So last monday i blogged about my first ER duty.. and i thought it was EPIC enough.
2nd (or 3rd day due to the holiday) Came:
--- the team entered the area with the SURGICAL/OB/CCU/MINI OR/PEDIA on full house. A blockmate and i (yeah, only 2 of us, cause were only 5 during the whole ER duty) were assigned to cover these wards. so goes the story.
--- at around 10 pm, we then prepared meds for these current ward residents: skin test done, IV push done. Then came these two newly admitted patients, gave them ATS and TT vaccines, and they waited for their turn in the mini OR.
--- at 11:30 pm, came this big old man, per stretcher. he looked cold and stuff, and we were guessing the case might be D.O.A. Patient was intubated, and yours truly was able to assist in inserting. ER Nurse got VS = no pulse. IV insertion done by Sir Viel! shoot it only took seconds.. wise experienced ER nurses FTW! Yours truly pushed EPI on the patient, and had helped in the chest compressions, after 20-30 minutes, patient was announced dead. so post mortem (THE REAL ONE) was done by the team.
--- 3 ward patients were all having GCS 3, so we were to closely monitor them for the remaining hours.
--- at 2:00 am, ward 4 had cardio/respi arrest. it wasn't a surprise since he was one of the patients having GCS 3. family members going frantic and wild at the ward, patient was on DNR, so no chest compressions and pushing of EPI/DOBU-DOPA/or any emergency drugs was made. 2nd post mortem care for the shift done by team.
--- at 4:00 am, right after the groups break at ministop, their came this guy, cranium smashed into two, but no open wound, only severe concussion d/t vehicular accident. ET Insertion was done by the MD, yours truly suctioned the patient's mouth ozzing with blood (got myself messed up with blood T_T). Patient was in decorticate position, Mannitol 200ml was given d/t increased intracranial pressure. He had open fracture on his distal 3rd of tibia, L leg, and a fracture at his R arm. Catheter, NGT insertion done by the team.
If you guys could only imagine the anxiety and frustrations inside the ER of OSMUN, compared to other Emergency Rooms. As a student nurse, me, myjeily, riset, besa, and berna, were all so lucky to finally have it ALL HANDS ON - talking bout real nursing care here.
A brief comparison between other affiliating agency's ER vs. OSMUN's-ER
1. Other Agencies:
> Your only allowed to do V/S, the rest observe (as what other batchmates says)
> You can do ECG, but thats it. staff nurses do it all.
> staff nurses = unfriendly
> For stabbed wounds, patient goes directly to OR.
2. OSMUN ER
> Your allowed to do.. umm.. pretty much EVERYTHING: V/S, Skin tests, Suctioning, CBG, NGT insertion, IV insertion, Catheter Insertion, ET Tube insertion (assist), Through Vain Meds administration, Post Mortem (from ER till at the morgue), IV Meds calibration and incorporating, ambubagging et.al.. in short... REAL nursing stuff.
> You DO the ECG, and staff nurses and doctors help you interpret the ECG STRIPS.
> staff nurses = totally friendly and helpful! They give all the real thing work to us students, giving us the chance to at least learn them skills.
> Suturing still depends on the IM on duty, like come'on.. theres only 1 doctor for all CCU/SURGICAL/TRIAGE/MINI OR Patients.. like one time, there was this man having stabbed wounds.. he was admitted at 2 AM, and had to wait till 6AM to get his stabbed wound done.. the irony of public hospitals.
> in OSMUN, you get to meet ALL KINDS OF CLIENTS: RUDE clients, DRUNK clients, BITCH clients, INDIGENT clients, and all. That's why most of the time 3 or 4 police officers invade the triage area.
Special Notes:
1. It was an honor to be recognized by Sir Falculan, telling me "You ought to be an ER nurse."
2. Thanks to this blocking, am now considering to have the ER Area as one of my choice field next to OR if i get bummed to pursue medicine.
The gist: Whenever you will be blocked at OSMUN-ER this coming first semester, DO EVERYTHING YOU CAN. Its only a once or twice in a lifetime experience to feel the REAL DEAL. Grab all the skills you can have! Its like GEAMH-DR in an Emergency Room comparison with other agencies.
How bout you guys? I'm pretty sure you had your EPIC duty blocking too. Go share them in this blog! : )
dude. you feel more relieved to have shared that info? haha. good stuff for you man. Glad you had your fulfillment. me? hahaha. Being with I-Team is EPIC enough. haha
ReplyDeleteyeah man, twas a chance of a lifetime. hehe. SENIORS WHATUP!?
ReplyDelete