an overweight indian lady..the breast are so big and the skin are so dirty ,like having some skin disease..there are so difficult for me to put on the lead!!but however i still can manage...after that when i going to remove the lead.the skin bleed!luckily i;m wearing glove!!i'm quickly clean all the leads..cause the ECG machine is reuse!!omg,so many ppl use the machine,u can imagine how clean is it??....end,speechless!!
Then,i go and do one CBD insertion for a MALE patient,after i preparing,our MM came,she ask,"can u do CBD for a male patient??I heard that u are not suppose to do!"
HAIZ... i keep quite!!My friend dada, she fight her back that"she had done one with our CI"..the she still talk talk ...non-stop!!hin...luckily,DR.K support us..what he said is true..nurses need to learn how to do male catherization,b'cau if emergency SN need to do,have no choice,patient 's life is more important!!then MM have nothg to said,only can agree with the DR lol!!Actually i have not much confident to do it..cause i'm 1st time!!k lol...try lol...must have the experience too!!
Dunno what wrong with me...i did everythg DR.also said wrong eh...but he still teaching me the cleaning technique(triangular way)is different than what we taught...but our MM there*^$&^#($..make me irritating only!!some more the tube can't in..is too big!!then, the Dr take over,he force & force..the tube in d...but is v tight!!So pity the patient..painful!!then change the smaller size(14)..finally fully in liao..but when the DR.K inflate..the tube burst and th!!dunno is funny or unlucky!!get shock!! the DR face are so funny!!beh tong...At Last,i'm trying the 3rd catheter,can in..but no urine!!haiz..cham!!what to do??i'm thinking...However,suddenly the urine gush out..OMG..my whole hand,mask..kena urine d~~ shock again!!then i faster connect the bag...still leaking...guan lai i didn't deflate the ballon!!hai..i'm so clumsy..hate myself!!feel so disappointing...cause ii make the patient so suffer!!_~unhappy ending~
make it short now!!
after that...RED zone calling...run thr to see the case.. so many ppl thr..it's really an interesting case...A malay lady with 126 kg,super obesity+++,collapse..sent in by ambulance.Her abdomen are so big...if i;m short standing align with her..i only can see the abdomen,can't see her face!you can imagine how fat is her??..Due to so many expect ppl:DRs,MAs,MM,std...more than 10 ppl...so i only stand a site to observe,waiting for order..set line,take blood,ETT,o2,bagging,SPO2,Reflomat,ECG,CBD,NS drip.......at last ,got work to do liao...hehe^^preparing the drip.
*when the SN want inserting the CBD..really challenging!!need 3 -4 pl help in posiitin,then DR shock..APA itu pack in pt's perineal area..??orange colour eh!!shih...is a towel!!really smelly!!hin ki....~~
*the patient condition are very bad..even had intubation,but spo2 still dropping(65%-50%-40%),BP drop,change to MRB..luckily the Spo2 start increase.
Sodium bicarbonate 100ml in progress in 1 hour,Dopamine 10ml/hr increase to 15ml/hr,Midazolam..2 pai NS,Mannitol..running!observing......
*patient are sending to CT afterward.(thinking of bagging for her).but i can't go with her...haiz..our MM came again!!geram..she ask me to go to nebulizer corner..sien nia!!missed the chance again!!-end-
Next:4th finger TNS..fuyoh..really challenging...the malay aunty..her finger knocked by the wall storm..i also not sure what is that..but really serious...her finger keep bleeding nonstop..all the'isi' coming out..The SIM's MA..really skillfull..done 10++ stitches!almost using 1hours for suturing!
* pt are very hamble:keep on said that she are creating trouble to us..sorry,sorry,sorry!!
~to be continue~
