Lite Anonymous

Soy estudiente infermero...
   

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Privilege Doctrine


privilege of communication is an ethical principle that holds any medical personnel from revealing any information about their clients to a third party without the consent of the patient or any clear legal reason. this prevents any breech of information and maintains the client's privacy.



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Tuesday, September 12, 2006
my new blogsite

check out my new blogsite

http://the-candlejack.blogspot.com/


Posted at Tuesday, September 12, 2006 by lite anonymous
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Thursday, August 24, 2006
Queasy oh so Queasy

I was so late this morning that's why i took for granted my urge to defacate. It was already 6:00 that's why I decided to take the sooper dee doopper big, sooper dee dooper airconditioned, Avenida bound Genesis bus instead the usual sooper dee dooper dilapidated, sooper dee dooper small, sooper dee dooper slow local mini bus that usually takes me 1 and a half hour to school.

I was the first one in the hospital. While waiting for them, i started to feel soooo qeasy so i planned how to distract them so i can use the toilet. I was really thinking of using a private CR of an empty room, but heck!, the whole hospital was crowded. So i got no choice but to use the general toilet. But i wasnt feeling so queasy then so i let go of the chance to dump that time. I was still thinking that I might still suppress my urge and wait until im home.

Interestingly, my two new patients and I  have almost, ALMOST, the same predicament.  AL, 17 year old boy, feels pain in his left epigastric region (left upper quadrant of the tummy, that is the left upper part of the tummy if you'll divide it into four), and FP, one year old cute little girl, has an amoebiasis.

Think about it, like nurse, like patients. This two were among the unusual cases today since a majority of the hospital's clients were Dengue Fever victims.

Anyway, after lunch, my tummy started rumbling. I felt the urge and i know that i cannot take it for granted this time. I immediately went to my patients and spooned them their medicines and i went down the first floor and straight to the CR. As I was to flush the toilet bowl, someone knocked.

My CI (clin ical Instructor) was looking for me and she sent AxA to fetch me. I was going to make a skin test on my 17 year old patient.

 I found AxA, RAA, and LzA  waiting for me outside the Cr. They were a bit sniggering. I started to sweat. I thought that they'll tease me, but i was wrong.

I didn't even think that they are this sensitive to my feelings. They did not even mention this to anyone. So I was able to perform the Skin test correctly, though I was really shaking and jerking since this was my first time to do it with a real patient. (ive tried pushing needle intradermally -for skin test, sub cutaneously -through the fatty tissues, intramuscularly- through the muscle and even intravenously to my classmates but never to a real ailing patient).

But in the end I was still able to do my job. THen AMA went to me and said, "bukas yung zipper mo. ahihihi".

ARGH!

 


Posted at Thursday, August 24, 2006 by lite anonymous
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Monday, August 21, 2006
Im Sorry Aurora Jr, (Aurora is better anyway)

YES!!

It is such a breath of fresh air to be back inside the hospital again (my duty is 7Am-3PM). My midterm examinations and community internships are all over. And now i am stationed in a private hospital. But i was absent on my first day because i thought that there was no class since the other night was the College of Nursing and Midwifery's acquaintance party. So I went to my Org instead and made some errands. I just asked the Org's head to make an excuse letter for me to get me an excuse slip. And i had my excuse slip, so just have to do a single make up duty instead of making 3 (an absence is equals to 3 make up duties) for my absence.

Private hospitals offer a lot of different experiences than that of the public hospital that ive been to. But i was not able to have them since im a guy (yes i am a guy so stop calling me Ate, im not your sister).

I cannot just make some perineal cares (cleaning of a girl's reproductive organ), change some diapers or catheters (catheters are tubes that are inserted in the urinary meatus to allow the ubinterrupted flow of urine, this is given to any post-operative patient), and many more since the female clients were embarassed.

A newly cesarean woman was my patient. I had some talk with her husband and i found out that they were planning to name their child, Aurora. This was I think was the guy's mother's name. He even joked, "can we name a girl with a Junior, I mean Aurora Jr. hahaha"

So i told him that Aurora was the Goddess of Dawn in Roman myth, and i can search for the Greek name for Aurora. He was really happy and I know that he was really looking forward for the next day. But as usual, before going home, i again went to my org's office, and I was at home at 9 Pm. I totally forgot about the name.

The next day, they asked me about the name and I told them about what happened. They named the girl Aurora instead.

I really felt so bad, that's why even though I was only able to come home at 10, beginning of my sleeping hours, (because of the org again), i searched painstakingly for the Greek name of Aurora. And i found it. Aurora's Greek name is Eos. Hmmm.... not cute isn't it.

Im sorry Auora Jr., your name is better anyway.

 


Posted at Monday, August 21, 2006 by lite anonymous
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Friday, August 04, 2006
uhm...

Thursday...

I was so pissed off because LsA pushed me to remain in the health center, BTW, we were assigned to a new station, to 2 health centers in two different Barangays.

The 2 places were completely different with the RHU (regional Health Office) that we've been to for the last two weeks. The RHU is complete with X ray, Dental Clkinic, Laboratory, and many more, while the two centers were absolutely smaller and poorer.

Anyway, we had had no too many patients, only 3 or 4 elderly women who wanted to have their Blood Pressure taken, a pregnant girl, who I was very lucky to test my Leopold's Maneuver skill (the palpation of a pregnant woman's tummy to check the position of the baby) and auscultate for the Fetal Heart Tone which proved to be sooo difficult to do, and a kid who had a shot of Anti Hepa B Vaccine.

Friday...

My misfortune yesterday was flipped today.

I was able to join them in a home visit. There were only two people to be visited so we divided ourselves into two...

I was with AxA, KJA, LrA, and RAA.

The patient was really nice. We spent almost two hours talking to her. She told us her autobiography, like she was quite a lesbian in high school (she's two months pregnant BTW) , she had crushes on girls, she didnt love her husband when they got married because he's eleven years older she only married him because of a gossip, she has a cousin in Canada (she let us see the picture and... "hey...cute") who was so ugly when they were young ( i saw the picture too) but now a beauty pageant title holder, and many more... yeah, a dirty old mayor gave her an indecent proposal when she was in Laguna.

After almost two hours of trying to tell her that we're going... which she comfortably ignored, she finally let us go.

We thought of making a quick ocular visit for our dot map... when we were in front, as in 100 meters away but in front, of the General Service Office, 4 men called us to take their Blood Pressures.

What we thought to be four guys turned out to be 50 and more government employees asking for their Blood Pressure Readings.

As we took a person's BP, more and more people queued for their turn.

It was so funny. It reminded me of the interviews I made for a film documentary, where I interviewed people from the City Hall and the Police Station.

They are so ecstatic. They joke around like kids. I really like these people. Overall, it has been such a rewarding achievement to BP those number of people.

PS This will be my last Community Duty. I'll be stationed in a private women's hospital next next week, after the midterm exams.


Posted at Friday, August 04, 2006 by lite anonymous
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Friday, July 28, 2006
Home visit Scenario

We had our first  home visits (we have to visit our clients in their respective houses. This is done to ensure that they are following the regiments that were advised to them) yesterday, though I was very unlucky because I have not had the privelege of doing my duty because one of my two patients already moved to a different town, while I was unable to go to the house of my other client because of the flood plus the high tide that regularly visits the place, though it isn't in anyway near the shore, the river only overflows with the coming of the tide.

I was paired with LA. I helped her find her patience which we were very much successful in doing. But this took us a really long time because of the following reasons

  1. Whenever we talk to someone to ask for the address, swarms of people will start queueing at us asking us to take their Blood Pressures. I think they do this whenever they see a student wearing a public health nurse(PHN) uniform since whenever we ask them about their normal blood pressure, they will tell us "nung isang linngo 120/80 yung Bp ko eh" (last week my BP was 120/80). Boy, they mustve been really accustomed to PHN's presence that they have regular BP check ups. we sometimes tell them to go to the health centers instead, but they'll tell us that walking that far (which is only two corners away) will make their BP's rocket to the moon and they were not joking.
  2. The exact address of our clients were not given. All that was written in the health records was the Barangay's name. We had to ask every single person we meet in the barangay if ever they know the person. Sometimes a group of people will lead us to different directions until in they will argue if the person we're asking was the person they know. Until in the end they'll decide that they do not know who we were asking.
  3. My foot hurts. I think I already have a rheumatism. Im serious.
  4. Dogs' poops are everywhere.

At least in the end, we finally saw our targets.

The first one was a girl who gave birth last month. She was not home (she was working). We only met her husband and her second baby. The Baby was sooooooooooooooooooooo cute. I saved a picture of him in my CP (i cannot put the picture here to protect the client's privacy)

He has really smalll eyes and white complexion. And he has 6 fingers in his right hand (two thumbs) POLYDACTYL.

The other patient was a pregnant woman who turned out to be my patient's (the one who went to other town) relative.

PS we are asked to make a daily diary of our community duty. My last entry was almost about the maltreatments that ve encounter from my CI. She made a really long "remark"on my diary.

Here's the comment... this is how she wrote it.

CI's Remarks!

   >Discipline is a commitment we have to learn this in order to show responsibility.

   >'have to maintain the owl's gaze to protect you fr. commiting mistakes. Rulesare laid out to be followed and not ignored.

   >If you consider yourselves mature,dedicated individuals, you will do what is expected of you even without being policed.

   >Follow instructions/directions. Work from the heart. Appreciate the good things you have. Many people have longed for some privelege but it's not there for the taking.

   >Communication-if unsure or uncertain...ASK...

   Good Luck! Show me how commtted you are.

                                                                                                      Signed

 

TODAY

We started the day by making some changes within the Regional Health Unit (RHU).

We put new posters and made some "makeovers" inside the clinic, the dentist's clinic, the laboratory and the facade. We stuck different signages at the facade...and LeA is even planning to repaint the RHU.

There was a rotation in duty. Our teamleader decided (our CI was not with us since yesterday) that those who were unable to make any home visits yesterday,because they managed the sick people who came to have their check ups in the RHU, should do their turns to make their home visits instead and vice versa.

I was excempted from the rule because i was not able to find my patient because of the flood. AnA, our leader went with us this time to make his own visit. He said that he wouldn't allow us to group ourselves into twoes because he was concerned with the girls.

So they went with me to my patient.

My ptient is living in a shack within the alleys of the subdivision. The mud and the subsided pools of water are still present in her island home over there.

i really like her. Although she was only 17, I can see how much she loves her daughter. She takes care of her. Her last RHU visit was just last july 26, comparing to LA's patient yesterday who doesn't even visit the RHU even if she's already in the 3rd trimester of her pregnancy. She knows how to answer my questions and she listens to my health teachings. And she's aware of family planning. I really wish her well... and her kid. I know that she'll be a great mother even with her young age. VERY YOUNG AGE.

I did not go with the rest of the group after this visit. I went straight to the RHU and helped with the work there.

the doctor was extremely furious with our Nursing Diagnoses. She called LoA and I and asked us impromtu about the child.

the child has red spots all over so I immediately thought that it was dengue. But she, the Dr, asked the mother that she's suspecting of parasites, i knew it, those are rashes.

She asked us what those spots are called. "kahit sa tagalog" (even in Tagalog)... LoA said those were Tagulabay, i heard about tagulabay but dont really know what on earth was that.

The doctor look at me and asked "so what do you call this in Medical term?" I was not sure but i still answered, "er... uhm... General Wheal." It was general because it affects the whole body.

I think i was correct.

When there was no more patients coming, the Doctor gave us a lecture about our mistakes. We were again refreshed about our NANDA's et al.

We then shot questions and had an informal discussion with the Resident Nurse inside the RHU.

Today and yesterday were among the moments that i felt so rewarded in doing my tasks. I love Nursing.

 


Posted at Friday, July 28, 2006 by lite anonymous
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Monday, July 24, 2006
Random Ramblings

So there is no classes, huh...


AAAAAAAAAAAAAARRRRRRRRRRRRRGGGGGGGGHHHHHHHHHH!!!


There is no classes and nobody bothered to text or phone me... ARGH! And I am 1and a half hour away from school. I woke up at 3:30 while I slept at 11 last night after I made an excruciating review for an exam in NCM 101-Pediatrics. I battled the rain and wind just to find that there is no classes? ARGH!
_______________


So what happened to me last week?


About the Incedental Report (i just learned that it isnt incident report... it should be incidentAL report)... I was very much fortunate that the faculty seems to have forgotten about the fiasco inside the hospital after the announcement of the Board Passers last wednesday, plus there was a group rotation. I am now assigned in a community for about a month.


THURSDAY:


This was the first day of community duty. 4 of my classmates didn't have any uniform (the faculty's fault again, remember my scrub suit predicament?).
They were scolded by my CI. No matter how they argued that it wasn't their fault, she just won't hear them. She told them that they should have borrowed or bought a uniform outside. My CI shamelessly yelled at them in front of the whole crown under the shed inside the campus.  As a sanction, she told them that they'll be marked absent.


Then she beckoned us to another room. She made some briefing about the uniform policy. Then she saw a guy at the back and made him stand... "look at him, who would not welcome him during a house visit? He's so well groomed yaddah yaddah yaddah. Unlike him" she pointed at me "don't you have any money to buy a gel? Just tell us and we will buy for you." She was talking about hair that wont lie.


Being the subject of her blatant-self-esteem-degradation project has never been new to me. Afterall she was my CI in Nutrition last summer. And I have a very huge amount of stored memory in my brain's inbox of all the insults and snide comments that I got from her with wide grins and stupid giggles. Nursing subjects, I daresay, are very subjective, so I did not dare to look sour in front of her.


Last summer she told me, while I was sitting beside this cute girl in her subject, "Mr. you are very lucky to be sitting beside her. You can be a cute couple." I was quite embarrassed but pleased. "If you'll mix your genes, boy, the result could be spectacular. She's gorgeous and you're… er… normal"….


See how evil that old menopausal hag is? Good thing there was an orientation done by the City Health Office. I was not able to see her. Plus I was able to excuse myself at 2 for an errand in my student org.


FRIDAY:


I was almost late… but I was lucky because my groupmates allowed me to jot 7:00 in my time in even though I went there at the shed at 7:30.


Then we rode a jeepney to the RHU (Regional Health Unit) of a Barangay within the city.  During the orientation, she saw my head again. I already gelled my hair so she could not comment about gelling it that's why she said I should have a haircut.


Then we made an ocular survey.


We were walking when we came across this group of drunkards beside the street. They happily asked us to get their Blood Pressures. My groupmates were more than happy to get their BP's.


I could not believe how easy it was to talk with these people. They were really nice. One guy even joked "Sige nga tingnan ko kung pwede akong uminom ngayon. Pag high blood ako  pass muna ako."(Ok, let me see if my BP is high? If it is, then I'll just passed drinking today).


Everyone laughed. And I was surprised by AMA's reply. She said, "Pag ako po nakapasa sa Board Exam, magpapainom ako." (I'll throw a binge drinking if ever I pass the Board.)


Fast Forward after lunch… the leader of the other group told my CI that 3 of his members were still missing. One said that they went to McDonald's. She was very angry again and yelled at them when they came. She gave them each an Incidental Report.


SATURDAY


We had a quiz about the content of PHN bag (public health nurse bag). Then we were told to go.


I went to my Org's office and made some errands.


SUNDAY


I only reviewed for a quiz in Pediatrics, supposedly will be given today, and an assignment in Obstetrics about interviewing two Menopausal women. I just made up an interview (what can I do no one would admit that she's menopausal). 


Posted at Monday, July 24, 2006 by lite anonymous
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Sunday, July 16, 2006
F4 Sang the Pokemon Theme

THIS CANNOT BE HAPPENING TO ME!!!

Incidentally, RLA and I were just talking about INCIDENT REPORTS last friday afternoon while we were in the bus terminal, which Ive heard before but I was really clueless about.

Incident Reports (IR)  is a list of different Nursing Students who made violations while on duty. Things from serious matters like administering a wrong drug that caused death or worsen a patient's condition, divulging confidential information, having an affair with a patient, to simple ones like wearing your scrub suit outside the hospital (it might get some contaminations), being noisy or disrespect to doctors aqnd other medical personnels are among the things that may put someone in the list. One IR means three make up duties and of course some grade deductions.

I heard a rumor about a group last year who had a night shift in a private hospital. Three of them, I think, went inside an empty room at the third floor. They scared each other causing one of then to scream. The noise was heard all the way down the first floor. The staff nurses were really angry. The whole group was given an IR.

Another story (as told by my prof in Pediatrics) again happened in that said hospital. A patient died because a group of student nurses blocked the elevator while taking pictures of themselves. They were suspended and was put in the list.

So what happened?

When we were dismissed and told to change from our Scrub suits to our white uniforms, which we only wear outside the hospital while we were on duty at the delivery room, NFA sang the Pokemon theme song...

I WANNA BE THE VERY BEST,

LIKE NO ONE EVER WAS,

TO CATCH THEN AS MY REAL QUEST.....

in a very loud voice.

He was singing really loud and hearty that's why HB, AxA and I joined in. We sang on top of our voices like no one was with us while we were changing in the Nightingale hall just behind the OB ward.

Our raucous singing did not stop when we finished Pokemon, we started singing different anime theme songs like "blue blink", "BT X", (these were old animes in ABS CBN that were translated to Filipino) and many more. Until a staff nurse came to us and told us to shut up. We thought that that would be the end, but we didnt know that we made so much noise that we irritated even the doctors.

A paper was given to us instructing alll those people, including some that we didnt know who were inside the hall, should give their names.

All other groups listed their names except our group.

They were scolded by the nurses because of our fault. So they all pinpointed our group. "yung mga nasa Delivery room po yung maingay." (those that were stationed in the delivery room were the noisy ones) I heard a girl from the Nusery complained.

After we had signed out, NFA, HB, and I parted our ways to our respective destination (NFA rode in a local bus, HB used the school bus, while I went to the hi way and waited for a Genesis bus).

The next day, Saturday, I was not able to review for the coming evaluation exam since i was really thinking about what happened.

when i went in the hospital, everyone was talking about it.

I could not look straight at my Clinical instructor's eyes because of guilt. After a whole day of reviewing while some of my groupmates took their turns inside the delivery room, our teacher beckoned us to go to school and have our exam there. After the exam, she told us that the doctors reported us to the College of Nursing and Midwifery's faculty and they will have a meeting on the appropriate punishment  to give us.

She also said that theyre going to think if it will only us four or itll be the whole group who will be punished.

I was so guilty.

When my CI dismissed us, I went silently to her and told her i am sorry, (".")maam sorry po

I dont know what will happen to us.... Please pray for us.

 

 


Posted at Sunday, July 16, 2006 by lite anonymous
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Tuesday, July 11, 2006
Stupidities in the Delivery Room

***I am sorry if I was not able to post what happened last Saturday, here it is...

When I went to the Hospital at 2 (my duty is 3-11PM) I was able to see RJA who was in duty at the DR at 7-3. He told me that I should not put my hopes high about handling a case (attending a delivery) because there were only two laboring women inside the labor room. I was really disappointed.

When I went inside the Nightingale hall (hall for student nurses from different colleges) I was surprised to see the majority of my groupmates cramming about our assignment about some labor and delivery medicines. I was at school at 9AM and did the assignment there.

Our Clinical Instructor beckoned us in front of the delivery room, he asked NFA and AxA to go with her inside, someone is giving birth inside.

I took the chance. I also took off my smack gown that covers my scrub suit,and wore my DR shoes, mask, and cap. I knocked at the door and asked if I can observe.

My CI let me in and told me that I was going to assist AxA in delivery while NFA was making the interview to the patient.

My CI ordered AxA to wear a pair of sterile gloves, I asked her if I should also put on some but she told me that it was unnecessary for me, since I would be just assisting. Neverthelesss I decide to wear when she said that I can if I want to protect myself.

The woman was 28 years old. her vulva was pulsating while she was complaining of the pain. My CI checked between her legs and found out that the BOW (bag of water) has  not yet explode. She ordered NFA to get her a piece of sterile needle. She then punctured the BOW with it and a cloudy fluid squirted from the inside.

After some time, when the pain was already swelling, our CI grabbed the lower portion of her vulva and spread it. The fetus started to move out. My CI instructed AxA and I what to do.

When the woman felt that the baby was coming close to her vaginal opening, our CI and the midwife told her to push harder. Although she was pushing really hard, the baby would still not come out so the midwife used her elbows to push her tummy but she was not exerting enough pressure so she told me to do it instead.

Whenever the woman's tummy contracts, I'll put all my weights on my elbows and push it really hard (imagine a wrestling match).

I kept on shouting, "Mrs. kaya nyo yan!" (MRS. you can do it!)... which she incessantly replied with "anak lumabas ka na!" (child, get out now!)... while my CI, the midwife, and AxA returned these  with chorus of "sige lang, ire pa!" (push!).

When the baby's crown was outside, my CI performed the episiotomy, which is according to wikipedia, is a surgical incision through the perineum made to enlarge the vagina and assist childbirth.

When the baby's full head emerged, half of the body immediately fallowed. But it was still difficult to get the baby out so they have to really pull the baby. I saw their teeth clenched while they pull the neonatal with all their forces combined.

When the baby was finally expelled, AxA cut the umbilicus. I then held the baby on her (it's a baby girl) feet while her body dangled at the bottom supported by my other hand. I hurriedly carried her to the nursery.

I was so glad. it was rewarding, and not in anyway the same with D&C.

But before I can exit the place, I was asked to interview a new patient. NFA was going to handle her case while RAA was bound to assist the delivery.

After taking the Personal info about my client, who was my schoolmate (she's older that I am), I then took her Vital Signs.

I admit, I have never been good in taking vital signs. And I have never tried taking the BP with a mercurial sphygmomanometer.

A mercurial sphygmo by the way is different from the aneroid because it uses mercury and a ruler-like scale, unlike the aneroid that has an arrow.

The left and right side of the scale has numbers. I didnt know that the numbers in the right were of tens (10, 20, 30) while those in the left were of five (5, 15, 25), so i loudly asked my CI what number to look at, before I even discovered that this was the case.  So the midwife made some spectacular comments about, us, my CI's students, brains.

I managed to take the BP anyway, so I resumed the interview. But then the midwife felt hot, as in warm not the one youre feeling when youre with Paris Hilton, so she asked me to turn the electric fan on.

I looked around and saw a blue wall fan. Thinking that there were other fans inside the room, I again loudly inquired "maam yung blue po?" (is it the blue one?), the midwife replied, "aba! ano pa ba yung kulay ng electric fan dito?!" (what other color does our fan have?!). So I diligently pressed the buttons, but its blades did not rotate, so I pressed the next one, and then the next but nothing happened. So I asked again, "maam ayaw po." (maam it wont work.) she yelled "aba isaksak mo kasi!" (plug it.).

SIGH... I was so stupid....


Posted at Tuesday, July 11, 2006 by lite anonymous
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Friday, July 07, 2006
Virgin No More

My duty in the delivery room should be on  3:00 but I was at school at 10:30 to ask some of my classmate if i can borrow their scrub suits... unfortunately, IFS cant lend me hers. I was so releived when I learned that they have already replenished their stock yesterday so i went to the College of Nursing and Midwifery faculty to get mine. But because of my, i think, my own recklessness, i forgot to bring my smack gown, which is worn over the suit whenever you're out of the DR, so I just asked ACS if I can borrow hers. She said yes and gave me a free lunch at their house.

I was at the hospital at 2:30, we were met by our CI, Maam C, and told us to change to our scrub suits (we are not allowed to wear our suits outside the delivery room, except if we are wearing a smack gown. But if ever we tried wearing the suit outside with the gown, I am sure that we'll look really stupid, plus it's raining so we might contaminate our pants).

We were given a quick orientation about the subject... she said that it is really nice that we were just fresh from the OB ward since she said that this might sparked a little curiosity to us about what happened to the women that we took care of last week. She also told us about team spirit and other regulation inside the hospital.

Since we were too many, we're 15, she only allowed us, the first five, to come with her inside the DR for a follow up orientation about the DR and everything in there.

In the middle of orientation, a woman was carried inside, she had a miscarriage so she was immediately readied for a D&C or Dilation and Curettage.... according to WIKIPEDIA D&C is..." a gynecological procedure performed on the female reproductive system that used to be a common method of abortion. The procedure involves dilating the cervix  and inserting instruments to clean out the lining of the uterus, which can include an embryo or fetus, while the woman is under an anaesthetic. A curettage is performed with a curette, a metal rod with a handle on one end and a sharp loop on the other."

The Doctor immediately performed the procedure. I cant focus on the orientation. I had a glimpse of what was happening at our backs, and I was greatly horrified when i saw gushes of blood dripped from the woman's vagina. It was really scary.

Then while my CI was instructing us about the records, the doctor asked for an assistant. It was our first time inside the DR so we pointed at each other. A nurse was enraged by this. She said that we shouldnt be taking nursing if we're this scared. So HB was chosen. We left him inside.

HB handled the procedure.

When the doctor asked for HB's assistant, (HB acted as the Sterile nurse, he cannot touch anything unsterile, so they need a clean nurse to give him and the doctor the gudgets that they needed). NFA, AxA, and yours truly were away so AnA had no choice but to go inside, I saw him took off his gown, put his surgical cap, mask and Operating Room shoes.

After many minutes, our CI called us if we wanted to observe. I was braver then so I hastily changed my clothings and went with NFA inside.

I was in the right time when the Doctor asked HB to widen the Vagina opening by his forceps. He grabbed the metal instrument and clipped it to the upper portion of the vagina's mouth and he pulled it. The woman, as how we've seen her earlier was in a lithotomy position (legs wide apart and raised). The spotlight was directed between her legs while the doctor scraped all the blood, all the masses inside. The blood dripped from the opening and on the slide-shape funnellike metal device that was put in front of her vagina. Then everything dropped straight into the pail. The doctor put the small (2or 3cm long) fetus in a vial.

The doctor asked HB to wipe the woman's vulva afterward with the sterile gauze. It was his first time. Then he was ordered by our CI to cloth her with the diaper. The woman was staring blankly at the ceiling and then she started to twitch her legs. Then she moaned. I asked my CI why was she behaving like this and she told me that it was just the effect of the anesthesia.

He cant put the diaper so NFA and I carried the woman's legs (NFA carried the left and I the right). I was wearing a mask but I can still smel the putrid odor of the blood from the pail.

The woman was later carried off to the OB ward where she stated wailing loudly "Papa ko!" incessantly. She's still under the anesthesia's power.

After then, the next five were called by our CI to resume the orientation. A woman from the labor room was sent to the  DR. AMA (she handled the case) and RAA  (acted as the assistant) were left inside.

After 30 or 45 minutes, after HB,AnA and I had our dinner in the canteen, they went out and told us their experience. It was really amazing.

AMA said "di ba pag baby sabi nila dapat daw handle with care, pero dun iba... para akong naghihila ng biik."

I am so excited, I do not have a duty today because of a meeting I only went to school to buy a book and i'll really am going to study hard tonight. im so excited.


Posted at Friday, July 07, 2006 by lite anonymous
Comments (2)  

Wednesday, July 05, 2006
Prior to the Delivery Room Duty

NO WAY!!

I am bound for the delivery room tomorrow and i still got no scrub suit (the uniform worn only inside the Operating or Delivery room).

I've tried asking the Head of College and midwifery about my predicament and they say they're sorry for they ran out of stocks.

Ive been all around the campus hunting nursing students to borrow a scrub suit, and AFS, bless her, allowed me to borrow hers. Unfortunately her size is too small for me... i am 5'11" and she's about 5'3".... Im in LARGE but her suit was small.

I'll just settle evreything tomorrow....


Posted at Wednesday, July 05, 2006 by lite anonymous
Comments (3)  

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