Friday 30 December 2011

Banned Health Product

Banned health product - "Curvy" contains Sibutramine.
Ref: Borneo Bullettin - December 29th, 2011 - Thursday.


This was just released by Ministry Of Health announcing the dangers of consuming the above product. 

"Sibutramine is an appetite suppressant that causes high blood pressure, irregular heartbeat and sleeping disorders through prolonged use, and it is prohibited in human food or ingredients under the Public Health (Food) Regulations (R1 of Chapter 182)."

This reminds me of one of the famous "Bangkok Pill" which was once sold in the market. From various statements, some people claimed that it had once caused the person to become somewhat "crazy"(sorry for my use of the term).

Aside from Sibutramine (appetite suppressant), other drugs such as; Dexamethasone (steroid) are commonly used in the ingredients. For most people, they wouldn't know whether such medicine is safe or not. In most businesses, these drug were used to achieved the fast effect, ignoring the side effect present when consumed especially in the long term. 

Saturday 24 December 2011

The editor/blogger....

Hello everyone!

I would like to give some input about this blog. On the title of this blog was named "accident and emergency nursing 2008". It was created in 2008 as for my A&E Nursing Course back in 2008 - hence the name. As for now, i have been working in Out-Patient Department here in Brunei Darussalam. Living the life of an Emergency Nurse has been my dream but in some cases, you never got that dream. Although i have worked before in A&E in my early years. However, referring to my clinical duties in Community Clinic, somehow, we do need our knowledge on how to handle certain emergency cases. If other country might not see this or may consider it irrelevant, back to where i work, we do receive cases that we can categorize as semi-urgent and urgent - not all cases in Community Clinic appears to be 'cold cases' or follow-ups.

I once thought that nurses in community has lessen their nursing practice due to their working environment - but i was wrong. And i can't deny that it is obvious that not all of them have the experience on handling emergency case. And yes we did our rotation when we were a student. But that does not mean we are considered a pro. 

Indeed some practices practiced in hospital setting/ emergency department are still needed even when you are put to work in a community setting in Brunei.These includes, to name a few - cannulation, nasogastric insertion, suturing and urinary catheterization. Emergency cases doesn't come all the time but when they do, you have be get all the necessities on hand. 

As of now, nursing practice has change drastically when year after year of practice, those who are familiar with emergency procedures are put in the front line - this includes myself. One of the duties of a nurse is to teach. This gives me the responsibility to teach my colleagues on certain things in order to familiarize when such situation arises. 

Okay! I think i have said enough. I don't want to get philosophical at the end. 

Thursday 22 December 2011

Another Freak Accident After Just One Day Apart.....


Adapted from Borneo Bulletin dated December 21st, 2011 - Wednesday

http://www.borneobulletin.com.bn/wed/dec21h1.htm


By Hakim Hayat, Siti Hajar & Dean Kassim


ABOVE & BELOW: Tourists from Brunei Darussalam are seen near the wreckage of their bus after it hit a tree in Tuaran, Sabah. BERNAMA

This photo taken at around 2.30am this morning (Wednesday) shows a tearful reunion between a mother and a daughter upon learning that they both survived the tragedy. - YAZID ANUAR

A holiday outing turned tragic yesterday afternoon when a Brunei-registered bus travelling from Tawau towards Kota Kinabalu, carrying 31 Bruneian passengers, crashed into a tree and split into two, claiming the lives of six people and critically injuring several others.

According to Malaysian news agency Bernama, it was also believed that there were children, but their number and their ages had yet to be determined at press time.

Tuaran Police Chief Department Superintendant Zaharuddin Rasip confirmed to the Borneo Bulletin in a telephone interview that the accident happened at around 3.05pm yesterday, when the bus lost control at Kilometre 8.9, Jalan Tamparuli in Ranau.

According to him, the bus overturned twice, grazed a tourist bus on the opposite lane and slammed into a tree 30 metres away before splitting into two on a downhill stretch nearby. The force of the impact was so great that the roof of the bus was ripped open, Zaharuddin Rasip added.

He informed the Bulletin that the total number of people on board the bus at the time of the incident was 33, including an Indian driver and an assistant driver.

It is understood that two of the passengers died at the scene, while one of the victims died en route to the Tuaran Hospital. Another three people, meanwhile, succumbed to serious injuries while receiving treatment.
Tuaran Police Department late last night released the names of the deceased - Abdul Manan Ishak, 50; Pengiran Hjh Zohra Pengiran Zainal, 61; Dayang Norhayati Abdul Hadi, 61; Faridah binti Haji Husni, 60; Hjh Azizah bte Hj Jamaludin, 57; and, Haji Sapawi, 60.

At press time, Zaharuddin Rasip confirmed that another six people were critically wounded, 12 were in semi-critical condition and nine others sustained minor injuries.

According to him, half of the victims were transported to Queen Elizabeth Hospital in Kota Kinabalu to receive further treatment due to limited space at Tuaran Hospital.

In a telephone interview with a spokesperson for Tuaran Hospital's Emergency Department late last night, it was disclosed that the bodies of four victims were at the hospital. The rest of the injured were, meanwhile, being treated at Queen Elizabeth Hospital.

When contacted by the Bulletin, a staff at Queen Elizabeth Hospital confirmed that a number of Bruneians were receiving immediate medical attention at the Emergency Unit. No further details were disclosed.
A Royal Brunei Police Force (RBPF) spokesperson, at press time, confirmed that the death toll stood at six (four men and two women).

According to the police, Syarikat Pengangkutan Daba, a tour operator with an office in Kg Tungku in Gadong, was the tour operator in charge of the travel package.

Zaharuddin Rasip told the Bulletin that the bus was owned by Sunshine Borneo Tourism & Travel.
A representative of Syarikat Pengangkutan Daba said that the tour operator's office had been receiving calls from relatives of the victims all day. It was disclosed that officials from the company were making their way to Kota Kinabalu to assess the situation and to make further arrangements.

He revealed that the 31 Bruneians were travelling on a group package on the bus bearing registration number KJ3067. The group was led by Haji Tarsad.

The Bulletin has also learnt that officials from the Brunei Consulate in Sabah were busy making arrangements at both hospitals in Sabah to provide any assistance to the victims.

A broadcast by Malaysian state television channel, TV1, last night aired an interview with an unidentified Bruneian passenger who survived the ordeal. Describing the moments before the crash, he claimed that passengers could smell burning rubber, which he believed came from the bus's engine 'belting'.
The bus was allegedly being driven at high speed at the sharp bend and the bus driver was allegedly attempting to overtake three other vehicles, he further claimed.

"Before we knew it, the bus lost control, overturned and hit the tree," he said.
As word of the accident spread via social networking sites and wire news agencies yesterday evening, worried relatives of the victims inundated the hotlines of several government agencies, as well as the Borneo Bulletin Hotline, to find out more about the condition of their loved ones.

It is understood that the group had arrived in Sabah last Friday, before travelling to Tawau, where they spent a night there. They were scheduled to spend another night in Kota Kinabalu before heading back to Brunei today (Wednesday).

Tuesday 20 December 2011

Motor Vehicle Accident.. in 2011 from Local Papers

Another 3 lives lost in horrific accident (From Borneo Bulletin dated Monday December 19th,2011)

By James Kon & Siti Hajar

The number of road fatalities has increased yet again following a tragic accident that took place an hour-and-a-half past midnight yesterday, claiming the lives of three people - two passengers of a saloon vehicle and a motorcyclist.

Less than 24 hours prior to this incident, a 20-year-old male succumbed to multiple injuries in another accident that occurred at 2.24am on Saturday.

According the Royal Brunei Police Force (RBPF), the deceased were passengers of a saloon car - a 19-year-old male youth and a 31-year-old woman - who were part of a group of four individuals travelling along a bridge within the vicinity of Ban 6 in Kampong Kilanas on their way to Jerudong from Limau Manis. It was during this commute that their vehicle veered off the road into oncoming traffic and struck a 33-year-old motorcyclist who was killed upon impact.

It is believed that the driver of the vehicle, who at press time was fighting for his life at RIPAS Hospital, was driving under the influence of alcohol, according to the police.

Shortly after, the vehicle slammed into a stationary vehicle at a junction. Fortunately, the driver of the vehicle parked at the junction escaped with only minor injuries.

The last nine days has seen the deaths of five individuals, three of whom were youths between the ages of 18 and 20, at three separate locations, including the Rimba and Hassanal Bolkiah highways. Between January and October 2011, of the 37 deaths recorded then, almost 50 per cent of them were youths between the ages of 18 and 28.

With the latest fatalities, Brunei's road deaths for 2011 has jumped to 45, making it the second highest number of road-related deaths in recent memory. In 2007, 56 people died as a result of road-related accidents.

In the Sunday Bulletin news report, "RBPF Calls On Driving Schools To Help Curb Road Accident", which was published yesterday, the RBPF reminded the public to be on alert when driving especially during heavy rain and to strictly obey the country's traffic acts and laws.

What was also highlighted by the RBPF was the need for driving schools to play a more in-depth role in educating its students of not just the standard modules that are taught but also to teach would-be drivers the importance of driving carefully, being courteous to other road users and be patient.

"It should be reminded that preserving road safety should not just be concentrated on related agencies, but it should also become a social responsibility of all road users," the RBPF had highlighted.

Human error has been marked as the main cause of road accidents, while driving during bad weather such as heavy rain has also been considered a major contributor to this growing problem.

Fines and imprisonment are typical penalties for road violators and these range from $1,000 to $20,000, and a jail term ranging from six months to three years, depending on the severity of the crimes committed.

According to the RBPF, those found guilty of causing death as a result of driving under Chapter 27 (1), Road Traffic Act (RTA) Paragraph 68 would be fined $20,000, jailed for seven years, and suspended from driving for a period of three years. Meanwhile, those found guilty of driving whilst intoxicated or under the influence of drugs would be fined $10,000, jailed for two years, and barred from driving for three years under Chapter 26 (1) of the RTA Paragraph 26.

Those found guilty of dangerous driving will be fined $10,000, jailed for two years and suspended from driving for three years under Chapter 28 (1) of the RTA Chapter 26, whereas those who are found guilty of reckless or inconsiderate driving would be fined $5,000 and jailed for a year under Chapter 29 (1) of the RTA Paragraph 68.

Those found guilty of using a mobile phone whilst driving could be slapped with a $1,000 fine and/or jailed for six months. Repeat offenders will be fined $2,000 and/or jailed for a year under Chapter 29A (1) of the RTA Paragraph 68.

Sunday 18 December 2011

Sutures





Image taken by verbal permission from individual...


Image taken by verbal permission from individual..

Suturing requires expertise and experience which normally done by nurses in Brunei, if you can see these are samples of sutures (usually done with interrupted technique), are done by nurses in Brunei. Regular advice to individual resulted a free of infection, thus, cleanliness of the wound could be meet.

Thursday 15 December 2011

2011......

it has been awhile i haven't post an issue or case or anything in this blog. Well, i am back!

Nursing practice has changed over the years.

For this matter, sooner or later, i will be making this as my blog. Due to inactiveness of the community i intended to change for the sake of keeping this blog alive..