Masakit ang ulo ni Basagulo.

Saturday, February 19, 2005

New DSL Account.

I quit AOL DSL hoping that Verizon DSL will be faster. Guess again. The only benefit is that it cost less than AOL. I get free MSN account. The wireless router/modem setup is not bad. I hooked up the Mac and it's online in no time.

Work is work. Kinda scary place to work as open heart patient are not seen by their doctors or surgeons later on the day. I had a particularly sick patient. I was used to having doctors at bedside shoving orders to keep the patients well. In this hospital, they don't showup until later in the day. I was told that they are in surgery somewhere else. Wow. I hope I don't get services in this hospital. I talked to my charge nurse and the coordinator of the heart center and what they basically tell me is that I need to do the doctor's job for them. I accept the fact that I am the doctor's eyes and ears but it's not my job to tell them to go to work.

My instincts tell me that the patient need something, like doctor's attention. for instance. My 5 years of experience and 2 years of nursing school doesn't replace 20 years of medical experience and 4 years of medical school. I can't call the doctors and tell them go to work as they are at work at another hospital. They work a lot but I think they are spread very thin. One nurse told me we (the nurses) are on our own. Fine with me. How about the poor patient? I get to go home. They might not. I also heard that a patient died. No doctors around. He was on the phone. Ahh, what good will that do? He can't see what's going on. SCARY.

I might ask for a transfer to another department or just don't do fresh hearts for now. I told the bosses that it's way past my comfort level. I'm used to having doctors doing their rounds in the morning and not after lunch. I guess it was a rare day. But it still happened and during my care. The patient started crashing in the late afternoon, 5pm. The coordinator happens to be checking on me since I complained about the missing doctors. We ended up in the CT scan and preparing the patient to go back to surgery. The doctors showed up and started checking on the patient. Now, we are in a frenzy. Instead of avoiding incidence like this, we are in one. After a couple of hours of extreme stress, all is for not. The patient was sensitive with medications so the doctors changed meds around and she was fine again.

It really sucked. They could have known this in the start. But, they weren't paying attention. The patient survived. Thank God. The coordinator asked me if I have a sixth sense. Ah, yup, I can tell when patients are peeking in the light at the end of the tunnel. It's my job to keep them from falling in the tunnel.