Nurse's Notes

[Klutz]

yung nurses kasi dito samin hay nakooooo

[mang juan]

^ Ano?

[Klutz]

we were asked by the fellow to check the chart for our conference. we went to the nurse station and asked him politely. sumagot ba naman din ng pabalang... wow ha.. alam namin na toxic pero d naman dapat ganun.

then pinapasok nya kami, kami na lang daw maghanap ng notes. ok na sana kaya lang nagpaparinig mga nurses na.. "walang maglalabas ng chart, kakainin kayo ng buhay nyan" wow lang... yoko mag generalize pero... respeto lang sana kasi naging student din sila... bilhin ko buhay nila eh... *sorry sa hyperbolic last statment* nakakainis lang

[mang juan]

^ Parang pang General Chat tong post ah. Haha! Anyway, baka naman pinagtitripan ka lang. Chill

[Klutz]

wow... pagtripan ko kaya buhay nila sa ER

[ctan]

sa lahat naman ng ospital may mga ganyang nurses na masama ang ugali. PERO, madami rin naman ang mga mababait. tip: kaibiganin mo silang lahat, kasama na yung mga may pangit na budhi. in the end, kakailanganin natin ang tulong bawat isa. :-D

eto nga, yung kaklase ko nung medical clerks pa kami, sinabihan nung isang nurse sa amin na: "eh at least ako may licensiya, bakit ikaw meron?" ayun, being the registered nurse that my classmate is, sinagot nina na: "oo, registered nurse ako. at sa mga susunod na taon, maging licensed physician na. eh ikaw? san ka na sa panahon na yun?" ayun, tumahimik siya. hahaha. pero it's should not be the system. kelangan pa rin dapat respeto sa isa't isa. :-)

[Klutz]

^true true.. *phew* i just got pissed off with that guy nurse

OT: "bilhin ko buhay mo" or "magkano ka ba?" or "sampal ko sayo pero ko dyan eh".. haha nang galing lang sa friend ko.. hahaha uber rich kasi nun LOL but she always say that in a joking manner.. wala lang.. )

[Kilo 1000]

Admit under my service.
Secure consent for this admission.
Monitor vital signs every hour and record
Start Ensure 1600 kilocalories divided into 6 equal feedings with 100 mL in between flushing
Diagnostics:
Chest Xray, Complete Blood Count, Urinalysis, ALT/AST, Blood Urea Nitrogen, Serum Creatinine, Serum Sodium, Serum Potassium, Serum Chloride
Therapeutics:
Start venoclysis with plain normal saline solution 1 Liter to run for 8 hours
Paracetamol 500mg/tab 1 tablet every 4 hours for fever >37.8 C
Turn patient every 2 hours.
Suction endotracheal tube every hour and as needed
Weight patient prior to first meal of the day
Strict aspiration precautions.
Accurate Input and Output.
Intravenous Fluid to follow Plain Normal Saline Solution to run for 8 hours.
Refer accordingly.

[mang juan]

4:05AM >Received patient afebrile, not in CP distress, with GCS of 10.
           >With endotracheal tube patent and intact.
           >Secured consent for admission and treatment.
           >Attending physician informed of the admission via SMS.
           >Initial vital signs taken and recorded.
           >Secured consent for IV insertion.
4:30AM>IV line Peripheral Line Gauge 20 inserted at Right Metacarpal Vein.
          >Venoclysis started, #1 Plain Normal Saline Solution to run for 8 hours.
          >Secured consent for Nasogastric tube insertion.
5AM>Nasogastric tube French 16 inserted at Right nostril, patent and intact.
      >Weighed patient prior to first meal of the day, 75 kilograms.
5:15AM>Started feeding with Ensure 1600 kilocalories divided into 6 equal feedings with 100 mL in between flushing.
          >Request for Chest Xray sent to Radiology dept.
          >Request for CBC, ALT/AST, Blood Urea Nitrogen, Serum Creatinine, Serum Sodium, Potassium, Chloride sent to Laboratory  dept.
5:25AM>Specimen for Urinalysis sent to Laboratory dept.
          >Suctioning of endotracheal tube done.
          >Strict aspiration precaution observed.
          >Turning patient every 2 hours done.
          >Kept siderails up for safety.
5:50AM>Laboratory results in and relayed to Attending Physician.
          >Needs attended.
          >Intake and output measured and recorded.
          >Watched out for untoward signs and symptoms.
          >For further care and management.
6AM>Endorsed to next Nurse on duty.

[Kilo 1000]

Magaling na nurse! Naks, sama kita sa next rounds ko.

Seriously, gusto ko minsan sakalin yung iba na hinde tumitingin sa chart...

[SuperBazor]

Tinatamad or inaantok na. Haha. Pero seriously bakit ganun ang trato sa mga nurse? Doctors wouldn't be that successful without the assistance of the nurses. Pero minsan siguro stressed out lang tlga ang mga doctors. whahaha

[mang juan]

Tumitingin sa Nurses notes? Oo nga bihira lang mga doctor na nagbabasa nun.

[Kilo 1000]

Tinatamad or inaantok na. Haha. Pero seriously bakit ganun ang trato sa mga nurse? Doctors wouldn't be that successful without the assistance of the nurses. Pero minsan siguro stressed out lang tlga ang mga doctors. whahaha

Marami na ako nahuli na...
Hihingi ng IVF to follow ng 4am pero nakita na wala pa sa 1/3 na naubos yung current IVF at shift to heplock na.
Tatawag ng history form pero nakakabit na sa chart at hinde man lang tinignan na kinabit ko na at iniinsist niya na wala.
Magtatanong kung ilan iinject sa IV ang isang cough syrup.
Ibabalik sa Mech Vent yung pasyente ko  ng walang paalam kahit na winewean off ko sa mech vent yung pasyente.

At magagalit sa akin na naooovertime siya ng 1 oras sa kanyang 8 hour duty kahit na 37 hours na akong gising...

[Kilo 1000]

Tumitingin sa Nurses notes? Oo nga bihira lang mga doctor na nagbabasa nun.

Tumitingin ako sa nurses notes para malaman kung na X-ray na yung pasyente.
Minsan kasi yung kaendorse niya, sasabihin sa akin nag hinde nagawa yung procedure kaso nagawa na...

[mang juan]

Nice! Oo nga eh meron ngang ganun. Sasabihin na nagawa pero hindi pala nya sure kung nagawa ba talaga.
Resident, Consultant o AP ka na Kilo?