After a gruelling critical care course and hospital duty, I am now down to the last leg of this situation I called adversary.
Didactics, bedside conference, ICU exposure and journal review are way behind my back. I am now awaiting the channelling out lecture and the case presentation and of course the graduation.
I have actually contacted my niece to once again to swish and turn her magic wand on me for the makeover.

I had a chat with my batchmate while waiting for the rain to stop outside the hospital. I told her that I really want to get out of the country. Of course I want to purse my nursing career so I am searching for a better medical job abroad through the internet. I am hoping that I could land on a better job before my NCLEX expires.

My reduction in food intake for over a month now, I think, is getting a positive effect on me. I always think that there would be no diets that work that one can take if she will not couple it with discipline and exercise. Getting fat does not happen overnight so do not expect to lose weight overnight also. You can make you body a wonderland just be patient.

I am almost reaching the one year marker in this hospital but I am really itching to get out of the country to take my nursing career a step higher. I am thinking that if I do the same thing abroad I will be able to earn huge amount of money. I am resorting to free directory submission so that agencies could view my credentials. The work in the hospital is physically, mentally and emotionallydraining and I suppose that it is not too much to ask for a better compensation

This constant lack of sleep is taking its toll not only on my health but on my face. Good Lord I’ve got blackheads on nose and I am fearing that if these remain untreated it will soon turn out to be totally unsightly in the form of zits! Since I could not do anything about the sleep, I am just trying to hydrate myself my chugging on plenty of fluids. I need to wash the toxin away.

After some chitchat with my best bud over light breakfast, we called it day and went our own way home. I was like on a rocking chair while on the jeepney. Although I was able to snatch some decent nap during the night shift, it was not enough to make up for the lost sleep in the past days. I find it easy to skip meals coming from my duty. I just want to lie flat on bed. Joggling the critical care course and hospital duty is the best appetite suppressant.

I have not gotten any decent sleep since the critical care course has started. I fearing that these sleepless nights and stressful days will take its toll on my face. I am now in search for best anti wrinkle creams that I will use to prevent these sign of aging from appearing. Two more weeks and this brouhaha will be over.

Having my critical care training course along side with my 8-hour duty on weekdays and 12-hour on duty on weekends, I feel like a candle that is trying to thrive on an open air.
Hitting the seventh day of my tiring routine, the pressure of getting good grades and rendering compassionate service has started to grow up on me. It is so constrictive that I find it hard to breathe.
My last shift for the week was smooth sailing. I was able to handle all my six patients well with a breeze until at past 4:00 in the afternoon, I received a patient from the neuro ICU who has underogone craniectomy to evacuate subdural hematoma. Although his stable vital signs prompted the doctor to transfer him to regular room, his level of consciousness is at grade 9 on Glasgow Coma Scale. He is breathing through tracheostomy and his airway clearance is ineffective due to excessive mucus secretions. He requires frequent suctioning and he is being fed via the nasogastric tube. Since he is unable to move for himself, frequent log rolling is also required to avoid his sacral bedsores from exacerbating.
I was able to finish suctioning him, rendering tracheostomy care andfeeding him by 7:00 pm. I had time to then to finish my chart but the pulmo fellow came in and asked for his chart so I tried to pull out the part the I need to fill out. I also prepared some forms needed to document his bedsore and surgical wound.
I did not put back the forms immediately to chart but I was able to endorse the patient and read his chart to the incoming bedside nurse. While waiting for the bedside nurse to make his rounds, I stayed in the treatment room and left the forms and my other stuff on the desk at the nurses’ station. It was just a matter of minutes and when I returned to the station, the forms were all gone and my stuff were place on the other side of the station. I asked the charge nurse what he did to the paper and he casually said that threw it all away.
I was so tried, my back was killing me because I have trained my two patients to sit at the bedside and transferred one from her bed to her wheelchair. My hands and finger felt so stiff due to the cold environment and they felt sore because I had finished documenting for all my patients except for the new one. I felt so sorry for myself because I had to accomplish new set of forms all over again. I broke into tears.

John Meyer has just had his concert in Manila and I cannot believe that his concert tickets were sold out in a matter of days. I was not able to grab my ticket as I was still waiting for my request for day off be granted. I hope that there would be a second part of his concert as I heard that his was blast. I am hoping that Taylor Swift would also do her gig this side of the planet.

The sleepless night brought about my critical care course and regular shift in the hospital is now taking its toll on my body. Zits have started to come out all over my back and they are unpleasant to stare at. I am saving my money to get an acne treatment so I will have an ample healing time after my physicall and mentally-demanding quest.