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Dama
By the way, im sorry if my grammar is very poor. I'm not a native ENGLISH speaker. I forgot to mention that I am presently working in the UAE, and the scenario of the Medical practices here is quiet differrent from what you have in the US. Still, your comments are well appreciated.
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Dama
:nono:First of all,i would like to apologize for ranting here.It has been 4 days already but i can't just erase my disappointment with 1 of our Medical on Call.You see,i have called this Dr. to inform that 1 of our patients that time wants to go home without a discharge order yet.When I ask the pt.why he wants to go home,he just simply told me that he just wants to go.This pt.was admitted 2-3 days back due to slurring of speech and Lt.sided body weekness,he was scheduled to have procedures the next day.I inform this Doctor abt.it,hoping that he will tried to talk to the patient and atleast to convince the patient to stay since his treatment is still on going,although I was expecting already that the Dr.will most likely,will advice DAMA.As expected,after informing him the present status of the patient,he then told me that the patient will go as DAMA,I further ask him if he could come and explain abt. it to the patient(though i shouldn't be asking that).You know what this Dr.told me?He simply told me that he is busy and that he can't come,if I want I can call the P.R.O to explain it to the patient.I know that he's not kidding because I know this Doctor's reputation eversince,but i didn't expected that he will tell me that.I insisted that He is in the best position to explain everything to the patient.I was really disappointed of the system and the practices of some Doctors here,but I get more disappointed when this MOC has the guts to tell me that.I did the explaination to the patient,I presented the negative consequences of the action that he wants to happen,but then the patient told me that he will sign the DAMA so i get back to that Doctor.And you know what he had written on his notes when he came,he said that the nurse informed him that patient wants to go as DAMA and no nurse explains it to the patient,he even added that the nurse refused to explain to the patient.What kind of Doctor is this,he never even bother to encourage the patient to stay to finish the treatment or at least the investigation scheduled the next day for him(patient's right).He didnt even think twice of writing those notes as well.I inform the Nurse Supervisor that time,who adviced me to let this Dr.do the explaination to the pt.Then,I had a talk also with our Quality People about it.I just hope they will do something about it because that day,this Dr.talked to me badly when he came to let the patient sign the DAMA form...I don't want this Dr.to continuously treat the other nurses the way he did to me.:angryfire:angryfire:angryfire
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I was threatened by a Nursing Assistant
Hello everyone, 4 days ago,while cleaning the patient I was having an argument with our Nursing Attendant.I just reacted when I heard him telling one of my co-nurse to do the diaper change to two of our patients and he will go to change diaper for my patient.I just told him that,we need to the changing for my patient fast so he could come and help the other staff...but this N/A was noted already to be very arrogant and acting as if he is more knowledgible and more superior to the nurses.So,argument went on,even I told him that we need to stop since we were with the patient but unfortunately he did not.So,when i answered back he was so angry at me and when i was about to go out from the room,he blocked Himself on the door and locked it,then He told me that i can't go out from that room.My instinct told me that this is not anymore a joke,and from the look on his face he really meant it.So,i look for the phone to call for my senior and to tell her that i was held by this N/A in my patient's room and that i was threatened that i can't come out from that room.But,when this N/A seen that i was about to call,He went fast on me and grabbed the phone on my hand at the same time telling me that He will break the phone so I can't make a call.Then,I look for the call bell,but again He grabbed it on my hand and pulled out the cord.He then again told me,that i dont have any means to call for help.I calmed my self and think the best possible way,after a while,I asked him in a nice way to let me go since I need to give medication to my other patients,but again he threatened me that he will not allow me to go.I told him that everything has been witnessed by the patient's escort(Im working in a Private Room for male patients here in Dubai)then,in a sarcastic words,he told me that the escort could not help me since he can't understand english.So ,the story went on....then after few minutes He told me I can go.I went directly to my senior and told her what happened,but since no one from them have witnessed it,she told me she can't solve it.So,i called our Nursing Supervisor and told Him what happened.He,went to our Ward and talked to me and advice me to write a complained address to our Nursing Director,which i did. Today,I was called by our Unit incharged and have a long talk about it.I told her that if it was only a simple misunderstanding and argument ,I can still tolerate it since sometimes it is part of work,but for me to be threatened and was locked inside the patient room was the most outrageous behavior that i didn't expect to happened inside the workplace.But the sad thing,my In charge inform me and have read to me the letter that this NA had wrote.He wrote that,i didn't even help me,that i told him to clean the patient using the papel towel and above all things,he didnt locked me inside the room.And when they(my In-Charge)asked the escort,this man told that He didnt see this NA locking the room,nor grabbing the phone and the callbell from me,all he saw was that,when I was about to go,he stood on the door.I was really disappointed,though I was expecting it already because I have seen this NA going back to that room and I knew that he will talk to this escort.The problem here was that,I am working in a Muslim country,i know that the story could be twisted since in the first place I am not a Muslim,second,the escort was also a Muslim and not that so educated,third no one from my co-staff who was on duty that time have witnessed it.But I told my In-Charge,no matter what will happened,i will stand and will tell the truth since I was the victim here and if i will not make any complaints against him, he might do something much worst not only to me but to the other staff. My hope is to wait for our Nursing Director,I am just waiting for the time that I will be called by Her to explain my side.....i just wish they will look on this matter fairly.... Sorry,if I ant a lot. I was just feeling so low now even I know that I am on the right side.
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Saudi Arabia - Good Idea or Not
It's true,Saudi Arabia is more strict in implementing thier Muslim Laws.But compare to UAE,specially here in Dubai where im presently working is much quite different.Here,the Government Or the Royal families were already opened-minded.Thou,they are still following strictly thier religion,woman are still on thier Burka and men on thier white dress but they have adopted somehow the Westernized way of living.Here,Expats.are not obliged to wear Burka for females....you can wear anything you want but you must be ready for any glaring eyes from men(Indians,Pakistanis,UAE nationals)So,it's up to you if you want to received such things.Aside from it,you must also be ready for the Meducal practice here........i don't want to elaborate it but i can describe it in a very simple words.............Very DISAPPOINTING.I came from a third World country...my beloved PHILIPPINES,but i can proudly tell you that our Nursing practice is far beyond and more advance than here,not to mention our Doctors back in my country.But,i can say that it is more better and easier to work here that in KSA. Hope i dont sound so mean..........
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I NEED HELP/ADVICE FOR CAUDA EQUINA SYNDROME (CES) patient........
hello to all, i need help or advice regarding my husband's present condition.we were married last nov.26,2007.he has been complaining of pain on his back and some numbness on his left leg for a couples of week back then.he was diagnosed of having stone in the ureters,treatment was done and yet his numbess was still there.we consulted a neurologist and ortho just to make that it has nothing to do with his spine since according to him, he has sometimes shooting pain from waist going down......both of these doctors told us that there's nothing wrong on his xrays and most probably the pain was from his uro.problem.finally,the pain ang numbness was unbearable that prompted my husband to consult a different ortho.last dec.18,he had his lamenectomy and descectomy of l4l5,but on the morning of his operation he manisfested already the signs of cauda equina.....since i was not there with my husband,i have to talk to the ortho mostly on the phone....she so kind and very nice to us......but after the operation my husband had lost his bladder and bowel control............he had no power over his bladder and bowel that he needs to be with a foley cath.and be on laxatives for his bm.then,after almost 3 weeks of his surgery,he had to go for another one for his supra pubic cath since he developed some problem(allergic reaction maybe from the fc )the urologist opted for spc and we did agreed since my husband can't do his self cath. until now,he has not regain his control over his bladder and bowel.....i know it will take time or worst he will never will since he has nerve damage . i been reading about ces and it seems that less attention were given to this conditon...medically speaking.i even joined the ces group and found out that even in other countries the same thing is happenning.doctors were not really familiar or has no further expertise to treat this condition. i dont want to be so mean about it but reading the stories of those other patients having the same conditon of my husband really make me sad and very disappointed to think that i my self as nurse cant do nothing for his recovery.partly,i have regrets....regrets of not using my clinical intuitions.why i didnt opted for a second opinion when his numbness persisted.....so many questions and "what if" ............ i know i cant never turn back the time.....i need to face the sadness and the challenges that it will bring to us. please help us ,any one of you who knows a doctor/doctors specializing in ces.we need them to manage this condition.you will not just help us but you will help as well those patients having this condition who has been suffering for years and yet they cant find a dr.who has real knowledge of this. you can read their stories on www.caudaequina.org please help us...................:redbeathe:redbeathe:redbeathe:redbeathe:redbeathe thanks a lot acetabulum:redpinkhe
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Why did you take up nursing? What's your story?
well,as far as i can recall it,i was so facinated in arts.i even dreamt of becoming a painter.unfortunately my father didnt like that idea!so,insted of painting on a canvass,now im painting the hands of my patients while im doing iv insertion.........he he he.......just kidding...!!!!!!!!!!!
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in your own opinion, what are the 3 characteristics of a good nurse?
why only 3?? there are plenty of it i suppossed.nursing is a very complex profession and we nurses have the most outstanding characters in dealing with sick people including patients's families as well.
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TO ALL NCLEX Exam takers
hello everyone,i heard we have already testing centers for NCLEX in Phil.im presently here in Dubai and im planning to take the NCLEX on my vacation in our country.any info.about this?thanks
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General Discussion about Filipino RNs currently working in the U.S.
REp,you mention abt. Citibank,is it possible that i can use my credit account in this card once im there working?thanks...
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JCAHO Alert: Tubing misconnections-a persistent and potentially deadly occurrence
so sad to know that there will always be stupid things happening in the nursing practice.how such things occured were really irrational,lack of experience,practice,familliarization of works and equipments..etc???? come on.we are dealing with HUMAN's life....its not a simple paper works, once you done it wrong you could just scrampled it and throw.
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Can someone please explain INR & Coumadin therapy to me?
Fantastic! Very informative....thanks to you guys....love reading your ideas and knowledge.hope to read a lot from you all...thanks once again
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No room for errors?
pray always and ask God's guidance to give you clear mind everytime you reports for work.errors will always be there but they are right,you should make it a point to double check everything you are doing, esp.when it comes to MEDICATIONs. and if you feel doubtful ask your seniors or better yet check for hospital mannuals in your unit.above all things,update your self for any new trends in the nursing practice.:monkeydance: