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2011年5月25日星期三

I PROMISE...

In full knowledge of the obligations I am undertaking, I PROMISE to provide a competent standard of care for the sick, regardless of race, religion and status, sparing no effort to alleviate suffering and promote health and to refrain from any action which might endanger life.

I will respect at all times the dignity of the patients under my care, holding in confidence all personal information entrusted to me.

I will maintain my professional knowledge and skill at the highest level and give support and co-operation to all members of the health team.

I will abide by the Singapore Nursing Board Standards of Practice for Nurses and Midwives, and be responsible and accountable at all times for my nursing actions and decisions.

I will do my utmost to honour the Code of Ethics and Professional Conduct of the Singapore Nursing Board. I will uphold the integrity of the professional nurse.


We were making our promise...


Ah Ko, Ah ma and Dai Ko attended my big day...

Haha, Poh Zen and Lih Jiun also came...

Gifts from Dai Ko...















And, the Certificate which holds a lot meaning to me...

2011年2月23日星期三

Officially Graduate

Today was my last day to be called as a student nurse. Say goodbye to the stressful Surgical ICU. 3 months there, i cried, i stressed, i prayed whenever i went to work, i felt demotivated, i scared besides the gd things happened. The bad things just too much.

Where will be my future working place? I don't know, can i go back to ICU? I don't know, or should i go back to my initial interest? choose A&E? Too many to worry, my own competency to be considered.

In one and a half month time, i am licensed to be a Registered Nurse, start off with Staff Nurse II.

In times to come, when i am competent and knowledgeable, i want to treat my students and teach them patiently,

because every beginners has their own difficulty to start off to be confident.

I am one of them. I know i can be better if i have neutral confidence.

RN, RN, sounds great, but to be addressed this title, it is just another journey to start in taking the responsibilities of someone's life.

2011年2月22日星期二

Reward of a nurse

I feel rewarded when my patients get better,
but when some patients do not show up nice incline in health improvements after a long time,

I sort of like want to give up on the pt and unconsciously creating a space with him,

This is an evil thinking in nursing career, mentality wise, I should be always praying for them and not cursing them!

Miracle does happens sometimes with persistent holistic medical and nursing care, what needs more are

time and SPIRIT of caring the patients.



2 more days to be called as a student nurse, shall i be happy or worry?

2011年2月11日星期五

Piakkkkkkkkkkkk

I am too used to offer call bell to pt.

Until today, i offered a call bell to a pt. with tetraplegic .

Pt. said it is no use to him.

Dioong!!""!!

OMGoodness, a tight slap on my face, piakkkkkk! forgotten already.....

Sorry my pt., i hope i won't sadden you.

2011年2月9日星期三

Updates for PRCP

Today, there was one collapsed case in SICU that i am working.
Just seen how fast the movements were about when it came to resuscitation.
So again, personally feel that working in ICU needs high alert.

And SICU, because it deals with wounds....and blood, pt. with polytrauma especially, the room will stink with blood...i felt like vomit when i smell it. hold my breath and discovered it when helping to do spinal turning. hermmh...I wonder if any proper nursing care could eliminate it?

Hate the computerised charting a lotzzzzzzzzzzzzz! a lot of unnecessary charting to me. Its like nursing the computer more than touching the patients.

Still forgetful about the routine: BSL checking, dressing changing, water flushing, meds serving, pt's turning, topical cream applying, perianal care, bed sheet changing....................and moral support (to me, this is as important as medical management and i am mute when confronting pt. with a strict preceptor, over frightened by her....)

And I started to define what is....."MY PATIENT', means to me?
If i put the context into a serious component, MY PATIENT is my family, would the heart of caring be different? Recently find that seems like i am not nursing a human life, panicky. Started to become robotic?

2011年1月27日星期四

ICU plays mathematics

Seriously feel that ICU plays with plus and minus a lots.

One patient has 7 to 8 drips running at one time. Faint. Dilute here and titrate there.

むずかしね!!!!!!!!!!

2011年1月17日星期一

I have an international look + PRCP

My patient said i look like Japanese because I am fair (hihi) and the way i talk (oops, maybe i apologized too much....) and to my personal view: maybe is due to my my English (I don't speak Singlish, neither am i speaking fluent English, but i always try to speak proper English with proper grammar....) makes he felt that i am?

Haha. Really? Appearance wise how can he judged. I was wearing mask. Well, i told him, i am very happy to hear that and i went to Japan bf. I am a poor-portrayed Malaysian, because I don't carry my Malaysian accent with me, unless i am with Malaysian friends together. Haha, I am mostly misunderstood to be China Chinese (frm Guang Dong...), Hong Kongner, sometimes Singaporean, even Filipino, Korean, Taiwanese, Japanese.......

...........................................

PRCP.

I have too high expectations on myself, i aimed not to commit stupid mistakes everyday when i go to hospital. And yet, everyday i will commit some.

But, yesterday i committed a serious mistake that i couldn't forgive myself. I nearly do harms on my poor pt. Luckily i was saved on time. If not, for my whole life, i will live with guilty.

My staff who saved me on time asked what is my objective coming for this PRCP, i said the major one is not to do mistakes, even for the simplest job. She said i shouldn't think in that way.

Yup, she was true. Nobody wants to commit mistakes. The more you hope not to, the more you commit.

Today, i committed some, but they were not life threatening one. Those stupid mistakes actually could be prevented, but....

provided that my brain is with me, so sad, my brain is always sabotaging me! Brain ah brain, please concentrate and have critical mind pls!!!!!!!!!!!!!!!!!!!!!

Or, maybe i hope to jump fast whereby i couldn't. I am overestimated myself!

Tired of going hospital, no motivation, hate meeting unfriendly staffs (dislikes this the most, i will get lost easily in front of those who are not friendly), hate of being asked: How long have you been here (isshhhhhh! not everybody is a fast learner, ok!), dislikes staffs who do not give a proper care (because i am forced to follow their style, i choose to keep quiet for their nonprofessional care because if i say something, am sure they will get mad with me, hate me and poking me behind).

Well, of course there are happy moments if i meet staffs who are friendly, willing to teach, staffs who give proper care (even though i am scolded and yelled but i am still very grateful for being precepted by this kind of professional staff). And of course the happiest moment is i can have some improvements but the satisfaction will always defeated by those stupid mistakes.

Tomorrow off for one day, so happy!

2011年1月10日星期一

Allergy to "FASTER"....Arghhhh!

Super irritating! The word 'Faster' keep on buzzing at me!

Hello, i am new ok! DEMORALISING!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

2011年1月1日星期六

PRCP updates + Happy English New Year 2011

PRCP to me is a very important thing to me, my 3 years of Nursing course, whether i could successfully pass out, it holds a great control.

It is a different posting, ventilated patients, tracheo patients, chest tube patients, ARDS patients with superly low Spo2, whole body with all kinds of tube.....

First time, i did last office for a deceased patient, First time, i saw PEA and asystole, i wiped her body, wrapped her and saw how the nurses and doctor broke bad news. I did not feel sad, nor i cried. i used to afraid to witness death happened on my patients whom i nursed. i did not feel that desperate mainly because i did not nurse her, she was admitted to SICU in the middle of the night and died the other day. From that incident, i started to gain some insight, ICU is what the heck place where patients either can make it or the other way. No alive patients will be discharged from ICU, they will be stepped down to HD or GW, the only discharge procedure is a forever bye bye case.

First time taking care of poly trauma patient, pin traction, haaah, looking at and touching her makes my body feels aching, it is heart aching to see what she is going through. It is very painfullll! Reminded me of my cousin.

First time seeing patient BP crashed, wah, super scary, happened to be there, scared of being called to do something. I wanted to escape but the other hand i wanted to learn, so i chose to stay. Luckily, i am not told to do anything. Phewwh~ Another same case, first time seen one bedside OGD case, scared to approach, but for learning purpose i forced myself to approach, the scope tube is freaking huge. Why am i always scare, mainly because i afraid to be told to do something that are beyond my ability.

First time feeling embarrassed in clinical, because do not know how to pass a handover report. Feel embarassed when the sister who came to spot check us. She said there are 3rd year students who are able to pass a fabulous report, we can't.

First time meet a Registered Nurse who owns a thinking mind and caring heart. Not that the other do not have, but he cares who we are although he has nothing to do with us, neither is our CI nor our preceptor. I am a fortunate kid, because i have my own caring preceptor and him. He goes beyond to help us. Overheard that he lost passion, I hope that he regain back his real passion. I need him. We need him.

First time having fear to go for posting, because patients are too ill and i am too nerdy. Fear of unfriendly staffs that make me feel lousy. Yes, i am slow, i am dumb, i am poor in communication,but i promise to be caring if my passion, diligence, conscience and responsibility remain with me. No, i just couldn't lose all these.

First time freaking hate one nursing job, haha, not the caring patients part, i dislike one of the Enrolled Nurse's job, these 2 weeks i have been doing EN job, because we have to be competent at the basic job even though we are trained to be RN. Argghhh, the job is: topping up the individual cubicle items. Arghh! I am a failed stock topper!!!!!

First time having counselling on 'u must socialise' from my school CI, because i asked her whether i can request to work during CNY. Her respond was: 'come sit down, i seriously need to talk to you, you are abnormal....' She counselled me to be more socialise, going out with friends, building up a fictive kins relationship is important because you are staying overseas, and one funny point she had stressed for a few times:'who knows by socialising u will meet ur prince charming' haha. Ya, she is true that i should socialise more, not that i want to meet my Prince, haha, it is mainly because i am poor in communication, scare to speak up compared to those olden days. Lost my gut, not a straight forward me anymore. Ok, hope that next time when i c her, i can proudly say that i have gone out of the shell.

............well, PRCP, i care you. care, care, care u lotzzzzzz. Floating on basics, lacking advanced knowledge, lacking hands on practice, inner fear, lacking critical mind, poor in communication, i want to get rid all of these. I want to be the competent one.

Well, finish crapping, still have 2 challenging months of PRCP. Next week starts RN job performance. Today i am tidying up my room, again a failed room keeper because my things will always go into a mess no doubt i have tidied them. I dislike this keeping and tidying job! Not yet finished! Blog 1st!

And lastly....................Happy English New Year of 2011 to those who read my blog. Must stay healthy.
And from today i am unofficially 21 years old, approaching an adult age. Time flies.

2010年12月22日星期三

A Dedicated Nurse

I am lucky enough to meet an extremely dedicated Nurse.
A nurse, who is a male, rare species in Nursing.

He is a knowledgeable nurse, caring and always advocating for patient's right .
touches my heart for being a nurse who really serves the patients, who respect nursing job.

Most of the times, nursing is being looked down because there is a lot of nurses make it a loser. True enough, a statement by my new friend. I am proud of this RN who i know, because of his dedication, he preserves the dignity of nursing line.

Nursing is an Art and a Science. He reminded us to back to our fundamental and history of nursing. Well, all of these i have forgotten.

And yet, because of him, i feel myself is a lousy nurse-to-be. I should be ashamed and learn more from him. Not because that i feel i couldn't be as competent as him, it is mainly my lacking of responsibility to fulfill my job as a nurse,

A nurse to care human beings from the true heart, be it Art or Science.

It is our duty.

2010年12月20日星期一

SICU--desaturation

ICU is a highly stressful area, where all the most critically ill patients are there for intensive treatment and care.

To talk Something about oxygen saturation--SpO2.

I remember one day when i finished pricking my poor patient's finger for his hourly blood glucose monitoring, the physiology monitor alarmed, to my horror, i saw it popped out 'low SpO2' of the patient, what?!!!! then to my another horror, i saw 70+ SpO2, immediately, i knocked the glass to notify my RN. Then she came in and said, maybe it was due to the pain and distress that i caused to pt during the pricking.

Well, after that, the monitor immediately stopped alarming and again i wondered how did the 70+ Spo2 picked up so fast to normal range? Looked carefully first..

Phewwhh......the foolish me saw wrongly, the 70+ was the Heart Rate!!!

At times, i find myself quite lost, be it in the knowledge of critical care or the real hands-on of care to my patients.

Ya, i have to work hard and always slap myself for reminder to be more alert during working. Hands that heal can also kill. Choiiiii!

2010年12月15日星期三

Sad for stupid things

Why am i always sad for stupid things!

Ya, i am stressed, frustrated and exhausted!

To wish, i am loved and cared by someone.

But i know, the fact is nobody can help me because if i do not want to peace myself, who else can help me?

2010年12月2日星期四

I am a soon-to-be I SEE YOU (ICU) nurse

Ya, i am elected to Surgical ICU for my PRCP.
Do not get ED, instead i got Surgical ICU, and yet i am happy about it, because it is about critical care as well.

Yes, Sincerely hope that i will pass this 3 months, and proudly called myself a ICU nurse. I will do all the best i can!

2010年11月22日星期一

ZZZZzzzzzz

Waiting for the PRCP schedule, checking everyday, but it is still in pending to be posted out. another 2 more weeks to the palpitation days....

ZZZZZZzzzzzz, i m really nervous about it. What will i get? wait until neck turns long.....haha

2010年11月8日星期一

Emergency Department Posting and Operating Theater Posting

ED Nursing is what i like all the while, why? For many reason, but the funniest one, it would be the influential by all kind of Medical Drama especially that particularly Japanese Drama that influence me the most. The nurses in the drama called 救命冰冻24时3, how they perform their care to the critical ill victims during the earthquake disaster astonishes me. That's why i deeply love critical care.

Last time, I always imagined myself rushing with the other medical team in resuscitation room, imagined myself being able to triage illness and prevent the illness from deteriorating, imagined myself giving my care to the scare, nervous and helpless patients, holding their hand, speaking out my soothing voice by telling them: "don't worry, i will be with you, i will work hard together with you"

Yup, Imagination...............but being experienced once in ED, it was really a real scene to me. Putting all real senses into a nutshell, Emergency Nursing is not that easy, will i be able to be attached there? Cross finger......

Met a Clinical Instructor,Teri, she is a great girl to me. I am touched because she gave me a lot of encouragements and guidance. She advised me to fight the inner fear that i have, become a person and nurse who possesses confidence, be a nurse with thinking mind, beautiful heart and healing hands. She hopes that i will be able to join Emergency Department in conjunction with my interest in Emergency Nursing.

Touched...in the sense that i am being.....erm, hard to describe the feeling but Teri really boosts my self-esteem up. Thanks Teri, thank you very much. I will keep your words forever in my heart.

OT posting wise, erm, nothing to comment much, is not my cup of tea. I just feel sorry for the new nurses working in OT, i couldn't stand the mentally abuse by the surgeons. Maybe i couldn't judge as i was there for 4 days only but I feel for the nurses there, seems like such a big hierarchy does exist. Anyway, and fortunately, i was there for 4 days only. Luckily!~

Back to Malaysia, 1 month holiday, before PRCP.

2010年11月2日星期二

I am Missing Japan

Japan, is really a special country.
Missing it. One day, i will go back to there for travelling.

I think the things that affect me the most are the politeness and punctuality of Japanese. Over the one month there i was totally trained to bow, smile and greet everyone, my greetings in Japanese was the most Sugooi (amazing la, haha). Punctuality wise, i was stressed when i was there, they were so punctual and never be late even for 1 minute. See, how couldn't me to be stressed by that, everytime when i had to rush to somewhere else over there, I nearly wanted to have heart attack!

So, next time when u see me smiling and slightly bowing to you, And extremely punctual, don't be frightened by me ya! haha.
A memorable 38 days of staying in a different culture country! I miss you Japan, if let say there is a specific reason for me to stay there, you would be my choice.

Thanks for giving me such a good memory. Thank You, Japan.

2010年9月27日星期一

Representing Singapore to Japan

'you are not only representing NYP, but you are representing Singapore, as an ambassador. Please keep the flag fly high'..by DD of School Of Nursing.

Ok, i will...But but but, the language barrier is really killing me, i am demotivated to go to their hospitals for attachments! I am chicken, they are duck. hahaha. OMG....pray hard to meet someone who knows English, just one will do. then he/she will make my days by saluting my language problem. Should recommend sch nt to send students to country that does not practice international language.....

However frankly speaking, Japan's technology is extremely amazing and advance. Besides that, the culture is totally different. People here is extremely friendly until i feel beh tahan. We are invited to a couple of meals and gathering. haha

Anyway, 38 days of staying in Japan will definitely be a different story in my life.
Still have 2 weeks attachments and 1 week holiday.
Ultimately, Thanks to Singapore, My second home.

2010年8月27日星期五

2010年8月1日星期日

Happy Nurses's Day

Happy Nurses's Day, dedicated to NURSES in Singapore:)

2010年7月30日星期五