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Hariz
Full Time Student
Part Time Lifeguard
"achieve what you desire in life"
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end of attachment

Friday, September 12, 2008

whoa.. finally my 3 weeks of attachment just went by with a blink of an eye..
and i survived through it with flu cough and fever for the past 2 days..
no point in taking Vitamin M coz ill still have to come back on Sat in the same condition..

i must say that the 3 weeks was quite a fruitful experience for me..
In fact those who were attached at AH enjoyed their attachment..

I would just like to share my experience and give some tips to those year 1s who are going for their attachment for the very first tym.. (ps: Nasy and Vanitha)

the first day is orientation so try to get yourself familiarised with the hospital setting and surroundings.. (eg, pantry, linen room, treatment room, sluice room)
and immediately you will get right to work..

taking report is very important coz they will discuss the diagnosis of the patient and what special instructions there are for the patient (eg, special diet, referral to PT, OT, ST, 4 hourly para, I/O chart)
and they will use abbreviations like KIV, CVA, BKA, NBM, DM, UTI, COPD, CCF..
dun be afraid to ask..

and whatever we have learnt is Assistant Nurse (AN) standard so do follow them and they are the ones who will instruct you most of the time..
I am privilleged to get very approachable staff in AH who will assist and constantly help me..
you must take initiative to do your 4/6/8 hourly parameters and record any intake and output of the patient..

yess, the first week i was 'goblok' and so was everyone else so most of the time we would be walking around and not knowing what to do..
the thing is, no one will instruct you what to do..
you have to take your initiative to answer call bell and serve diet to patient, bring urinal, and so on..

during your first week, learn your ward routine well.. so you will know the flow of what happens next
(eg, 0730 - changing of bed linen
0800 - doctor's rounds
0830 - patient breakfast
0900 - bath time
1130 - patient lunch)

you will not get any opportunities to do anything if you keep quiet..
as ive said, take initiative to look at patient's feeding chart..
then tell the AN that you want to do NG feeding for patient at bed ##..
and if you see that the AN is doing changing of diapers, just tell her you want to help..
really, no AN will ever refuse your offer..
if they do, inform your Clinical Instructor (CI)

again, i am quite privelleged as the staff there allowed me to do some stuff which is isnt required at our level.. of course with supervision..
(eg, assisting with patient admission; the nursing assesment, Blood Glucose Monitoring (BGM), conscious level chart (CLC), off plug, which is removal of the needle from the vein for the IV drip, and changing of IV drip)

and do take the opportunity to go around and observe the different and interesting cases there are in the ward..
What i saw so far was, chest tube, bone marrow aspiration, insertion of NG Tube, application of urosheath, insertion of catether, peritoneal dialysis, IMH patients and MRSA patients..

Well, i truly enjoyed my 3 weeks and ill miss some of the patients there who truly make my day, the ANs, SNs and PCAs..
lastly,
thanks to Fida for waiting for me at the hosp lobby..
thanks to Kak Rokiah who cooked for me mee goreng the other day..

both the lecturer and our CI was satisfied with our performance..
and plus, i got back a good report.. =)

(front row, from left: Chew Ping, Sakina, SSN Seni (CI), Kok Ern and Wei En)
(back row, from left: Ramatas, Li Lin, Fida, Me, Randy, Yan Siew and Nurazimah)

yellowed here and there at 10:45 PM