`_who will complete her world?`

*me *

x-aNnabellE a.k.a. bElle-x
x-21 years of wisdoms-x
x-1st scream on 31 July 1986-x
x-leO-x
x-Registered Nurse-x
x-<3 sunshine-x
x-<3 trAvelliNg-x
x-<3 ^___^-x
x-<3 all my kakis-x

*wishlist *

~~:: travel to Bangkok ::~~
~~:: redang trip ::~~
~~:: Mount Ophir ::~~
~~:: TW trip ::~~
~~:: Vietnam ::~~
~~:: Perth ::~~
:: Hokkaido trip ::
:: Italy ::
:: Swiss ::
:: Backpacking tour ::
~~:: to be a RN ::~~
:: UN nurse ::
:: Chicky soup for missy's souls ::
~~:: maintaining >3 GPA throughout yr2 ::~~
~~:: maintaining >3 GPA throughout yr3 ::~~
:: kayaking 1* course ::
~~:: hiphOp class ::~~
:: driving license ::
:: working @ Aust's RCH ::
:: Degree in Nursing ::
:: Him ::
~~:: braces ::~~
~~:: diving ::~~

*fellow bloggers *

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.:zHixUan:.

Friday, March 30, 2007

First week PRCP in KKH

Harsh?

~~Yes~~ and No. I oso dunnoe.

This 4 days in de ward just vooooommmed like a bullet suppositories.

Back in KK Paeds ward, i'm a lost pig. Blurred and helpness. Was thrown into an unfamiliar environment, be it be peers, staffs, routines, protocols, ward layout, knowledge, skills, documentations, expectations. I have to climb out of my egg shell myself to start all over again. After all it still depends on you whether you willing to take up all the new learnings. Have to re-adjust to Paeds settings and KKH's practices.

First 3 days in the ward, basically was to get myself re-familiarise with all the paeds' skills, layout, routines, parameters (as usual confusing, but getting used to it):

Let me just recaps over here, just in case i forget again, i can refers from here -

Fixed parameters: 0600, 1400, 2200 unless there's 4 Hrly parameters or 2 Hrly parameters or varied 8 Hrly parameters. Parameters does not include taking BP unless stated.

Hourly Temperature: For those febrile child. Off the hrly only when the child remain afebrile for the next 12Hrs.

Pain score: no stated time. TDS. must not more than TDS.

It's seems easy to read and understands from here, but once you deals with cubiclessss of charts, you will get hydrocephalus. Cuz other than parameters, there will be Hrly infusion site assessment if the child is on drip, and if the child is not on drip but plug in-situ, it will be done TDS/day. IO charting is another hectic thing, cuz in Paeds they are very particular in food and fluid intake as well as wee wee and poo poo.

During admission, you have to fill in LOTSA forms, unlike general ward, onli one assessment form. In paeds, there's a nursing care record, safety and security, personal hygiene, patient education, orientation form.

Upon admission, have to inform doctor first, have to complete the parameters within 15 mins, the orientation form to be done by max. 4 hrs, doc have to see the patient by max 4 hrs unless urgent conditions, and the nursing care record form to be done in at most 1 hr time.

Documentations in paeds it's seems to be easy cuz all de forms just onli need to tick tick tick. But just like MCQs, it either you are right or wrong ans where it either you really know what you doing to your patients or else if you tick wrongly... will kena, even just one tick. and there're so many documents. zzz.. I preferred to write story like what we did in general hospital.

mmhh.. blogging does help me to recap what i learnt.

Just when we are trying our best to get more familar with the ward, both sisters came and talked to us. One sister is trying to buck-up us which is good, whereas the other sister was just shooting arrows with bows of discouraging, morale-lowering and confusion to our bubbles of morale, motivations, hope, enthusiasm, eagerness, power and energy. She asked those questions which we dont expect to know in the first 4 days as we were told to re-familiarise with the ward routines as well as to refresh what we know abt paeds. Ask us which, where, what pharmacies and how they differs. Ask us which equipments when spoiled send to which individual's departments, blood culture bottles low order from where, how to activate code blue (it differs from how we activate in general hospitals, how isolation negative and positive pressures operates, how many extinguishers in the ward, and how the blue and black extinguishers differ, how, when, where and which level of docs to call first... blah.. blah.. blah.. In one day, we were bombed with all this questions and she expected us to know in the 4th dae. Then say if dunooe all this by 4th day, how you going to pass out as a SN. We havent even pass out our prcp and she was talking abt failing probation.

This was only like our 3rd time in KKH. Even it's de 3rd time, during our previous postings in kkh, we were not told abt how kkh operates, runs and protocols, we were onli basically meeting and concentrating on our clinical objectives instead. and each posting it was maximum 2 weeks only.

I know i have endless grumblings and moanings. But let me at least let out here abit. Pheeewwwwsssssssssssssssssssssssssssssss.

But from next week, i will face it positively and i will learn the hard way although now i'm doubtful whether i will pass or fail. It's better to suffers now than to suffers during probation when passing out.

BELLE CAN DO IT!!!!!!!!

GOGO JIAYOU!!!!

Cheers to all my prcp's peers. God bless.

belle @ 11:40 PM

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