I’m grateful for work

This week, I’m grateful for having my new work already at St. Jude General Hospital and Medical Center.

Did you know? In the Roman Catholic Church, St. Jude is the Patron Saint of desperate cases and lost causes.

Another thing that I like about my hospital is it is just walking distance from where I currently live. So I don’t need to pay a lot for transportation, unlike before that I usually ride a taxi, which is very expensive.

I have been assigned at the Emergency Room. I just started last Monday, February 1, 2021.

The patients coming are not that many, so I have so many free time.

Most of the patients that come are OBgyne patients. Since, the hospital was well known before to be catering pregnant women til now.

I have been undergoing training from my senior nurses. I like them. Even though, we are short staffed. Since, we would usually be having our duties for 12 hours a day.

In the long run, I would be expected to just have my duty on my own in the ER. I’m really scared to be on my own, but since we are lacking in staff nurses; therefore I should learn how to be independent. Since, there’s not a surplus of patients coming due to the pandemic.

So, all in all, I thank God for this new blessing. Since, I would be having 3 days of duty per week. The other remaining days are my offs. Meaning, I have a lot of time to study and do my assignments and I have time for my relaxation and time for myself.

Thank you God. God bless also my readers.

Koko Ni ItA

“Koko ni ita” is a Japanese phrase which means “been here”.

Alam niyo ba, tinanggal na ako ng manager ko sa Patient Care Services Department Viber group because of my unauthorized absences and my issue with a patient complaint. I have not even read the complaint of the patient I handled in the Neuro Critical Care Unit. Maybe, if I have the courage once I get my renewed license tomorrow. Hopefully.

Meron din akong assignment na hindi ginawa para sa Master’s degree ko. Reaction papers for three journals in Nursing about Academic Freedom na topic na kung saan inassign sa akin.

Back to the first topic that I had, my patient had a Glascow Coma Scale of 11 (Eye Opening: Spontaneous =4, Verbal Response: None = 1, since he had tracheostomy, Motor response: obeys commands = 6). He can lift both upper and lower extremities, but when I asked my patient if “kaya niya i-lift yung buttocks niya” sabi niya.. hindi niya kaya. Upon my assessment, mukhang wala naman siyang lesion sa Medulla kasi wala naman weakness yung both upper and lower extremities. Pero yung nag-complain is yung wife ng patient. Sinabihan niya ako na mag bedbath ng one ng madaling araw. Akala ko aalis na siya.. Pero bumalik siya ng one sakto ng madaling araw. Pero may rules sa unit na bawal bumisita ang relatives at a certain hours at night, pero siya inallow na pumasok. Pero pasalamat na din ako na dumating siya, kasi hindi ako komportable paliguan ang gising na pasyente lalo na kung lalaki, tapos kaming dalawa lang sa loob.

Alam nio ba guys, sa hospital na yun, kawawa ang mga nurses. Ang wish ko lang, sana magkusa din tumulong yung mga nursing aids kahit na mas matataas sweldo nila sa nurses dun dahil sa tenure nila sa trabaho.

Nga pala, siguro meron din fault ang nurses, dahil siguro dapat sabihan nila ng maayos yung nursing aids ng plano nila for the day, at hindi ora orada na sabihan agad na gawin ang pinagagawa, dahil oo nga naman, tao din sila.. kung nursing aid din siguro ako.. ayoko rin na gawin ang isang bagay lalo na kung hindi ako handa. Dapat may plano, sa ganitong oras kailangan na magbedbath or kailangan magchange ng linens.

Alam nio ba, nung college ako.. sobrang decisive ko. Like, I can decide agad agad sa mga gagawin.. pero nung naging nurse na ako… in actual experience, mahirap pala. Lalo na yung delegation of tasks.

Anyway, gusto ko mabasa yung complaint ng patient ko sakin. Sabi ng tita ko sa Netherlands, it’s a normal thing na magcomplaint sa nurses or even doctors sa culture nila.. for the improvement of services. Kaya, do not be disappointed when someone files a complaint against you, kasi.. para sa ikakaimprove yun ng services.

I am actually not afraid to face the complaint. Kaya ako absent ng ilang araw since Nov. 3, 2020, kasi hindi pa dumadating yung license ko. Hindi ako komportable na magduty na wala ang license. Proteksyon ko yun eh. Kaya kung aalisin nila ako sa trabaho.. okay lang. Mag-aapply na lang ako sa ibang hospital. Gusto ko talaga makatapos ng contract sa work, kasi laging hindi natutupad. Pero sobrang thankful ko kasi nareach ko ang one year plus ilang months sa work sahospital na yun.

Kanina, kumain pala ako ng rice sa niluto ko at noodles, at nung gabi.. kumain ako sa yellowcab.. kumain ako ng pepperoni pizza and chicken na bones.. nakalimutan ko na pangalan sa order. Haha basta four pieces. Masarap with Mountain Dew. Pero mas gusto ko sana water, pero hindi available. Mahal yung tubig sa yellowcab, pero buti may outlet sila ng saksakan para sa Tablet notebook ko.

Yun lang… Nga pala.. Naisip ko mag-aral ng MAN sa UP Open University din, kaso four years yun.. sana matanggap ako. Pangarap ko talaga mag-aral sa UP nung college. Pero hindi ako nag-UPCAT para sa college, kasi ang gusto ng mama ko mag-aral ako sa RTRMS – MMC kasi dun din siya graduate ng Nursing Batch 88 ata if I am not mistaken.

Yun lang. Try ko na matulog, after ko uminom ng gamot ko. Hahaha.

Ni hao ma

So, it’s been a while since my last entry. Today is October 29 in the year of our Lord 2020.

It is my third day of immersion at NCCU or the Neuro Critical Care Unit. If you are not aware, I am a Float Pool Nurse, so I am rotated to various units because I don’t have a permanent unit. I was assigned with Ma’am Joanna Mae on my first day, and with Ma’am Denisse on the next succeeding days as my buddy nurse. I’ve handled a level 4 patient.

I am thankful that my manager already assigned me to have my duty at the critical care unit… Does she trust me already? I don’t know. I hope so.

I have learned so many things today. My patient today, Mr. W is a foreigner. He doesn’t understand English. He has a Glasgow Coma Scale of 7. It means that for the eye opening (2: to pain), verbal response (1: none), and motor (4: withdraws from pain). The patient is from time to time having abnormal extension of his upper extremities, whenever he feels stimulated. My patient, Mr. W was asleep. I tried introducing myself with the google translate.. I typed “My name is Jae. I’m your nurse for today from 6am until 2pm” in his own language. Although, he is asleep.

Does the ears still function when a person is asleep? Hmm. Something to think about.

Glasgow Coma Scale Perfect Score is 15 (Eye Opening: 4, Verbal Response: 5. and Motor response: 6)

So, the things that I am grateful for today despite, my patient’s intravenous lines were removed. I inserted three intravenous lines which were all patent and intact for my first try (Right arm : two gauge 22) and (Left arm : one gauge 24), with the use of the vein viewer. I am really improving when it comes to inserting lines. So, yay! On the other hand, I have learned today that I should secure my patient’s lines with the use of a wrist splint or secure it with a transpore.

My patient has ongoing D5W at 60 cc/hour, with Precedex and Midazolam at doctor’s desired dose. My patient got febrile awhile ago as well, so he perspired a lot and soaked what he was wearing. I changed his gown twice. The nasogastric tube was also fixed because it was already seen protruding at the patient’s mouth. So, NCCU nurses does the NGT insertions. So I assisted Ma’am Denisse. Stat ECG was done. (ECG has 6 color leads for the chest area and 4 leads at the upper and lower extremities).

Chest leads (Red, Yellow, Green, Brown, Black and Violet)
Arm Leads (RL – Red, RL Black & LA – Yellow, LL – Green)
So, for me to remember the color placements in the arm leads : 
(Color placement in the way I see the patient frontal view)
Right Arm - Marcos (Red)
Right Leg - Dead (Black)
Left Arm - Cory Aquino (Yellow) 
**due to Laban sign
Left Leg - (Green) Since Cory Aquino provided CARP or the Comprehensive Agrarian Reform Program
Right – Marcos (Red, black) & Left – Cory (Yellow, Green)

STAT Chest (AP) XRay was done (**Make sure you are at a distance from the Xray technician especially when you are a girl or a woman). Urinalysis specimen collection was done as well from the Foley catheter. (But be careful not to puncture the balloon, so the FC will still be secured).

My patient was toxic today, but I learned a lot, so I’m very thankful.

I prepared Norepinephrine (4:1) Levophed of 16 mg was given as well, since the patient had hypotension, just to increase the blood pressure to maintain Systolic BP of not less than 110 mmHg.

I monitored his intake and output hourly, and I accomplished it.

I had a challenging day today as well with my coworkers. I remember a Nursing Aid, asked me if what was my duty just before my shift ended in the pantry.. I told him, “morning”, then he said, “buti na lang hindi kita ka-duty, may narinig kasi ako na toxic ka”. Maybe he jokingly said that to me, but I am a new person at the unit. I am still adjusting, and I’m really sensitive. hehe

I pray that God will give me a supernatural patience and the ability to communicate well with the people around me, because they tend to misunderstand me most of the time because I am quite the serious and rigid type at work. I have an authoritarian attitude sometimes. So, I pray for P-A-T-I-E-N-C-E, and the will not to give up, dear God.

Thank you. Til next time, I pray for a good night sleep.