rain started since midday about 12 noon...quite heavily and stops awhile around 1:40 pm....it continues again sometime about 6pm...off and on...till around 9:30pm. AED in RIPAS was also busy in the afternoon..well..it's been busy all the time anyway.
encountered patients in resus area....cases such as Intra Cranial Haemorrhage (ICH) and Epilepsy...later i talk about these patients.... and even in medical wards both female and male alike were full out of empty beds to occupy the in coming patients....arghhh where else to put them?! up to the medical to decide....stress continues as these awaiting pts to be transferred to the respective wards...and thank God! paeds wards at least not a real much concern regarding admission.
back to the resus area...yess both patients (ICH and epilepsy) developed stages of fits somehow for either a minute or few minutes...cant really tell u guys how long exactly the episodes last...the ICH patient was confirmed through CT scan done and it was very obvious that u can see the depressed of certain part of the brain....hmmm i forgot which part sorry for that...given IV Diazepam 10 mg to settle his state of epilepsy....hmmmm..at this stage not sure if he is supposed to be put on IV steroids as to relieve or reduce ICPressure (ICP)...it is known steroid does this job....anyhow...maintaining O2 sat with delivery of O2 via mask has been continued till his admission around 4 pm plus.....(he came before 1:30pm)...due to unavailability of bed in the medical ward...
next epilepsy patient from some are (can't tell u where he's from exactly!) while in the AED, had developed several episodes of fits which lasted <1 minute...took sometime till seen by medical on-call to order IV diazepam 5mg....while CT scan, no meds given ..hmm am afraid somthing terrible will happen...fits patient with no meds send for CT scan? think about it..it will harm u and ur career as a nurse....this is where nurses role came to us....assure is it ok pt send for Ct scan without any meds prior to the procedure??? ....it was a tough decision coz if anything happen..the blame is on u(nurses), not others.... where is assurance, where is safety for us and for patient??
it seems that AED on Monday was actually like any other day busy as usual....per se, 'datanglah beramai-ramai bagi memeriahkan suasana di AED'. i know its not funny but it depends on u people to decide....AED nurses are used to endless work and duty in this dept.
interesting case also, one child came in with # radius (i think) it was a green stick #(?le or re?) ...MUA was done in the dept with assistance of another medical officer..well done guys...the infamous Ketamine came up as a sedative for this pt...Ketamine is well known drug as for children as a sedative....the MUA was done as soon as the child has 'fall asleep'...or not actually asleep...but mcm 'heng' sekajap....i wonder what actually this child experience?? is it pain but no voice or really 'heng' abis!? i look up in his eyes give him a smile..just to say hello to him and how he's worked out after admission of ketamine....yes he was totally unresponsive....i like to say goodbye sometime for pt under sedative...as for me is to make them comfort...banar kah tu?
anyhow..he got through an another x-ray was done to confirm the MUA was a success.... only three cases shown ....in fact there's more but i cant tell everything in detail....am not a camera surveillance btw...
the time is 10:45 pm and is still raining......wat a wonderful life..u think so?
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