Hmm with that kind of money, I could get a higher degree. It's insanee!!!!!

So anyway, I applied for a card. What the heck will I do with it. Maybe I'll just get a certificate. Plans have changed and as such, it's no longer needed. Why didn't I see this earlier. Their baiting tactics was so good.

There's nothing exciting right now. I'm hunting for fascinating things, and while I did find some, it's all in the past. I've already seen them, I've already played them and it's over and done. The search for the next novelty is happening again. The last time, it did take a while until I found the latest. Now, I'm getting nothing. Like no signal of where it's going to come from. I'm basically clueless.

All searches have turned out into dead ends. It's kinda weird. I'm usually spot on when knowing what's hip and happening.

I guess there's just too much negative global sentiment. Could that really be the case? Or I'm just not tuning more closely?

I mean if the world was progressing and prospering then exciting things sprout left and right. Now, it's just more of the same. Same phone, same internet, same computers.

I wonder what it will be, there has to be one...

So how was it in my previous work, compared to now...

I had to come early, I have to be not late, or else, I would have to explain to the Charge nurse, and then the supervisor will know, so I also have to talk to her, and then I would look bad to the Chief nurse, I don't want to look bad, it's like she vouched for me so I won't fail her... plus, pay slip would be reduced because of lates...

So I arrive 30 minutes before the time, because I still had to do chart rounds, I have to make sure that the written orders are carried out correctly, and then I have to check the medicine, if it was properly marked, if not, then I still have time to make the previous nurse sign it because I arrived early...

Coming early also has an advantage in case I get pulled out to Neuro ward... omg I was a machine there...

Anyway, and then I had to make the diet sheet, check on the patients, see if they're complete, check if they took a bath, check the medicine if they bought it already, if not, I have to remind the watchers, and make a new prescription...

Working in the Psych ward was less work compared to Med Surg... they're like, super people there... how can they juggle all of that? I mean you have to take the nasogastric tube feeding out of the fridge to bring it to room temperature, and then prepare it just on time, and then feed all of them which takes quite a while, and then you have to fend off relatives asking for stuff...

So anyway, back at the Psych Ward... so I have to call Med students for the morning exercise... some groups, they come on their own, some groups are forgetful...

And then problems arise... no money for medicine, so you call the doctor if they have free samples, phone just ringing, if lucky, then they answer, sometimes yes, sometimes, nope they don't have medicine...

OMG when I was night shift, I think I made them mad because I called early morning, like 3am, because the patient was awake and I had to tell them... and then I said, oh the patient was awake since 1 am... and they're like, why didn't you call when it was 1am... omg so forgiveness

So anyway, admission comes, at any time, you don't know what they'll be, easy ones are the patients who are already subdued... harder ones are kinda technical... they got a bad experience in the ER, and when they get to you, they're upset, and they see the Psych ward, which was kinda imposing with the metal bars, they don't like it, and they want to go home, so you try your best to convince them to stay, because the doctors like new patients, the students need patients, the hospital needs income, you don't want to be pulled out to a different area, plus you see this patient, they can't go home, they'll hurt themselves or others...

So admission, you get their baseline weight, because some medicine make patients gain weight, and the doctors don't like that, they'll pressure you, because if you didn't get their initial weight they can't do their job properly, they can't just guess, but the patient is uncooperative, they don't like to stand on the weighing scale, so you endorse it to the next shift, but when you get back to work, they didn't weight the patient lol so you do it...

And then the supervisor supervises, because it's their necks on the line if something happens, the patient locks the door in the bathroom, or falls, escapes, or whatever, so they tell you, oh, watch them, I don't want any trouble...

And then the ward settles down ^_^

We watch TV, but no shows with animals talking, no fantasy shows, no horrific movies, or else it will just strengthen their hallucinations... that's according to the senior nurse... I don't know, I think they're right, it makes sense, but I haven't seen a patient watching talking animals on TV and then their hallucinations got strengthened... I think it's the medicine, it's taking effect ^_^

I did get an alcoholic patient, that was spooky, he was saying like, oh there's a dead body behind you... I did look at my back lol he was convincing

And the seizure precautions...hmm I got reprimanded for this... I didn't get oxygen in case of emergency... I was like, OK, seizure precaution, I'll just watch him... count the seconds, note tonic clonic... oh no, big mistake, you need to have the crash cart ready, you need to have oxygen, check if it's not empty, make a prescription for a nasal cannula or face mask... good thing he didn't have seizures whew

And then the patient gets another medical condition. This was fun, because you get to meet people from different departments. Patient has otitis media, you get to meet the doctors from EENT... or they have a broken bone, Ortho comes... so it's like, you learn, ah, they need a neck brace... it costs that much?! OK it's not expensive but that's the reaction of the family... even Derma... it was nice because it's like even for the simplest problem, the med students pounce on it and they write about it, they don't like it but they have to do it, or else if the consultant finds it out first before you do, you have some explaining to do...
I did observe some puzzles.. how was it... so she had vaginal bleeding, was she depressed because she lost the baby, or was it just bleeding, no baby... so who do you refer? Medical, but they will ask, why are you referring to us, it's OB, but then... anyway, I don't know the details

So what blunders did I do... um, IV route, I just prepared the meds, doctors arrive, I didn't assist... bad move...

So patient is robotic... to me, she just looks like walking slowly... blank stares... and then the alarming stuff, like tongues sticking out, tardive dyskinesia or extrapyramidal syptoms?? It's like, no time, refer this to the doctor, so they order Biperiden, and whew, tongue back in place... but meds still continued... so I don't know... I was afraid to contradict what the doctor ordered, and besides, the extrapyramidal symptom was gone...

And then you hear their problems, no money, or delaying tactics, we'll buy the medicine when my mother arrives, but still no money, so what do you do... just mark it not given...

And then, discharge... good if they finished their treatment in its entirety... some just want to go home...

And then, you're about to go home, but the next nurse didn't arrive lol so you work double shift ^_^ ....    -_-"

Doctor vs Nurses

Ha there's plenty of conflict... Doctor writes on the Order Sheet, but then, you're lazy, so something happens and you don't carry out the order... You go home, work still haunts you, next nurse calls you, just when you thought you've escaped, why you didn't carry out the order... turns out, it was only a one-liner that said...something...

But oh, if it was big, like start a new medication... omg it's like you committed all the fault in the world and every problem could be blamed on you. Like the proportion of the blame you get is not equal to the mistake you made...anyway, it's your job, so it's you


Ah I was supposed to compare before to now

So what did I get... I got a seizure precaution, I got hallucinations... laboratory results... it's like, OK, just make sure they eat... before, it was like, oh no, you have to wait for the results, check if the patient is hypokalemic, anemic or what, call the medicine students, if they're not there, call the doctor, and doctor is like, OK, I'll check... hmm I guess I'm exaggerating... but it's like, here, you see the lab results, low red blood cells, and you're like... um OK... maybe we can give them iron-rich food? Or make them rest? Or like, low white blood cells, or like you know their immune system is weak, so um, make sure there's no dust? Pollen? Is there pollen here? Or reduce number of visitors?

I mean they're anemic because their livers are kinda got messed up by hepatitis, so liver recycles the red blood cells, right? Oh wait, that's where the red blood cells die... so anyway, it takes the iron from the dead blood and recycles it but then if you've got hepatitis, patient is going to be weak, because the oxygen isn't effectively being distributed because they're anemic... but then, if you give iron supplements, it makes the constipation worse... so I guess, vitamin C so that they can absorb iron more?

It's like I can suggest precautions for HIV patients, Hepa patients, but they're like, these patients, they act and move like it's nothing

Or maybe that's just my assumption...

Ok I've written too much