crazy
November 20th, 2008 by janmihaelvaldez
this happened last november 18, 2008.
we had a patient in the ICU that was hit by a florida bus and suffered multiple fractures on the clavicle and on the ribs and the worst injury that he suffered was that he had a temporal contussion which caused his brain to bleed and eventually this caused his death. prior to his death, his respiratory rate reached 60 and above, his blood pressure reached an all time high of 200/70 (that’s what we call “widened pulse pressure”), moreover, the patient was restless the whole shift and his pupils slowly reacts to light, all in all, his neuro vital signs were down.
a co-worker and i were performing bed side care on another patient when suddenly the relative of the patient called our attention and told us that the patient was no longer breathing. immediately, we called a code (red) so as to have other nurses help us revive the patient, but the patient’s case was (as we have foreseen) hopeless.
we performed CPR (kahit may rib and clavicular fracture yung patient, hehehe, sabi nga ni betha “deadma na” hahaha), ambubagging and gave three ampules of epinephrine, asked the patient’s relatives if they would like to intubate the patient so as to provide a better airway and to help support his respirations, took the patient’s ECG so as to assess traces of heart activity, suctioned the secretions, reassessed the blood pressure, but all these were to no avail. it seemed that the bleeding inside the patient’s cranium worsened.
—————
death is but a normal occurrence with the profession i chose. i do not enjoy seeing people die (who would want that, right?) instead, i would like to see a patient have a cardiac arrest and be revived because of the interventions performed during such an event.
with my line of profession, you have to get used to seeing people die, you do not let your emotions get ahead of you. you emphatise with the relatives of the diseased after, not while the patient is dying. you do not show any signs of weakness or panic so as to be able to show competence in your work.
in the hospital, the protocol is to do all possible things to revive a patient, because in the end, when you face the family of the diseased, at the very least, you can tell them that you did all you can to bring back his life.
and the very last thing that you can do if all methods of revival were to no avail, pray for the person’s soul. and i did.
pero sana lang, wag ako (si betha nalang or si maam Abba hahahaha joke) multuhin nung patient kasi we performed CPR. eh the patient has rib fractures. so parang na-worsen pa yung condition nya, pero sabi nga ni betha and again i quote “deadma na” hahahaha.
Posted in Rants, SCHOOL, election, work | tagged crazy, deadma na, death, ICU, work | | 1 Comments
BUMBS….nyahahaha
August 11th, 2008 by janmihaelvaldez
sunday. pumasok ako sa hospital for the 3-11 shift. sa ICU ako. and everytime na andon ako eh tumatagaktak ang pawis ko sa katoxican ng mga patients at aircon sa loob. nung nasa pinto na ako ng ICU, may mga bumbs na nagaabang. di ko alam na they have a patient inside. eh di door bell ako. pinagbuksan ako nung nurse na kasama ko sa shift na yon. then (wahahahaha) tumambad sakin ang isang nakakaaliw na pangyayari sa loob ng ICU. yung ICU, it usually smells like the patients and kung minsan amoy floor sanitizer, pero that time, nak ng mongrel, amoy bumbs. nyahahaha. amoy sangatutak na bumbs! kaya pala. ah ok. sabi ko nalang sa sarili ko. may bumbs pala na naaksidente, kasama ang kanyang kapatid na motor (hula ko 5/6 yun) haha. lolz. kung ikaw ang nurse na andon, mawiwrdohan ka sa mga eksena na makikita mo! nyahahaha. ako man gusto ko ng tumawa pero kung gagawin ko yun baka mahunting ako ng mga bumbs hahabulin nila ako ng mga motor nila nyahahaha. so ayun quiet lang. tinanong ko yung batchmate ko na andon din.
mike: anong meron?
betha: mga bumbs. tinotoxic nila sarili nila. makinig ka lang. (ngiti)
mike: ok. ok.
eto kasi eksena ng mga mababangong bumbs na may angelic faces at walang kahalong sarcasm yan! wahahaha.
to be transferred via airlift yung patient to a hospital in manila, sabi ko sa sarili ko: wow, bigtaym ang mga lolo at lola mong bumbs na me amoy. nyahahahaha.the nurse on duty was calling asian and st lukes but there were no vacancy in their ICU’s so they were left with UST and UDMC. they chose UST. madaming naging problema. di ko na matandaan yung iba kasi nag busy busy-han akong kumukuha ng vital signs nung baby na nasa ICU din. then napasok sila sa topic na kung sinong doctor ang sasama sa patient. gusto nila yung attending physician. hay nako ang potakteng gayish na doctor nagumpisa nanaman ng gulo kasi antagal dumating at sabi ng mga bumbs, dinelay daw namen (by “namen” i mean lahat ng taong nasa loob ng ICU pati na siguro yung mga housekeeping eh nasali) yung pag transfer ng patient at ng flight nila na 4:00 ng hapon dapat, eh 3:30 na noon. nyahahaha. andami nila nasabi, pag namatay daw yung patient, idedemanda daw nila due to negligence and delaying tactics yung hospital. wahahahaha. sabi pa ng angelic face bumbs na amoy ibinabad sa onion concoction nyahahahahaha eh sinadya daw namen na idelay yung flight nila. wow. sa mga oras na to, umiiwas na ako sa mga bumbs at nag focus dun sa isa pang patient, vital signs ako kunware. nyahahahaha at ang napagkadisketahan eh si sir russel, yung RT, nyahahahaha. wheeee. buti nalang wala ako don. then syempre, ako pa? mawawala sa eksena? may tumawag sa phone ng ICU, sabi pababain ko na yung mga bumbs. maingay, may amoy at nakakatakot na ang mga angelic faces nila when i called for their attention and relayed what i was told over the phone. wow. nabigla ako sa authority ko as a nurse. nyahahahaha. sunod ang isang batalyong bumbs sa sinabi ko andon na daw kasi yung ambulance and the attending physician. so binaba na din yung patient, ang sumunod na tumambad na eksena eh sa ER naman, dun naman nagpuputak yung mga potakteng anak ng mongrel na mga bumbs. and the fact na may ibang patients for admission, di dapat ganon, nyahahaha. so ready lang si manong guard baka magkagulo kasi lalo pang nagiging angelic yung faces ng mga bumbs. hahahaha. whew. pagka lagay nung patient sa ambulance, siguro mga thirty minutes pa before they left, because of the doctor na gayish nyahahaha. basta may ginawang gulo si gayish doctor na ikinainit ng ulo ng mga angelic faced bumbs at ng shief of hospital. nyahahaha. biruin mo, isang maliit na process na dapat natapos agad eh lumaki ng todo?
lesson learned: wag mag aadmit ng mga demanding na bumbs. taena ako! racist amp! nyahahaha. blog ko to baket? hahahaha. wag lang to mabasa ng mga bumbs na nasa loob ng ICU non at patay ako. konektado sila kay DY at ALVAREZ. bang bang alley ang labas ko nyan. wahahahaha. pish tayo!
Posted in FUNNY | tagged Add new tag, bumbay, demanding, ICU, sibuyas | | 3 Comments
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