Wednesday, September 28, 2011 @ 11:47 PM
suicidal precaution
she had a suicide attempt
burnt charcoal and locked herself in a room.
did some toxicology and found out that she also ate some medications
but ?if she overdose it or not.
she earns 4k+ a month as a PA
she's undergoing separation with the husband for 6 mths
and query her being retrenched.
her sister said that she keeps everything to herself and always put up a strong front.
this whole thing feels very dramatic, like a scene from a typical drama episode.
indeed xi ru ren sheng.
her family is very heartbroken.
i didn't know what to say, i don't know how to comfort.
all i did was to tell them.
"she can hear you. she did response to me, she's still here, you can talk to her, but just be a little louder when u speak because she's very drowsy due the the high dose of sedatives that i'm giving her."
for now, the patient is considered lucky to get her life back.
but we do not know how much damaged have be done because of the carbon monoxide poisoning. is her brain affected? are her kidneys affected? what about the liver?
if she's going to be well and given a 2nd chance to live,
i really hope that she will live well.
because u can escape from everything when u die,
but it's giving a lot of distress to your loved ones.
they will blame themselves for not taking care of you well
and this hurt will be with them for life.
it's a really selfish thing to do...
really.
Tuesday, September 27, 2011 @ 1:40 AM
c for challenging
recently my work becomes pretty challenging.
patients who got themselves admitted to the medical icu
are very sick and they deteriorate v fast.
prognosis is very very poor
i nursed this patient yesterday(Sunday)
acute liver failure secondary to ischemic hepatitis
basically, there's a small calculi obstruction the hepatic vessels
which causes the liver to become ischemic and develop acute liver failure
on top of it, she also developed septicemia.
shortly she have multi organ failure.
full aggressive treatment was given to her.
on CRRT dialysis, massive blood transfusion, massive platelets transfusion
2hourly glucose monitoring, on high dose inotropic support
(yea it's very very tedious to nurse her)
yet the patient's son complained that we're not aggressive enough.
she was bleeding everywhere, in the bladder, the rectum, the mouth, the nose, the catheter sites. and she's having malena stools, in diarrhea form.
how smelly can malena stools be?? its like sour and stink to the max. you can never forget how it smell like. and we have to clean her up and clear all the bedsheets at least 1-2times per shift. yet the patient's son complained that we keep chit chatting not putting in 100% effort in taking care of his mom.
Drs told the family that the chance of recovery is <1% very very slim, in fact i believe that she's already gone, already dead. and is fully dependent on the machines. we're just giving her futile medical support.
yet the family still holding on, looking at her asking her to wake up.
today, i nursed another patient, he have end stage renal failure, i believed that he drank alot of water even though he know he is fluid restricted. and that causes him to become fluid overload and developed a heart attack as well as a acute pulmonary edema (water in the lungs)
on dialysis also, and is very very sick, as according to e cardiologist.
but he have higher chance of recovery.
everyday in MICU, we see all these life and death issue. usually end of life issues.
how our patients suffered before passing away, how the family holding on to that <1% miracle and being fussy all over. and we nurses? maybe myself, i'm getting used to it and becoming less compassionate and more task orientated.
sighs. but i still like to work in the medical ICU
Sunday, September 25, 2011 @ 12:15 AM
SIAN AH.
my day started off very bad.
just very very irritable,
very angst.
trying to prepare a dress for DZ and Dunz wedding but i just can't find it.
my whole room is in a huge huge mess, and i feel like a huge mess too.
yesterday i realised that my day off for 8th oct is not granted
8th oct is my 1735 planning day cum retreat. Wenya asked me to fake MC.
but i don't even know if i should fake MC to plan the ministry.
cancelled today's 1735 meeting because i couldn't come out with the agenda.
and i really need to get my room mess cleared.
it's my DAY OFF finally to get my stuff done.
reached church today, saw May and realised that my tmr's alpha camp meeting agenda is not done yet. and again i can't attend the meeting because of work. actually all these while i've been feeling very bad for not being able to attend the meetings because of work. initally i can, but because of the wedding i need to swap my roster
because my nurse manager didn't grant my roster!
i just realised that being a trained staff, it's less likely for us to have our day off granted. cuz kwowky texted me and said that her request is not granted too. roster is too tight already. SIAN!
i'm really afraid that i can't cope in serving in 1735 as well as alpha camp in the next 2 months, honestly, i'm losing sight, everything is just so last min. i can't attend meetings because it always clashes with my working days, and i usually need to get OFF DAYS to attend these meetings.
it's really a big big challenge.
AHHHHH SIANNNN AHHHHH!!!!
on a brighter note, thank God for my bus ride with von, cuz i vent all my tiredness to her and wenya who came over my house ard 8pm plus to help me pack my room!
Wednesday, September 21, 2011 @ 11:14 PM
3rd night in 277 Westwood
i've shifted back to my old house already.
and it's still in a BIG BIG mess!
really too tired to pack, or rather i dunno how to pack!
need to go daiso and ikea to get all the stuffs to keep my room neat and tidy.
really really tired these few days,
have been sleeping early and waking up late.
thank God for giving me ideas for my Kaizen (its my work project)
it was amazing that the idea just happened!
and i took like 1 hour during my night shift to do it.
at least i dont have to be bothered about it
and i can concentrate in packing my room (O.O)
as well as planning for alpha camp
OH thank God that the speaker went for mission trip
so i dont have to rush and meet him up during my moving house days!
Monday, September 12, 2011 @ 10:26 PM
iphone can blog!
yay! im quite happy that now iphone can blog! manz.. now im really tempted to get a IPAD 2!
Sep is going to be a real busy month for me. i'll be moving house, servings in church, buying medical insurance, doing kaizen for work, research project for work, and my blogshop!!
tired... but must jiayou!
Thursday, September 01, 2011 @ 1:34 AM
a RN in Singapore.
i'm pretty frustrated with my organization
if they are not going to do anymore things to change
esp welfare for nurses, a lot of the local nurses will leave.
next year, my ward will have a few resignations
those very zai and good nurses are leaving
=(
i'm going to left with the dinosaur combo,
the ultimate lazy combo,
the pinoys combo
and locals???
OMG! left less than 10!!
>.<
