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Sunday, October 28, 2012

tagging di paeds ward~

Kehidupan seorang tagger..
Ari2 kuar awal pagi..
Balik dh dkat tgh malam..
Keja keja dan keja lg..

Alhamdulillah dh abis tagging seminggu di ward..
So..esok saya nite shift..haha..

Apa yg saya dpt dpd tagging di ward kali ni..?

General ward paeds sama lebih kurang mcm medical..
Tiring!! Especially time nk clerk yg sgtla panjang lebar nya..
Haisyh..
Plus,all those concern parents..

But,weird enough, some of them refuse blood taking n branula insertion..huh?? Abis tu masuk sepital nk wat apa ek..? Just manage kat umah je la..kan..? Ke i am the only one thinking like that..?
Hmmm.
I am beginning to be a lazy one..
Malas nk layan kerenah manusia..

Macam2 ragam..
Sgt penat nk layan..

Maaf sgt la..
Saya mmg ari2 kepenatan..
Sampai nk tgk muka org pn.dh muak..
Ntahla..

Rasa penat.
Kdg tu dibebankan dgn benda2 yg memuakkan..
Kalau sampai air panas pn nk doktor amikkan,hmm,for.me.agak xpatut la..
Maaf.saya banyak kerja.
And i belajar susah2 slama ni bukan la utk jd bibik..
Seriously..
These things happened.to.me.not once ok...
Or...
Do i look like a bibik..??

Mungkin la kot..
Tu sbb org asyik.suruh amik.air panas je..
Haha

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Saturday, October 20, 2012

penat

Saya penat
Sgt penat..
Sehingga saya makin benci kerja saya ini...
Penat sgt2.
Kerja yg sblm ni dlakukan 3-4 org perlu diselesaikan oleh SATU org..
Disebabkan xcukup HO..
From next week,dlm seminggu cuma satu ari off,  and of course la ianya cuti post-nite...plus cuti tahunan dibekukan...
Xlarat kerja sebegini rupa..
Sgt2 memenatkan..
Berlari ke sana ke mari..
Banyak benda kena settle serentak..
Rasa mcm nak jerit sekuat2 ati.
Benci!!!!!!!!!!
Haisyh..

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kehidupan nursery-1

Keja HO kat nursery hospital mlaka ni, mmg byk mencabar kesabaran seorg insan bnama wada ni...
Haisyh...
Mengeluh ntah berapa kali...
MENGAMUK ntah brapa kali...

Atau mungkin saya yg makin hanyut..
Terlupa tujuan asal kerja ku ini..
Kena mula betulkan niat bkerja sehari-hari....

Ntahla..
Tiap pagi sebelum masuk je nursery tu,pasti akan ckp, ya Allah,permudahkan la urusan ku..
Alhamdulillah..
Stakat ni smua terkawal..

Tp yg aku perasan..
Diri ni makin mudah melenting..

Ntah la..
Makin tua,makin xsenonoh perangai ku..
Ari-ari rasa nak membebel..nak bertekak..
Dgn sister..
Dgn staff nurse..
Dgn ppk..
Malah dgn mlt..

Knapa..?asyik aku je ditempelak saban hari..

Apa aje salah HO pasti yg dimarah/bebel/mengkomen/mem-blablabla  pada aku, dpn muka AKU..

Situasi 1:
Sister- Dr, skrg HO tulis discharge summary xde TCA kn..!!teruk la HO skrg..apa ni Dr..??!!!!
Me: sister, saya tulis la..eh jap..sape yg wat discharge summary tu...
Sister: ........ (diam seribu bahasa sbb BUKAN aku yg buat!!!!!!)

Hello!!dah la kami (HO) kena isi byk giler borang entah apa kebenda yg merepek2 utk each and every pt yg discharge (dscahrge summary,discharge note,bht carbon copy,casemix,referral letter,appt physio&ot&oae etc..).. Xlupa juga,summary dlm buku baby (yg red for gegurl, blue for boboy)
So,of course la ada yg tertinggal..kami ni manusia..mmg la kdg tersilap..tp apa nk kecoh..rujuk je la smula dlm.semua paper2 yg kami dh tulis tu.. Yg nak marah xtentu pasal knapa..?

Situasi 2-
PPK: dr,kalau nak stat anta sendiri..ppk TAK bole anta sampai dalam..doktor bole masuk dlm anta..

Padahal,aku penah kena halau dgn mlt..suruh hanta specimen kat kaunter..
So??sama je la,doktor pn xbole.anta sampai ke.dalam!!

PPK: doktor,kalau amik.darah tulis.penuh2 nama pd borang ngan bar code.ic pn kena penuh..
PPK: doktor,kena isi date dgn masa la..!!dgn cop n nama skali..
PPK:ish.doktor..asik ada darah aje la..kalau lambat,saya xmau anta dah gi lab..(sbb masa tu shift dia dh nk abis..pukul 8pm, dia dh sibuk nak balik..)
PPK: ish doktor..kemas la balik bilik prosedur ni..bersepah semua benda..(padahal ktaorg baru je lpas wat prosedur..oh,skrg ho jadi tukang kemas gak la ek..nape xsuruh ktaorg pakai uniform sinar jernih je terus..bole trus cuci toilet skali...!!)

And kena marah dgn mlt masa nk trace result..
Mlt:knapa skrg rslt nursery asyik xdpt..?!asyik nk trace je!!
Me:mana saya nk tau..keja saya amik darah n make sure rslt comes back on time..bila dh ptg pn still xde.saya trace la..
Mlt:tp knp rslt nursrry slalu xde..!!
Me:ntah. Oh.skrg HO kna tau la knapa rslt xbalik.mana rslt tu smua pi.?? ...

And i hempas the phone..
Haha..

Sakit ati!
Tu xmasuk.lg kna marah dgn MO,specialist..
And patient+relatives..

Conclusion- syok jd HO sbb bole slalu dimarahi :p

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Friday, October 5, 2012

1st time resus!!!!

Kehidupan sbg HO di nursery masih berbaki lebih kurg sebulan..
Makanye, saya dh start di-upgrade (la kononnye) utk jd resus...
Woooohohoho..
Apa keja resus..?
Resus is the one yg akan trima semua referral + standby dpd labor room..

Referral contohnya, bby of mom with hyper/hypothyroid, bby of mom leaking >24H, bby of mom unbook unscreen ke, bby of any abnormality eg  ?spinal bifida ke,syndromic bby etc.
There is a whole.long list of referral criteria in the nursery..i havent managed to memorize it yet.. (dont think i will..haha)

Standby is when bby is bradycardic and the o&g team wants to do instrumental vginal delivery ka, abnormal ctg going for lscs ka, prem in labour ka,iugr with abnormal ctg going to lscs ka or etc,etc..

So...
Crita about being a resus for the 1st time..
Hoho..
Dpd pg (7am) sampai pkul 1130am, langsung uneventful..xde pape referral mahupun standby..
But...............
Selepas itu, call dpd labour room dtg bertubi2...
Bayangkan..
My 1st standby was for bby bradycardic plus poor maternal effort, so the O&G team wanted to do vacuum..haha..baby tu keluar berkepala 'corn head'..
Then masa kemas2 brg and bru je letak T-piece tuh, dpt lg call for standby!! For the same reason!!

Vacuum with indication-bby bradycardic with poor maternal effort..
What??!! I was like, i shouldnt jejakkan kaki ke sana kerana i was a jonnah when i was in labour room before this..

And then the referrals dtg secara mencurah......
Haisyh!!

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