I was supposed to be the charge nurse on duty today, but due to the dreaded Philhealth accreditation obsession, I was moved to becoming the bedside nurse which somehow worked for me because I was still a practicing charge nurse and it was just my third day on board. i did not want to be the cause of any mark down in the grading system.
I was assigned to a VIP patient who's hooked on mechanical ventilator. She's a breat cancer survivor and they thought that the cancer has metastasized to her lungs compromising her effective airway clearance.
At patient's requests, she wanted ordered for a DNR (Do not resuscitate)when she crashes. When I arrived, she really looked frail and pale. DNR form was only good for 24 hours, so I was asked to have the relatives sign the DNR form. It was really hard explaining to them the purpose of DNR.
Before lunch time, patient's attending physician who happened to be our hospital director broke the good news to them. The patient is cance free and what causes her problem breathing is due to a lung that collapsed caused by infection. THe effect of the message was sudden that suddenly the atmosphere changed. As if someone has turned on the switch bringing light to a very dark room.
Wednesday, April 28, 2010
New life. New hope
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poor man's nicole richie
at
8:43 AM
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Tuesday, April 20, 2010
An alternate route
Almost all the politicians promise to give quality and affordable education to everyone. I do not know how far they would go just to win the votes of many people but I think we should not rely on their promises to get a better life.
In the US, education is made affordable like a Cosmetology school in Colorado For more than 50 years, Regency has become the fastest growing beauty school in America. It offers high standard education that is beneficiary to the students, salon industry and to the public.
Graduates of the Regency Beauty Institute in return give high-quality discounted services to all.
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poor man's nicole richie
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6:16 PM
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Thursday, March 25, 2010
No more encore
I am pretty pleased that it was over. I did not actually care whether is rocked it or not. All I was thinking was to get it over with.
Feedback from my those who attended say it went well. Pretty impressing for a first timer.
I stuck with my script but making sure that it does not sound scripted.
Although I managed to get through the challenging task, I don’ t think I want to have hosting as my second career.
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poor man's nicole richie
at
6:03 AM
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Saturday, March 20, 2010
Time to shine?
Last week, I was told by my head nurse that being part of the education committee, I am tasked to host the upcoming symposia in the hospital. I have tried my hardest to talk her into considering others to do the job but she did not buy it.
Last night, she handed to me the invite and my name is written on the it as the master of the ceremony.
I am now panicking as I have no experience doing a hosting job. I have a stage fright and I always suck at interviews.
To top it all, I am also leading the invocation.
Oh crap!
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poor man's nicole richie
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7:42 PM
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Labels: a nurse's life
The yellow piece of metal
With the continuous slump of dollar, many are taking their backs on investing in the stock market. The good thing about this slump though is that gold prices are benefiting from this as gold and dollars move in an inverse manner. So much to say that in this tough economic time, turning to yellow metal as a form of investment is a very good decision. Some analysts and investors predict that gold will stay strong for a long time that is why now is the right time to buy gold bars
Also, it was also noted that SPDR gold trust, the largest exchange traded fund backed by metal, showed on Tuesday its first time increase in the past two weeks. The holdings were raised by 4.6 tons totalling to 1,111.6 tons.
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poor man's nicole richie
at
7:40 PM
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Never felt this good
I was on loan for a night to a suite ward. It was the ward where I had my apprenticeship program. Althoug I had five medical surgical patients to handle, including the transfer admission of a very important person (also the mother-in-law of a late 90s starlet, the entire shift was pretty smooth. Even if I had to do sponge bath to a patient on my own.
I was fighting my sleepiness. I was done with by tasks at 5:00 and just waiting for my patients to finish their breakfast so I could give them their morning medications.
My headnurse who handles a private and the suite wards was the supervisor on duty. I jokingly told her I want to be transferred to the suite ward. She just smiled and said "no" adding: know where your loyalty lies.
I am serious about it. I am gonna talk her into allowing me to be transferred to that ward.
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poor man's nicole richie
at
4:43 AM
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Labels: a nurse's life
Wednesday, March 10, 2010
Unequal division of labor
Unlike in other wards, my ward has practices this right of passage. The bedside nurse @ always gets the number of level 2 (unstable) patients, the first admission and the equipment charge nurse duty.
In my almost three months of being a bedside 2 nurse, I am getting the hang of this cruelty. I learn to smile seeing the whiteboard where the patient assignment is listed. I always expect the worse.
My favorite bedside nurse commented that I now move fast and efficiently.
I hope though that I could hit my one-hour endorsement marker so I could go home early and do not miss my bus stop.
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poor man's nicole richie
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1:38 AM
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Labels: a nurse's life
