Ward Summary

Last WARD for this semester.
Last Case Presentation Observation as well.
I realized and learned a lot from the duties we had.

It is tiring
but even if it is tiring, it let's you learn a thing or two.

SOAPIE
Only relevant things are written. Although the likes of each professor varies.

NCP
when you know your mind's sleeping, SLEEP. Set an alarm, FOLLOW the alarm and get your paper works done. Pushing yourself to stay up late won't do good unless your mind is alert. I noticed I work faster after I sleep, even if it is just 4 hours than not sleeping at all.

PATIENTS
Not all patients smile. Not all patients want you there. Not all patients will answer you. Not all of them will take you seriously -- to them, "WTH are you doing here, student" But nonetheless, "Sir, Mam, this is for me to find out, how may I help you".

IV LINE
You got to take down the remaining amount. Sign the IV sheet. I forgot to sign.
My pulse was racing the moment it stopped. I started to Annoy my friend "Help me" or like "Heeey, wait. Help me" The nurse on duty did something. There's a technique when the IV seems to stop. Get a syringe without a needle, aspirate to certain amount, push it back and watch it flow again. If not, aspirate, then through the rubber thing that isn't on the side -- push it there you'll be fine. Lol.

IV LINE BUBBLES
If there was a way in, there is a way out. Those bubbles got to flow back out.

CBG STRIPS
The strip's have code numbers from 1-21. IT is important! I thought I was doing things right, until the nurse on duty asked me "Is it the same code number?" I was about to LIE. But I did not. So I got to face the family, ask for a strip and lancet. It's like throwing other peoples 45+ pesos in an instant.

CBG PRICK
Me: *wipes cotton with alcohol, aims the lancet holder, pricks*
Patient: *wiggled* (not really wiggled, i'm lost for words)
Classmate: You should count before pricking
Me: Ooohh. Sorry.

Second time around:
Me: Ma'am this will hurt a bit *wipes cotton with alcohol* I will prick at the count of 3. 3-2-1 *prick*
Patient: :|
Me: :)

At least no wiggle :P


AUSCULTATION
Auscultation is fun especially to those having DOB. I had a patient whose tachypnic. Respiratory rates charted were normal ( all of them placing 12-20). I was really having a hard time counting it, so I decided to use my Stethoscope for the first time. Huwow. I manage to count 50 around 3:30pm. I was shocked. By 5pm it was 35. I was kind of relieved. By 7pm, it was 64. My gosh.

I told the nurse on duty. She administered oxygen 2-3ml/L. My heart was still pumping hard I got to count my own respiration :O

PSYCHIATRIC
The patient mentioned above has psychiatric problems. But talking to him is manageable :3

Me: What did you eat awhile ago?
Patient: Why?
Me: I just want to ask.
Patient: Just a little biscuit.

AUSCULATATION AGAIN
Well probably because I had fun the first time I did it, I tried it again. But I wasn't able to hear anything this time the patient's clothes were probably thick or she was breathing lightly I don't know.

Then I went to the other patient I'm assigned.

Me: Ma'am could you turn to your side?
Patient: turns to side
Me: *placed stetoscope at the back and started counting respirations* .... *nothing heard, transfered the stets location* ... *realized WTH stets ear piece not on my ears :| *

PALPATION
Palpate abdomen with caution. You never know what's inflamed there. I palpated one of my patient's abdomen. So light I was just touching it. And I palpated North- South- East and West when it should be Upper Right - Upper Left - Lower Right and Lower Left.

PERCUSSION
Haven't thought about it. Haven't performed it.

FEEDING
I think my left hand's twisted for some reason. My right hand can kink better than the left. Perhaps I can't do mirror image? They demo it using right hand. What I'm concerned is the strength of my right hand :O Oh, don't forget after feeding inform the patient and family "Let him/her stay in that kind of position (semi-fowler's) for 30 minutes to prevent aspiration".

That's what you say. Don't copy me, I said "It's done. Thank you" Lol. I was thanking them for the experience they gave me. Point taken.

DIRTY ISOLATION
A mask is handy. There's a meaning with the word dirty. I'm not trying to place any meaning for patients designated to this area; it's just that -- I'm not a fan of Diabetes and non-healing ulcers.

Nurse: Do you have a mask?
Me: No.
Nurse: Okay get in.

CASE PRESENTATION
I like case presentations that are formal. Questions asked in English and reporters are given time to think. I like it when questions make me think "oo nga noh... hahahaah!" And I commend presenters that gives answers as if the question isn't complicated at all. Cool much.

PATHOPHYSIOLOGY
Third environmental principle: Everything is connected to everything else. Truly, it is! Even being stoned in the head for some reason may give you multiple organ failure only manifesting after some years. That's what our awesome professor said.

LABORATORY RESULTS
It's finally making sense!

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Well that's basically the rundown of what my thoughts are :D