I was so energetic last night which was unusual of me. I don’t know maybe because I am with the same sked with my apprenticeship training friend. Although a patient’s relative complained about me, it was overall okay. I was filling up the turn in slip for the unwanted medicines I have charged when a relative of a patient who was about to get discharged approached me questioning the IV catheters charged to the patient. It turned out that my friend erroneously charged it to the said patient which she has brought up earlier in the shift. I promised her to help her process the turning in of the materials. I informed the relative that the bill will be duly adjusted. The relative was pleased about it even though his father’s life insurance quote would cover for the said charges. It is still worth it to stop and look at the figures.

It’s summertime. The heat can be felt as early as seven in the morning. We punched out of the hospital at 10:00 am and headed to the Sunday bazaar at the Lung Center of the Philippines. The stalls are make shifts out of tents and the roofs are too low that you can feel the heat. We are not appropriately dressed for it. We are in our long sleeved white dress and stockings so just imagine how much soaked we were as we hunt for great finds.
It is summer time indeed and this means only one thing, it’s beach time. The perfect cue for me to try unearth my swimwear and custom beach towels

I admitted him the other day, he’s still a bit strong and get up on his feet with littlet assistance until the last night when started to detetiorate physically and neurogolically.
A large mass was found in his brain and the doctors would like to find where it started. Tests were run and revealed that he has adrenocarcinoma in the liver and has metastasized to his brain. An adenocarcinoma is a different type of cancer, it originates from outside of the liver. Adenocarcinoma means a malignant tumor in epithelial tissue, specifically in a gland.
I don’t know if I could ever learn how to hold back my tears in times like this. I was at the bedside when the doctor broke the news to the patient and relatives. They all burst in tears and only a person with no emotion could not be affected.
Last night, he showed no signs of improvement. He is vomiting coffee ground subsstance. We call that hemoptysis. A sign that he is bleeding in the gut which is a sign that the liver is giving up. A nasogastric tube was put in place but he cannot still be fed. He’s complaining of hunger but we cannot him food or fluid by mouth as yet.
Before the midnight strikes, he was moved to medical ICU for close monitoring and we all felt that something bad is waiting to happen.
A few hours after he was moved to ICU, code blue was called there.

Everyone in the hospital is going nuts over the Canada accreditation. The visitors will come for a time and motion study this Monday. I do not know what the accreditation is for but one this is for sure, we are all asked to put our best foot forward to earn the sought after accreditation. I also learned that employee screening is part of the program

I have crazy work schedule and at times I get confused on which face cream should I put on my face after washing up. I have different creams for day and night so if I came from a night shift and I will sleep during the day, I usually ask myself which cream should I use. A simple question but I think it’s very substantial.

I do not know if it comes with age but I see that older people suffer more from skin disorders that the younger ones. Maybe it is because of lack of mobility being confined to bed or a wheelchair or the integumentary and circulatory systems are as vulnerable as their other systems. Some suffer from skin infections that appear to be exzema or escema.

It’s my first day of work after the “cat fight” with another staff nurse. Technically, it was not a catfight because I did not engage. I just let her purr…
The girl has been transferred to another ward through drawlots.
At first, I felt a bit unfortable. I felt that everyone’s eyes were on me. Until one of the seniors asked me what happened so I gave my side of the story.
I do not know if they’re just over it or they just want to make things lighter but they start crackin jokes on me telling me to pull my act together so as not to be shouted at.
It was a tiring yet light night.

I have come across patients who have just undergone operations asking how to build muscle fast Their relatives too are eager to have knowledge about this and as part of our health teaching program I just tell them to get good amount of protein and they need to have regular exercise routine. I also informed them that protein also help make the wounds heal fast.

Part of our job is to have the patients safe from bedsores or if they already have, we must ensure that will be contained. With this as our goal, we make sure to turn the patient from side to side every two hours. Although I am not the “turning” nurse, I have to help him or her in carrying out the task and seriously, there are some patients who are heavy enough that they make us make the valsalva manuever which is not good as I feel that it has effects down behind there. I think I will be needing hemorrhoid cream in the future.

It was a busy night for me, as usual, but I was able handle the shift smoothly until the incoming staff nurse begun intoxicating me with her demands to endorse my other patient to her. This is what she normally does, makes sure that the endorsement gets done early so she could start or end her shift ahead of the others. It was okay if I was not busy but the thing is, I was attending to two patients when she started asking about the patient that I was supposed to dowload to her. It was really irritating. There was also this other orientee who waits for me to get done so she could endorse all her two patients to me. She was quiet though because we had an agreement that she we let me know if she’s already ready for the endorsement.
So when I was done attending to my patients, I sat down and asked who between them will I attend to, then she snapped at me. Begun with her lithany of me being arrogant. All the three nurses there were shocked. And as the orientee and I started with our endorsement, I tried to assure the orientee that everything will be okay and we giggled. This made the mad nurse furious as she thought we were laughing at her.
I have heard that she had issues with other staff nurses because of her attitude.
I still kept my silence. I wanted to snap back but then again, a mature person would not do that. Instead, I turned the other cheek. She will get transferred to another ward anyway. I cried though in the morning when I got the thing off my chest with my batchmate during our post duty breakfast.
I was thinking if I will let it slide or bring it up to our headnurse.