today was a crazy day in CE...
the queue was always 26+ to 30+...
waiting time was constantly 2 hrs...
the observation area was crazy...
so was the resus area...
Doris was T1 and i was T2 today...
initally triage queue was oki...
so doris ask me go break first...
so i went with darling lohz...
then now CE is going thru a MAJOR RENOVATION!!!
then our tea room kanan split into 2 lohz!!!
kaoz!!!
one in annex, which was at the far end, near the entrance into CE...
the other one is the main tearoom which is next to the treatment area...
then the main tearoom was already bloody small as they cordon off alot of place...
even our LOCKERS were IN THE TEAROOM!!!
imagine ur locker in ur tea room!!!
imagine ppl eating while watching u go on and off shift...
haiz...then nvm...
if u wanna eat in annex, then u gotta heat up ur food in the main tearoom then bring over...
walking thru the main area...
letting all the patients know that u are going for break...
this juz doesnt make sense lohz...
haiz...
anyway...
sister tor say juz bite the bullet and go...
then go lohz....
so me and darling went to heat up the fried rice that darling's mom cooked...
then struggle our way thru the crowd into the annex tearoom...
as we were about to sit and tuck in...
we heard...
"Du..Du... Doctor to resus room, one RTA (Road Traffic Accident)"kaoz.....
juz super sianz lohz...
imagine u gonna start eating...
ur food so deliciously heated up infront of u...
yet u gonna leave to attend to that emergency case!!
kaoz!!
then nvm..we went out...
i went into resus to help out...
then suddenly came one case from Batam...
i mean the child looks oki if u juz eye ball him...
but when we put into resus and review him,
we realised that he got a distended abdo lohz!!
then in the end we were busy changing and stablising the I/V plug from Batam...
and inserting NG tube for him...
and imagine how much he will struggle...
u need at least 2 nurses to do that...
juz then when everyone was so occupied,
our Miss Wong Li Juan Ashley dash into the resus room...
showing us a referal in chinese to our senior doctor...
as if we understand wat is writen,
we say juz triage as per normal..
so turn out that the child looks so dry and sick that we must put him in resus oso lohz!!!
kaoz!!!
then that will be 3 resus cases on going at the same time!!!
the hypotensive RTA, the Batam Case, and the dry and pale looking child...
then there were so many complicated drips that the doctors ordered...
and the nurses gotta prepare so many stuff...
radiographer coming in and out taking trauma series in the resus room...
we shouting and shouting at each other...
finally when things are settling down...
we pushed the batam case and the pale looking child to the observation area...
but awhile later...
they push the pale looking child back again!!
this time they wanna set plug bcoz they said that the istat showed hypoglycemia...
then oki, we rechecked hypocount...
and in the end, the child turn out to be a DKA (Diabetic Ketone Acidosis)!!!!
kaoz!!!
so 2 doctors were busy finding veins, setting plug...
then nursing busy helping them out...
as for me...
i was busy preparing all the insulin infusion and potassium drip for this patient...
then there were so many confusion with our dear SSN HO till i really wanna strangle her!!!
she is handling the RTA case, but she keep coming over to our side and confuse us!!!
damn!!!!
juz then in the mids of all the confusion...
our dear Miss Wong Li Juan Ashley dash into the resus room AGAIN!!!
pressing a referal letter into our senior doctor's face and shouting at the top of her voice!!!
"this child got VSD/ASD ah...(i cant catch wat it was nahz...its juz some cardiac problem she was talking abt....)
but saturation outside only 91% to 93% only lehz!!!how ah??wanna send in as resus??"juz then i heard darling storming in...
also shouting at the top of her voice...
"now its 97-98% liao nahz!!!!"then she grabbed and pulled ashley out....
i thank God that darling did that...
infact she had saved her...
if not i would have throw watever i have on my hands into her face!!!
then i said...
"juz fucking hell shut her out of resus room can!!!"
Doctor Siti looked at me and pad my shoulder...
haiz...
she oso lan lan...
hahaha...
finally, after i sent the DKA case to HD,
and the RTA case went CT scan...
things seems to settle...
then me, darling and doris went break together...
hahaha...
after we are back from break...
everything seems oki...
i was happily triaging patients who come in for minor complaints like cough, running nose, fever...
simple cases...
thats why me and Doris managed to keep the triage queue short despite the constant flow of patients...
but as i was triaging this 5 months old baby...
i was happily playing with him...
juz then i saw Miss Ore carring a child and dash out of annex...
passed by me and doris and rush into the resus room....
wah kaoz!!!
we thought "oh fuck!! dun tell me collapse child!!"
then we rush into resus room...
and guess wat!!
its juz a baby with cardiac problem that desats till 80+%!!
wah kaoz!!!
lidat need to run or not!!!
thats when i really cannot tahan anymore!!
i juz shouted...
"wah lan eh huiting!!! u siao ah!!! desat only wat!! u need to run until lidat or not!!!
i wont die of busy-ness lehz...but u will juz die from a heart attack!!! all thankz to u lohz!! Siao!!!"
then i juz left the room and continue triaging my 5 month old baby and continue playing with him..
hahaha...
he juz too cute to resist!!!
lol...
i was thinking...
wow..its 2045hr liao...
yes!!!
gonna off work soon...
i juz press for the next queue no...
then came in this family...
the mummy carrying this big child....
even though she was not facing me...
but i can feel that she was damn 喘 (breathless) lohz!!!
and after i ausculate her lungs...
she was wheezing like hell lohz!!!
and her retractions were really bad!!!
took her saturation on room air and its only MAX 80%!!!
then it slowly drop to 70+%...
i immediately bring her into resus room and rechecked her saturation again as she dun look that blue to me...
but indeed...
she is still 70+% only lohz!!
kaoz...
so called for doctor...
all my SSN came in and help me...
the momment they saw the child..
we juz automatically prepare plug, I/V Hydrocort, ventolin nebulizer etc...
bcoz she was wheezing so badly!!!
then the doc came and even ordered I/V aminophylline!!!
the patient was really bad...
in the end we tubed her...
and its the first time me being the Airway Nurse!!!!
think i still oki nahz...
not really that bad nahz...
i hope i am not...
hahaha...
anyway, darling said i am super jinx lohz...
nonstop resus...
then somemore all come at same time!!
then even a breathless child (which are cases that we see day in day out) oso turn out so bad till we gotta tube her!!!
hahahah...
maybe bcoz me and doris combine power...
hahaha...
so Doris...better careful with ur assignment next time!!
see u still dare to put me and u together or not...
hahahaha...
