Sunday, April 27, 2008

We SURVIVED!!!

Today we had the WORST staffing ever in history.. Its a Sunday afternoon and we only had ONE senior staff nurse, which is Danilo, and the next most senior is me and my batch girls.. No NM or NCs around.. At first aunty Ho was the supervisor.. but JUST NICE she took MC today.. She had PHARYNGITIS.. Yes. she works with her pharynx, I only got to know today.. So only person who can be Supervisor obviously was Danilo.. Lucky we had Haniza who's on K shift so she became T1 after 2pm and me the T2.. T2 LOR!!!! like.. I JUST PASS MY CORE PROGRAMME!!! Grrr.. how can I be T2 when the number of T3s I became is like less than 10??!! I almost took MC too.. but I knew today staffing wasn't good and if i MC den it'll be worse.. woke up and puked 3 times during the night and even till now i still feel funny in my tummy.. like those colicky pain.. gets better if i burp but comes back again like 5 mins later.. din expect the VERY RESPONSIBLE SSN to take MC.. probably too scared to come to work cos like she'll work with a bunch of juniors.. WTF..

Anyways.. Hope i din comment too much on ppl's work attitude.. Haa.. So after report i dragged myself unwillingly to the triage counter.. slowly wipe my stethoscope.. den sit down and log in to my account.. then.. one black parent came in and said his son's wound keeps bleeding and he's crying alot.. asked if he could be seen earlier.. then came the wife carrying his son, and when i saw the child.. i wondered where the bleeding that he mentioned earlier came abt.. and it was jus a SUPERFICIAL LACERATION can.. those gule-able type lor!! siao ah.. this kinda thing u wan me to cat 2 or '9' izzit? might as well say resus la!! and its jus like 5 to his turn when i have 20+ on the que.. can't u jus wait for a while longer? and the MOs are actually seeing very fast le lor.. so i jus said there's 5 more to ur turn, pls take a sit at the waiting area, doctor will call soon.. after seeing like 2 patients, the black father came again.. saying the same thing.. and this time i got pissed and raised my voice a little and said.. 'sir, ur son's wound is not bleeding anymore and there's only 2 more patients in front of u. can u wait at the waiting area so u can see ur number being called? i'm sorry i still have patients to see, can u move aside?' haha! felt so good to say back the parents.. they think by acting kelian we will be soft hearted enuff to up-triage them.. siao..

another one was a CHINESE family.. apparently their daughter came yesterday for diarrhoea and vomiting and i remembered serving them.. so came in today with the same problem plus fever and 'cough non-stop'.. parameters were as stable as can be.. lungs were clear.. and the COUGH!! tell me abt it man.. its those fake and weak cough like wat u do when trying to imitate someone with a cough.. obviously i cat 3 tt fella.. when i told the father to register and wait for the number to be called, the father jus asked.. 'aren't we supposed to go thru the red door?? yesterday we came and the nurse jus told us to go thru the red door u know?' then i said, 'the red door is for those more urgent cases and right now ur girl's parameters are all stable, there's NO NEED for her to go thru the red door.' he argued, 'but we were here yesterday already, can't u jus let us go in n see the doctor now? its becos her condition is not getting better tts y we brought her here again!' again pissing me off, i said to him, 'Daddy, if everyone that comes here tells us this and we give priority jus becos they're here yesterday then those cases that are real emergency no need to be seen already lor!' wah kaoz!! never seen such irritating ppl before.. after chasing them away frm my triage counter, they attack the next possible place.. the RED DOOR!! so that same moron went in and started harrasing Danilo.. so Dan called me and asked me to order FBC for tt child.. then i remembered, the father mentioned FBC was done yesterday but i forgot to write it in the notes.. In the end Kee Chong saw the case and seriously, if they still complain then i dunno wat to say sia..

One more irritating mother and this one really pissed my ass too the core lor!! child came in with laceration big toe.. apparently the clever son's foot got caught in the bicycle.. so brought him in together with one kampong of aunties and uncles and blah blah.. it started when i came out frm resus and calling to see patients.. so i called 297.. no respond.. 298.. no respond.. so i shouted 'que number 298!' still no respond.. jus then, the kampong tt sat in front of my counter started talking, 'wats our number?' '299' someone replied loudly and looking at me at the same time.. so then i pressed the QMS and called for their number.. the mother came in, then another fat woman who was cradling the child (mind u, he's 7 turning 8 already lor) asked, 'must i bring him in?' the mother replied sacarstically, 'no need lah, this is jus the registration. she can't do anything anyway.' I tell u, if I weren't wearing a mask, all u can see is BLACK lor.. this is a TRIAGE STATION, not a registration counter can??!!! I'm a NURSE! i need to assess ur child so I can prioritize!! I'M NOT A REGISTRATION CLERK!! so the mother sat down and jus took my pen which i put on the keyboard without asking and wrote her child's name on the que ticket.. 'he's been here many many times, u shld have his records.' she said tt while she shoved the ticket to me.. angry, but still i asked nicely 'where's ur child?' then she said it in a 'duh' tone, "oh, he's outside" i couldn't be bothered anymore and jus said sternly, 'can u bring him in? i need to assess him.' then came the fat woman(she can't even fit into my chair at the counter), still cradling the child.. she sat there and expect me to know wats wrong with the child.. so after asking and blah blah, i said i need to look at the wound.. then the mother said, 'are u sure u want to open up the bandage?' like wat da hell lor! if i never open den how am i supposed to know wats the severity and stuff?? okays, it probably cut the artery cos after opening the bandage the blood was still spurting.. but u dun have to like judge my skills and knowledge lor!!

Then came a man, i dunno frm where, and asked whether its still bleeding.. then he ordered me to bandage it back cos he's a surgeon and HE KNOWS.. if he's a surgeon then i seriously doubt his qualification.. probably it wasn't him who did the dressing, but apparently the gauze was soaking wet with i dunno wat (i hope its saline) and the wound was almost ROTTEN!! is NUA lor!! kaozz.. who da hell ever dresses a wound like tt? is tt a part of ur intestines?? anyways i jus kept quiet throughout when i dressed the wound.. then i said this will need stitching.. then before i could open my mouth to ask them not to give any food or drinks to the child, the mother started asking ard wat time was the last food intake n stuff.. kaoz.. i know u know alot lah.. so wat if ur (whoever tt old man is to u) is a surgeon? those doctors who look down on nurses simply disgusts me okays!! they're jus sooooo getting on my nerves i jus said 'no food or drinks, register, doctor will call the same number.' and closed the case.. FUCK THE HELL OUT OF THEM!!! ARGH!!!

Other than those irritating parents, the whole shift was okok lah.. had 4 resus, including 1 VHF standby for fitting child.. then the last resus was a pneumonia, ?sepsis.. came in with stiffness of the whole body and i tot there was neck stiffness.. so juliana suggested to bring to resus [i tot of sending in as a '9'].. lucky we brought into resus.. haha.. the child was supposed to go HD but cos HD full house so went to general ward with early review.. haha.. tt resus was run by all juniors lor!! me, juliana and lailee.. with Dr CK Wong and Dr Jeremy.. haha.. tts abt it lah.. can't wait to go on leave and FLY OVER TO JOY!!! haha.. shall update again.. ciaoz..

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