December 2008...apa saja ku buat nie ...

hi semua ...hows holiday? ok ...since holiday started eat, sleep, eat sleep, jalan2, jumpa kawan..and more...ok i had all the pic edited with the discovery of pic edit from adobe photoshop.... yeah sofy i know am new...baru me tejumpa ....comment please...

taken in tungku beach ..three models aka closest frends posing..

another shot...

this one was masa puasa ariatu but i edited to make it more lively....

hahhhh...this one was in Belait beach...its me frendzz..me in zombie effects...i wanted it bright but alum cuba kai darker effect....ok dats all....

Announcement !!

People of DAEN 2008...nizam here to announce the closing of our account membership from www.highbeam.com which will be no longer active as due to date from 13th december 2008..please take note for those who are related......anyhow...the full access will still be accessible until 25th February 2009....

Thanx guys....and BTW...our blog will still remain active so feel free to put more infos....this blog will remain of our happiness, sadness, memoirs..together...although we will be no longer come in contact for sometimes from now on....

Enjoy holidays and see u guys in 2009!!

BBQ at Pantai Seri Kenangan November 23, 2008

ok guys..the pics are not in coordination ..ngalih ku kan put in order so i just dump everything nie ah .... kami ada BBQ at the respective beach .....it was a lovely day... attendees were of course griller hafiz and his friend joe kah his name..shahrin and GF, jack and GF, halinah and her two kids, zalin, ida and hubby, raliza with hubby and son, sofy and shema...whos missing? hmm eddy, amal, seri and damit..(FYI damit came early she had to go for a function)....ok observe the pics...

two love birds (bet u know sapa nie dri belakang ah)

hmm..ketawa ku nie pic ah...wats wrong with this pic? anak c linah yg bini2 atu was brought along with the wave so badannya pun ikut sama...haha

delicioso...chixs bbd'ed by Hafiz....thanks for him to conquere the bbq...we just have fun n eat ...

haha...penghulu looking at the foods..mmmm kekanyangan ya nie sudah at this time..haha

pic from behind....

the same log i took with sofy....this is edited one i can feel the loneliness from this pic...just like me..

shema with her lappy...zalin busy makan non stop..kalau ku estimate i think she ate within one hour...stop and then continue...hmm so much food guysss

posing for a sausage...hmmm u think that's how sofy eats a sausage? by sucking it or....hehe

shema..earlier part checking mails from her lappy...

mmmm apa nie ah? sofy from side view....

childhood days....sofy u have long legs..impossible to slide that easily...

zalind second round....no its first round..she opened a can so its a starter of the event...

EXAM FEVER!!!!

oowhhh.... most of us experiencing adaptation of fever, nausea, headache, constipation, abdominal cramps...u name it...all presented signs and symptoms of temporary state of nervousness on the coming exam....it sucks u dry ...well its three days ahead now...read, read and read....

X rayss...

Skull #

Pelvic # (obviously u can see the detachment)

Case Scenario....

A 25 years old guy - Matt, involved in a road traffic accident at about 10 am. He was driving alone. It happened that he collided with another car, but the other guy he got into the acccident was all fine. But not for Matt... on arrival of the paramedic at 10:20 am, on assessment, he was alert, respond to verbal stimuli but complain pain on the abdomen, head, neck area and right arm. There was a big laceration on the parietal area with profuse bleeding noted.

Blood pressure 90/50. Pulse 110, Respiration is 14/min Spo2 is 89% GCS scores was 10 by 15. .......

Hard cervical collar was applied with use of hard board with body strapping as for immobilization of the body. Full blast Oxygen given via mask delivered. Thick application of bandage was applied onto Matt's head as to stop bleeding. Initial IV access was started by administering Haemacele of 1000mls. Question asked to Matt and denies any previous medical or surgical history. So, he was very fine guy before the accident.

Arrived o AED about 10:30am....wat would be the next interventions??.....ABCD people....we are now in the secondary survey!!!

REVISION WEEKSS........

hello people!!! post basic students of various specialties are now facing exam which will be held on the 20th and 22nd of this month of november 2008. there it goes.....revision, literature reviewsss...and stress all summoned up towards the end of these courses....arghhhhh stress, stress and stress. hey its non stop...however, AE students are still being posted in the AED in the respective area...so at this time of this week...either work or revision or both?! luckily...grateful to the AE staffs, hope u guys understand our situation these days....we are facing some serious matter here...its to determine whether we go through the course or the other way round...your choice people!!

just to help some of the important topic to be covered....one of our colleague found a very interesting site on the management of polytrauma here it is .....

1 . http://www.rcsed.ac.uk/eselect/cc11.htm (author Neil M. Nichol) very interesting site as to cover up the management of such case...if u guys go through "next module" u will find more managements of different cases.....so i think its very useful resources.....

2. Another web site i found pertaining to the course management..i obtained from the medical blog of RIPAS team click the (The Nightingale's Page)...they posted some links with interesting topics which might help in your revision....hey its +- 2 weeks from now..so u wont have the full time to start fresh i assumed!!!

3. Next is, as of polytrauma case hintsss........ ABCDE!!!!!

4. http://www.moh.gov.bn/satisticshealthguidelines/indicators.htm ..... or http://www.moh.gov.bn.... this link u guys to our Ministry of Health website if u need statistics of your favoured cases....the latest statistics was that of 2006. hmmm i heard there's already 2007 edition but as if you see in the website, it ended up to 2006 version only.....for this purpose..it helps u to answer some of your queries of the pertaining problem...banyak kah nda case anie di Brunei?...sumthing like that....

ok people...enjoy your revision...and discussion....

Rainy Monday, November 3rd 2008

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?

Outing at Cikgu Zaleha's Saturday 1st November 2008

saturday....2nd house of cikgu zaleha...another function...ermm this commemorate late raya celebration....however....i failed to produce group pic with cikgu zaleha..sorrrrryyy for that again..i think i was too busy with karaoke..hehe.. ermm....gengzzz yg lain mana??? eh nanti u all kalau ada function lagi mesti kamu attend ahhh....esp. function that involves our AE group 2008......so next one will be compulsory for all AE PBS.........

cikgu zaleha, with zalin and fatimah.... at the back was cikgu punya'anak buah'. sorry no name..

sofy and shema..busy playing games with zaleha's daughter and son...

sofy and shema...


cutey ...ida's son...eeee gigitan meliat!!

ermmm for me ..i interpret this pic mcm org be kelaie..nda betagur(kidding!!)..haha..ok..on ur left Dr. eddy and right Dr. Da

for this issue...not much pics were taken ...sorry again...so actually amongst those attendees not included here were..cikgu mai, cikgu jainah, cikgu sendi, matron hj julaini, cikgu rahim...sorry guys..we were too busy with singing and stuffs...nda lagi te ambil gambar...plus amoy, timah, raffee, hj salleh(AE tutong), iskandar and hj helmi (AE temburong)..also attended at zaleha's house......from AE post basic 2008...thanks alot for the treat...we appreciate it!!....

Eating Out at Cikgu Salmah's on Friday 31st October 2008

hi guyss...this week was busy with invitations...so friday at salmah's house as to celebrate her daughter graduation plus raya celebration...btw...congrates for her daughter on her achievement. here were some of what we upto while at her place.... (sorry for cgu salmah, her pics turn out blur so i dont want to post the pic....)

wats so funny about this pic? hehe see how sofy reacts!! haha

me (posing for nothing)

group pics ..these guys are the only one who attended as for representing the AE group

some menu available..

sofy and seri...

haha..look how sofy and seri behaves...

hjh zalin and me(nizam)...

hahaha..love this pic..sofy looks so full..people! dont judge from outside of her slim figure!!

seri and her hubby....

Thursday, October 30th, 2008..College of Nursing...

Guysss..ok just to update our event for the date stated above....morning around 9.30am, Critical Care Nursing held a Raya Open Class, venued in their classroom...lovely chocolate cake....compliments to Fahmy's wife...then after around 12 noon....Operating Theatre Nursing group also held a Raya Open Class venued in the first floor of the College's Library....

So wats with the study event for thursday?

Ck. Zaleha went in around 8 plus am. Gave a briefing on both papers for the exam (1 and 2). so guys wat u have in mind for paper 1? (see previous post for reference wat we're talking about)

Paper 1...from observation process...i see that most of us would have done PBL issue.....u know what to do already is just in the matter of reading and reviewing them.

Paper 2....80% will do Shock and its management process and pathophysiology and so on...only 2 stated for cardiac emergencies...(me and raliza)....this reflects on the ACLS......

so cana? ......hope we get through this exam....btw.....rumoursssss about who going to KL...latest was only 12 post basic student from various specialty would go....so ck.zaleha informed us there were 'some' who will go....huh...i know i dont! we...am looking forward to work in other hospital on the 2 weeks of december!!! yeayyyyyy.......

ok guysss dats all for now...will post another one.....byeee

EXAM FEVER!!!!

hi guysss....now raya is almost over...the last will be the big exam which will be held at the end ov November. then after will be the International Nursing Conference which will takes place in The Mall, Gadong.

ok guys just to review back our exam papers titles; (only answer one for each paper)

Paper 1 - three sets of questions will be ask.
1. PBL a.k.a problem based learning. right now i think u guys know what it is....so query topics will be multiple trauma cases..(apply GCS, Head injury, AVPU, Primary and Secondary assessments).

2. Reflective Practice in AED. based on our experience whether good or bad

3. Ethics. ethical issues (sudden death, bereavement, medication errors......endless)


Paper 2 - also three sets questions will be ask...
1. Cardiac emergencies (ACLS people!!!!)

2. Geriatric emergencies (common cases e.g. fall copd, fractures......) and its management and all

3. Shock!! (wat common type of shock presents in AED?) include its pathophysiology of shock need to be reviewed....


ok people!!! its time to review ou studies and findingssssss..................

26TH October, 2008....Celebration of Raya and Teacher's day by the College of Nursing, PAPRSB....

ok guysss.....raya celeration from the CON, PAPRSB. so this also brings us to celebrate teacher's day as well..so 2 in 1 nie ah...it takes place in manggis mall on the 4th floor so from AE group whos attending?? the two faces belowwww....

zalin and nizam attending the raya brought by CON...

with cikgu zaleha (and children) and cikgu sendi(the back)...

the two emcees....fahmi and cikgu fatimah arni with her daughter...

jemputan....

nice cake!! for remembering teacher's day....

sorry guysss....nda banyak pics ku upload sini....but if u wana see more nanti ku liat kan..ok

EPs' submssion on Saturday 25th October, 2008....

it was a very gloomy saturday.....it was the day that post basic students have to submit their EPs' for the year 2008.....lots of fear...uncertainty....last minute changes.....sleepless nights...and more....this was experienced by some of student, that includes me.......see and witness the pics taken below...

discussion? or last minute changes???

a very happy face...finish early..hehe

mmmm wat metz? final check....damets here with ck. hjh salmah...she brought her printer too...

final check before signature of 'declaration' by ck. hjh zaleha...6 of us in all under her...amal was being penalize before submission her EP

four copies of our EPs' sofy, amal, jack and me...the EP has caused alot of distress for this year...hehe

presenting EPs' sofy(again), linah, seri, zalin and shahrin(from ur left to right)

me (nizam) being checked and yes indeed i feel nervous.....damn

next will be WRITTEN EXAM!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

EXTENDED PROJECT DUE ON 25TH OCTOBER 2008.....

hi people.....its been quite sometimes since the last post on october 13th, 2008.....this is due to finishing our project....so-called thesis or assignment..

all of us were busy with the laptops...damn i dont get to pic them....but i'll try to post some pics on the day we submit the thesis...which is today!!!!!

so, we have to prepare 4 sets of the thesis. simple and clean...which consists of black binder on the side and transparent no colour covers....

hmmmmm.....we did encounter problemsss on finishing the project. only God knows what it takes...although some of u guys don't think its a big deal but hey...this project determine our passing...the breakthrough and the answer to the course....

so...we feel that it would be the last for everything for this group (this is my feeling).....the worst was when i typed the acknowledgement part in the project....thanks for the AE group of 2008.....mmmmm i dont wana cry, i dont wana !!!!!

okay people....dats all for now...KIV for the pics....settling of our EP @ thesis @ assignment!!!!

Zzzz....!

Nizam was sleeping, while waiting us doing PBL assignment!

Cukup dengan snoring nya lagi whohaha.....

Eh! bpindah gtu ya layah2 at the back of the Library Ripas...jauh layarnya kmana kah?

Raya Outing...College of Nursing Saturday (Oct, 11th 2008 started at 10 am) and Raya at Sofy's (Oct 12th, 2008 Sunday PM)

Ok guys ...we decided to have raya at the college in our classroom ... we did managed and it was a success...love it!! we invited CCN and PAEDS groups as well...lovely morning. enjoy!!

Ah? Tecengang C ida ...apa ah?!

Spot the supermodel? hint; wearing the cara melayu....


Group shot along with the CCN group


AE guys...

AE ladies..

Again!! men of AE 2008

Trying to fit the college's logo..

Kanyang lapas makan....

hmmm...Seri wat are u trying to say here?

AE Post Basic 2008...memorabilia

Paed's nurses...

wahh..bebaris kamu ah...notice that all holding plates

This was on the next day (Sunday Oct, 12th) raya at sofy's house in K. Belait.. love her spaghetti sauce made by her brother... (p/s; searching the right light for group pic)

Along with Zalin's sister and Nurul. Penghulu brought along her hubby and her 2 kids.. (hmm wats wrong with the light?!!)

At last...this (for me) finally we found the right light..thanx Sofy..and psst nice house u got!