Archive for the ‘nursing’ Category

Passion for people in South Sudan

Tuesday, November 18th, 2014

To see our dear sister published in one publication outside the Philippines is a big honor to us, her family and gives a good impact to our country about Filipino nurse-midwife working in the third world country, not only that, they also sent a letter and card of appreciation to our parents for ate’s excemptional service to the people lives in south Sudan, especially in helping pregnant mothers gave births. Lots of baby named after her (Lorelee) as their way of honoring ate’s care for them and to their little ones..we are so proud of you te..

This is the booklet that they sent to us, the front cover is the picture of Dr. Brantly, the Ebola survivor, he is Ate’s co-staff in Samaritan’s purse International relief. God bless SP team. Continue serving in Jesus wonderful name! Lord spare them from Ebola especially my sister in that place, wrap them with your precious blood. Amen!

In spite of everything

Sunday, October 19th, 2014

Nursing job is not easy, Many things we have to sacrifice.If the schedule is morning we have to wake so early, if the schedule is night shift then we have to spend our work through out the night. Unlike with other agencies and companies that the work time schedule is from eight in the morning and end at five in the afternoon sharp. In spite of everything, I’m still happy for it satisfies my heart.

High FHT

Sunday, July 19th, 2009

I am on night shift today. I had time to rest and celebrate my friend’s birthday at their house before my shift. I was able to sleep about 3 hours before working. I felt refreshed and ready for the night. There was only one continuity patient endorsed to us from the swing shift. It was a Serena’s patient. She was not on shift but it was her patient so she will be taking care of the patient. The patient was 3 cm when the IE was done. An hour before our shift began, the baby’s heartbeat started to go up to more 160 per minute. The normal range of FHT is 120-160. The patient was monitored frequently but there were times the heart rate reached to 197, 180s. We administered oxygen to the patient and inserted an IVF (intravenous fluids) and put the patient on left side lying. Even after all the things we did still the FHT still high. It is called fetal tachycardia. The patient’s bag of water was already broken just few hours ago with meconium stain. When there is already a meconium staining, it means the baby is in some degree of distress. So we decided to transport the patient to the hospital. The patient was transported about 11:30pm.
After that action, we slept until 20 minutes before endorsement.
The next day, the patient informed Serena through text that she delivered normally and that the baby was doing well. Thanks God. 7/01/09

CNA’s role

Wednesday, June 3rd, 2009

As nurses we need to know the CNAs role and the scope of their responsibilities. They are a big part in our team. CNAs have instinct we, nurses, rely on them as our ears and hands but they can’t make Nursing diagnosis. They do not solve patient’s problems, not evaluate the patient, not provide health counselling, not do sterile invasive procedures, no medicine administration those are nurses’ responsibilities. They can do NGT tube feedings, can put oxygen on but can’t turn the oxygen on.

CVP Monitoring

Wednesday, June 3rd, 2009

Nurses should know what are our responsibilities with regards to CVP Monitoring. We should be knowledgeable enough about the procedure.

A catheter is inserted to the right atrium of the heart to determine fluid balance. The normal functioning of the heart, all the fluids that come to the heart is pump out from the heart. If it does not happen you’ll have Congestive Heart Failure. We try to figure out how the heart handles the volume of blood coming in.
The measuring point of the CVP is in the right atrium. What you should do is level up the right atrium with the manometer. Make sure that the manometer is the same level with the right atrium. Use a lever to balance it out.

NCLEX Q – CVP pt if the head of the bed is adjusted you have to adjust the manometer otherwise you will get a false reading.
Normal CVP reading 5-10 cm H20. More than 10cm is indicative of overload. Less than 5cm patient is dry or dehydrated.
Always check the lever of the manometer. Check the insertion site of the catheter for bleeding and other complication like pneumothorax or hemothorax. Signs and symptoms is shortness of breath.

Cardiac enzymes

Tuesday, March 31st, 2009

It is a must for nurses to know about cardiac enzymes. There are a lot of MI cases. Having this knowledge will help the patient and prevent further complication of the case. With MI there are certain cardiac enzymes that will rise and it will indicate the diagnosis of the problem.

Increased CK-MB – indicates cardiac damage after 4-8 hours post infarcts.
Increased CK-MM – indicates muscular damage.
LDH – increase 3-6 days post MI
SGOT – increase 24-48 hours post MI
Troponin – is one enzymes that arises almost immediately. It is the most specific enzymes. If patient has chest pain 30minutes ago and went to the ER, we can see Troponin rises and it continue to rise. It gives us a good indication that probably a cardiac related incident.

The journey to well-being starts with simple steps

Tuesday, March 24th, 2009

In my field of work, I usually get tired almost after every shift. Delivering babies is not easy. It takes all your energy especially when births have complications. I always remember, I don’t have to take fatigue lying down. There are many ways I can fight back: Eat a balanced diet. Get enough sleep as possible. Exercise regularly by walking or jogging each day. Have a positive attitude. And take multivitamins daily. It won’t just get me back on my feet. It made me feel like the world is at my feet.

My experience as a patient

Saturday, March 21st, 2009

I was so grateful that the hospital’s nurses and doctor were so nice with me. I was asked what is wrong with me. I told the nurse that I am having a severe pain in my left flank area and that I have a scanty urination. I was requested to have a urinalysis. So I did pee a little just enough for the U/A. while waiting, the pain still making me vomit. I vomited twice at the hospital. I ask the doctor to gave me a pain reliever because I cannot handle the pain anymore.

The doctor told the nurse to give a diclofenac – a pain reliever IM. But I informed the doctor that I am allergic to it. She asked me if I tried Ketorolac – another kind of pain reliever. I haven’t tried that one yet so I do not know if I am allergic to it. So I was injected in my right deltoid muscle. It was painful. Now I felt what my patients feel when I inject them. After about 15 minutes I felt medication took effect already. I was so glad. But my eyes started to be itchy. I thought I was just imagining it but after 5 minutes, my eyes started to swell. I immediately inform the nurse about it and the nurse informed the doctor. When the doctor saw my swollen eyes, she was so surprised. She then realized that I was not kidding when I told them about my allergy. It seems that they took my history lightly. She prescribed me with antihistamine caplet. While my mom went out and buy those, my eyes swollen to the max like a Garfield in front of the doctor. She immediately ordered antihistamine IM. So I was injected with Diphenhydramine. My mom can’t buy ice anywhere so the doctor tried to find an ice for me. She is so sweet and nice of her for finding an ice for me.

The doctor wanted me to be admitted for at least 24 hours just to observe as to what extent my allergies go. But I felt good with no chest pains and the pain in my left side was very minimal. I decided to just go home and just be back anytime if there will be a problem. I signed that I went home against medical advice. It was not that I am a hard-headed person but I felt so great and there is no point of staying in the hospital. I was confident to go home because I was already injected with antihistamine. So we went home. I still had cold compress on my eyes until I slept.

Renal stones?

Monday, February 16th, 2009

Last night I was about to iron my nursing type C uniform for my first day Training. I was very excited by then. But just before I plugged the iron, I suddenly had a very severe left flank pain. I sat for a while and observe the pain. The pain is getting more painful and I started to have scanty painful urination. I drank a lot of water plus buko juice (good for UTIs). I diagnosed myself with UTI (urinary tract infection) but I am alarmed because the pain is confined in my left flank and I was positive CVA (costovertebral angle) and it is very painful even I was not touching the area. I was thinking of having pyelonephritis (inflammation of the kidneys) or renal stones on the left kidney. Because of the pain I decided to have a check-up in the hospital.

The orientation day

Monday, February 16th, 2009

I woke up early this morning for our general hospital orientation for the hospital where we will be having our training. I was so excited that even though I set the alarm, I woke up few times and checked of the time just in case my alarm did not went off.
I arrive in there just on time. While waiting for the speakers, I met two nurses and we become friends. It felt so good to see the facilities of the hospital. It is the hospital were we had our affiliation when we were still nursing students. It did have great progress for ten years. Of course for the span of time it is expected to improve. We will start our duty in 3 days. I am excited already though it will be hard and tiring. I will not mind it as long as I can serve people and learn a lot at the same time.