Turnover

Sabi nila, something’s wrong kapag ambilis ng turnover ng mga tao sa isang institution.

Nasa leadership ba ang problem?

Nasa tao ba?

Nasa empleyado?

Nasa management?

Pero bakit yung ibang hospital or institution, kahit hindi ganun kaganda.. Tumatagal yung mga empleyado?

Nasa pamumuno ba?

At bakit bumabalik balik ang mga tao or pasyente sa ospital na yun?

Nasa doctor ba?

Nasa nurses nakasalalay?

Nasa mga security guard?

Nasa pagkain ba na sineserve ng dietary?

Hmm. Paano mo mapababalik ang pasyente sa ospital? Of course hindi mo naman ipagdadasal na magka-sakit sila. Diba? Hehe.

How can I keep from singing

I woke up today to attend my online class for my MSN (Master of Science in Nursing) Group Dynamics from 8 am til 10 am. I mixed my Soygreen in a water container and drank it. Then I attended zoom. Our group reported for today and we discussed about verbal, non verbal communication and levels of communication. Our group finished reporting early today. So, our professor doc Mikee Aggari let us leave zoom earlier than 10 am, to prepare for the next class.

Then, at 10 am, I attended class with my classmates for Research and Statistics with Doc Rudy Borromeo. he discussed about the hypothesis on research, and some of my classmates presented on their thesis’ statement of the problem. Thank you God for giving me the strength to attend class.

After the class, I’ve read some devotionals. Then, I sang today for the first time the song with the creator of the song having the code numbers of 4.7.6. in a song app, “How can I keep from singing” by Chris Tomlin.

"How Can I Keep From Singing"

There is an endless song
Echoes in my soul
I hear the music ring

And though the storms may come
I am holding on
To the rock I cling

How can I keep from singing Your praise
How can I ever say enough
How amazing is Your love
How can I keep from shouting Your name
I know I am loved by the King
And it makes my heart want to sing

I will lift my eyes
In the darkest night
For I know my Savior lives

And I will walk with You
Knowing You'll see me through
And sing the songs You give

I can sing in the troubled times
Sing when I win
I can sing when I lose my step
And fall down again
I can sing 'cause You pick me up
Sing 'cause You're there
I can sing 'cause You hear me, Lord
When I call to You in prayer
I can sing with my last breath
Sing for I know
That I'll sing with the angels
And the saints around the throne

Writer(s): Redman Matthew James, Tomlin Christopher D, Cash Edmond Martin

After singing, I had my two water jag containers refilled from the Mansion water store and I ate today a chicken shawarma that I liked and a 2 piece shanghai with rice at Piy Margal Street. Then, I went to Bambang to buy a box of face mask via tricycle with a fare of about P50.00. After that, I decided to just walk from Bambang up to where I stay.

I realized that Bambang is not that far pala. I should have walked towards it na lang. But it’s okay.

Then, I went to the water store to ask their boy to lift my two heavy water container jugs at my room’s outside door of the third floor. Then, I lifted them both inside my room. Then, I read few devotionals again from Nicky Gumbel’s 365 day whole bible for one year. What struck me today from day 143 is this verse:

Praise be to God,

    who has not rejected my prayer

    or withheld his love from me!

Psalm 66:20

The verse above is one of the best verses that reminded me of God’s love for me today. Thank You Lord.

Sometimes, we tend to get so disturbed of our challenges in life, forgetting how good our great God is. Sometimes, we tend to listen to the lies of the enemy but reading God’s word will remind us that God is still sovereign above everything.

I am created to worship the Lord, my Creator, my God. So, how can I keep from singing Your praise, Lord.

Bless the Lord oh my soul. I feel so elated today. God is so good.

Good night. God bless my readers. 🙂

Hyperventilation

Hyperventilation is rapid or deep breathing, usually caused by anxiety or panic. This overbreathing, as it is sometimes called, may actually leave you feeling breathless. When you breathe, you inhale oxygen and exhale carbon dioxide.

The normal Respiratory Rate (RR) is 12 – 20 cpm.

In a worse case scenario, hyperventilation may result in to a Respiratory alkalosis which occurs when you breathe too fast or too deep and carbon dioxide levels drop too low. This causes the pH of the blood to rise and become too alkaline.

Blood pH: 7.35-7.45

Blood is normally slightly basic, with a normal pH range of 7.35 to 7.45. Usually the body maintains the pH of blood close to 7.40.

ROME: Respiratory= Opposite: · pH is high, PCO2 is down (Alkalosis). pH is low, PCO2 is up (Acidosis). Metabolic= Equal: · pH is high, HCO3 is high (Alkalosis). pH is low, HCO3 is low (Acidosis). [ACID BASE BALANCE]

Doing ABG Interpretation Easily By ROME Method
ROME ACID BASE BALANCE
ROME Blood Gas Interpretation Lesson | NURSING.com
Pin by Ashley Strait on Nursing: My future | Nicu nurse education, Nursing  school survival, Picu nurse
BLOOD GAS ANALYSIS

Scene at the ER: The other day, I had a patient in the ER, she is a teenager, running for honors. Ma’am Michiku the nurse assistant assessed her vital signs. She was sent to the ER because she was hyperventilating and crying. She was given a brown bag to somehow control her breathing and to calm her down. Sir Jonathan secured the brown bag in her face with a micropore. There were no medications given, just the brown bag. She was in a high fowler’s position. Upon interview, I learned that she was making an assignment or project I think, and she was not able to finish it before the deadline, that’s why she hyperventilated. She was with her mother, a highschool teacher.

Within an hour she was feeling well already, her heart rate stabilized, and her respiratory rate became stable too. Then she was discharged.


When I was younger, I did not ask my parents to send me to a hospital for the reason that I was not able to finish an assignment. I do things and submit them on time. However, when I grew a little older, I somehow wished I can also tell my professor in grad school that I am not feeling well, so I cannot join the class. I am planning not to enter zoom class tomorrow. Haha. Because, I haven’t finished my introduction yet for my thesis.

But, I realized that to be given a responsibility to finish a requirement is inevitable. I need to finish this already.

I was wondering if I should pursue my thesis on Covid 19.

My title is “Looking beyond the lens of caring for Covid 19 patients: a phenomenological study”

Sounds scholarly. It’s a qualitative study. hehe. Kaya ko ba ito? hahahuhu.

Note: Prioritization of needs, Jaea.

Sige, sleep ka na muna, then gising na lang ng maaga. You can do it, Jaea. You are loved, love. Aja!

Dream Catcher

Alam ko, na iba’t iba tayo ng dreams sa buhay.

Ang success para sa isa ay hindi depinisyon ng success sa iba.

Nakikinig ka naman sa payo ng iba sayo.

Pero, paano kung iba yung gusto mong gawin?

We can’t please everyone.

So, paano na?

Iniisip ko, saan ba ako nagkamali?

Bakit gulong gulo ang isip ko?

Ano ba ang gusto kong maging talaga?

Naiimpluwensyahan ako ng mga tao sa paligid ko.

I pray to God to reveal His purpose for me in this life.

Desperately, I’m seeking God’s will for me.

Thank You God for everything.

Gising pa rin

Guys, it’s already the 24th of May. Ambilis ng oras, ni hindi ko namalayan na dumaan ang Abril. Mayo na ngayon, malapit na mag Hunyo.

Gusto ko lang magpasalamat sa Lord, kasi yung nawala kong 9,000 pesos, nakabalik siya sa akin. Thank You God!

So, after ko mag file ng complaint sa BPI, after 2 days, naibalik na sa account ko yung money.

But the problem is hindi pa rin ako marunong mag budget. But, I know matututunan naman yun.

Moreover, kahapon, meron akong bagong nurse na kasama sa ER. I tried to teach her. Hindi ko alam ituturo ko sakanya.. I just tried to teach her kung ano yung tinuro din sakin before ng preceptors ko at senior nurses.

This new nurse is 10 years older than me. Mejo strict ako kanina. She asked, if educator daw ako, or CI, kasi mejo strict ako. Sabi ko hindi. Tapos, sabi niya baka daw nag mamasteral ako. Sabi ko naman, oo. So, I tried to teach lang kanina. And I tried to correct her if may mali siya.

What I liked about her, nagtatanong siya if tama ginagawa niya, and magaling siya magsalita na mapapalagay loob mo sakanya. Kaso, nakita niya kanina na pinagalitan ko yung nursing assistant, after quite some time, pinagsabihan niya ako… na mejo off daw ginawa ko sa nursing assistant with the way I talked.

Ang sabi ko, minsan lang ako magsalita, so ang dating mukha akong galit. Pero, nagtatanong lang naman ako. I just needed clarity about a certain issue sa triage at ER.

I appreciated what she said kahapon sakin. Hindi ako perpekto. I learn also from other people, especially the students and mentees. I learned from her. Sinabihan niya ako, ganun din daw siya noon.. pero she changed it.

Kapag daw naiinis siya or galit, she tries to count 1 to 5 and then saka siya nagsasalita. Then, hindi na siya masyadong galit pakinggan. So, I guess, gagawin ko rin yun. Kasi daw pag hindi ko yun binago, lalayuan daw ako ng mga tao. haha. She has a point. Kaya mejo loner ako. haha. lol.

Thank you God, kasi hindi lang ako natututo sa libro kundi sa mga tao na nakakasalamuha ko.

So, after this.. I will try to sleep na. Duty pa ako mamayang morning. Good night.

Dear subscribers

I don’t know kung ano yung mga gusto niyo na isulat ko dito..

I hope you can message me, if you have any comments, suggestions or violent reactions.

I would gladly appreciate it.

Kahit isa na lang ang nagbabasa sa mga sinusulat ko.

I will still say thank you, for spending time to read my nonsensical posts about my thoughts, opinions, and journey.

Thank you again. 🙂

The Value of Money

I always hear grannies tell this to their younglings, you will only value something once it’s lost.

But, would you wait until you lose it for you to value it?

So, what happened to me, I received my cash income last Friday worth 11,000 pesos.

I rewarded myself to eat a carrot cake and a cup of coffee at The Coffee Bean along Lacson, last Friday. I don’t regularly drink coffee that’s why it’s a reward for me.

Then, I also ate a mymix and a dear darla solo from Yellowcab.

Then, I went home.

During the weekend, I ordered from Food Panda, a Lola Nena’s classic donuts, and a Cafe latte at Bo’s Coffee.

I also cooked some food at home from the groceries I bought last month. Thank God I still have stocks.

Until recently, I only have 9,700 pesos left.

After my gloomy code blue duty today, I decided to go to BPI to deposit my remaining 9,000 pesos.

However, I am such a fool that I didn’t even counter checked if the numbers I typed were my account number digits.

Until, I pressed deposit.

After quite some time, I realized that no money was deposited in my account. Maybe I foolishly typed wrongly.

It’s the first time I lost a huge amount of money amounting to 9,000 pesos. I only have 700 pesos left in my purse and I will budget it until my next cash income on the 30th of May.

Can I make it? Can I survive with 700 pesos until next sweldo? Hmm.

So, that means… I’ll be cooking my food and I’ll not buy outside.

That means, I’ll refrain from ordering from restaurants.

That means, I’ll refrain from using a food panda delivery service.

That means, I’ll refrain from going to the mall.

Please don’t tell my mama. I’m deads. hahaha.

As much as possible, I don’t want to ask money from my parents for my bills for food, wifi, electricity, and tuition.

I want to prove to myself that I can survive on my own. I need to learn how to fend for myself, and how to take care of myself.

I told my sister what happened to me awhile ago. She was the first one to know, and my papa.

Moral of the story: “Mahirap pala mawalan ng pera na pinaghirapan.” It’s difficult to lose money once you have earned it yourself with your own blood, sweat and tears. This incident reminds me to be more responsible in handling money, to be more wise with how I allocate my money. It taught me as well that I should learn how to cook my food and not to buy outside.

Hello adulting! Budget. Budget. Cook. Cook. Hehe.

I will try to make a complaint on Wednesday at BPI, if I can retrieve the money I lost.

Time is so precious

Guys, time is so precious, be generous with it, but be intentional about it.

I remembered my professor back in MHA,

The doctor told us, that everyone had been given 24 hours a day.

The question is, how do you allocate your time spent?

What do we do with the remaining hours that we have?

Every day is a chance to thank God for waking us up,

that we are still alive up to this time amidst of the contagion lurking at every corner.

How can we save our time and allot it to a more effective cause?

Can dreams be really stolen?

Have you ever had a dream? or an idea?

Then, someone infiltrated your space and took it from you?

If it was stolen, was it really meant for you?

Before I became a Christian in high school,

I am so selfish of my ideas, my strategies, and my plans;

I keep it to my self, because I don’t want to be defeated.

I wanted to be Top 1.

I want to work on the goal that I have, and I focused really well.

I studied well. I am quite good with individual sports too.

Although I tried team sports, but I am not a good team player;

Also, I never even joined a cheer dance competition when I was young.

However, I am more inept with solos.


Moving on, if that dream was stolen, was it really God given?

Can dreams be really stolen?

I remembered a man in the Book of Matthew, when he discovered a treasure hidden in a field; in his excitement he hid it again and sold everything he owned to buy the field. It was the parable of the hidden treasure, which was described like the kingdom of Heaven. (See Matthew 13:44)

If I will try to consolidate, dreams like ideas: tangible or not are very essential to a person who had it, but sometimes, they can be taken away too, because we are not yet in paradise. We are on earth, people make mistakes, even Christians who claim to have Christ in them. It doesn’t exempt anyone.

However, dreams are still dreams, like visions and prophecies.

Can time that had been stolen, be given back?

Do dreams that had been thwarted from the start be redeemed?

Syncope

Today is a very teleserye like day in the emergency room.

After I admitted a pregnant woman in the delivery room, there came a female patient aged 73 years old, who immediately fainted after reproving two youngters who were having a fight. This sudden fainting is what we call syncope in medical term.

So what happened awhile ago, this lola was carried by her grand daughters and some guys in the emergency room.

As for the hospital’s protocol, only the patients who had undergone antigen swab test which tested negative are the only ones who can enter the emergency room. Initially, they must be handled first and seen in the triage if the patients and the relatives have no RTPCR or antigen test.

So, our security guard awhile ago, got panicky when the grand daughters were crying outside the ER, crying out to help their lola.

The security guard informed me immediately. However, he left his post to go to the triage to get a wheel chair. So, the relatives entered the emergency room without swab tests.

I was in a state of shock, not because of the person who fainted, but because of the persons who entered the ER.

Then, this grand daughter was calling my attention to help their lola. “Nurse ka, bakit wala kang ginagawa??!”

I told them, “Maam, sandali.”

I told them that they are not allowed to enter the ER but they infiltrated the door, because the guard left his post.

The Nurse Assistant Maam Michiku took the lola’s vital signs, and did her initial assessment. Then, I informed the resident on duty that the patient still had no swab and was taken inside the ER. So, the entire emergency room now was exposed. I was reprimanded by our resident. And in turn, I reprimanded as well the security guard not to leave his post. Since, it will take four hours to disinfect the ER via UV light, and there are also other patients that we need to cater.

I took the Capillary Blood Glucose of the patient. I took also the ECG. So, the result had inverted “t waves”

The orders of the resident were as follows:

Take antigen test, then…

  1. CBG,
  2. ECG,
  3. X Ray,
  4. Na (135 to 145 meq/L)
  5. K (3.5 to 5 meq/L)
  6. Creatinine (60 to 110 umol/L [Female] & 70 to 120 umol/l [Male])
  7. Troponin ( 0.00 to 0.04 ng/ml)

The result of the antigen test was negative,

CBG was 107 mg/dl,

ECG had inverted “t waves”,

X ray had slight prominent densities,

Na and Potassium were sent out from the hospital because the laboratory had no machine for it. The result after two hours of waiting was with in normal range.

Then, Creatinine was also within normal range, and troponin qualitatively was negative.

I’ve learned today that Troponin can be taken qualitatively and quantitatively. However, the hospital only has qualitative result only for Troponin.

Troponin is an enzyme or protein that is used for the evaluation of heart injury.

Moving on, the patient woke up and she had a GCS of 15, responsive, coherent and conscious. Thank God.


So, the funny part of this day was the security guard made his amends to me by giving me four green carabao mangoes before the duty ended. Para daw bati na kami. Hahaha!

I gave one mango to Sir Chrysan who was having his last day of duty for tonight, then another mango to Maam Anjo, the midwife at the triage. So I was left with two green mangoes.

I thank the guard and I told him not to leave his post anymore. I told him that it’s okay to go to the triage but it should not be wrong timing. Hehe.

So, I had a wonderful duty today. My resident doctor gave me a dinner meal of milkfish and rice. Also, another blessing awhile ago was our lunch from McDonald’s donated by a kind soul who did not tell his identity.

Thank you Lord for the sustainance. 🙂