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  1. cool_nurse

    March 2014 Caption Contest: Win $100!

    Visitors: "I can't believe the nurses here are either forgetful or blind."
  2. cool_nurse

    exemption on haad exam

    hello arvicharlie! what's your agency if you don't mind? is it ok to PM it to me? thanks! I'm an NCLEX passer two with two years hospital experience.
  3. cool_nurse

    Nursing Special Children

    How is it like to have patients who are autistic or with down syndrome? Do you have the patience and magic touch as a nurse? Can you tickle their mind and hearts in order for them to agree with your interventions? Children who are mentally-challenged or diagnosed with incapabilities will always have a soft spot in my heart. These type of patients such as those diagnosed with autism or cerebral palsy needs special attention from health care providers. Having a younger sister with such is an eye-opener to me and to my parents. My sister was diagnosed with autism accompanying with mild retardation when she was six years old. Being the eldest, I comforted my mother who was very much emotional about the diagnosis. She could not accept the fact that we need to look after her to the best of our capabilities, that independence is not applicable to her, and that patience is something that we should endure always. To further elaborate this, her IQ is not enough for her to study and learn the way normal kids learn. With the best of patience we can bear, my sister was able to grasp and apply basic things such as toilet training, eating on her own and telling us things she desires through pointing. She can only speak a few words and the rest of it are non-sense sounds autistic children usually utter. My sister grew up. Illness became inevitable from time to time. What's difficult among special children is that they cannot tell if what they're feeling is normal. I observed this to my sister for the past few years. In 2011, she was diagnosed with GERD. Nausea and vomiting kept her weak and thin during the attack of her illness. However, she doesn't complain. She just go to her bed and lie down. Far different from other people, GERD is a painful condition requiring hospitalization in some cases. My sister's pain tolerance is not something to be proud of but it is a caution among us nurses the next time we assess these special children. So being a nurse with a sister with special needs, here are a few tips if by chance we encounter them. Understand and Be Patient. They are the ones who needs extreme tolerance even at times of tantrums. Constant assessment is always needed as they do not usually say what they abnormally feel. Ask the relatives whenever problems arise as they know what their children need at times of confusion with communication. Most of the special children do not want to be forced to do something so wait for them to agree with it or you may try to soften their hearts by offering something. It seems that the best patients aren't those who are obedient but rather those whom we are able to help despite the physical and mental disabilities that they possess. My autistic sister has inspired me to understand these kind of patients. In the future, I'm looking forward to help them at the best of my capabilities whenever they are admitted at the hospital.
  4. cool_nurse

    2013 Fall Article Contest

    Which forums can we submit our articles?
  5. cool_nurse

    November 2013 Caption Contest: Win $100!

    My health problem doc is being worry-free for the past 50 years of my existence. Chillin' Like A Villain is my main philosophy. Is that something to be bothered about?
  6. cool_nurse

    How to transfer you DHA license to HAAD

    there's a new law regarding haad exams. You need to undergo dataflow first. You can register for dataflow at the haad website.
  7. cool_nurse

    adnoc hospital

    What agency is this cadbury? thanks!
  8. cool_nurse

    MS, OB or Onco Patients?

    Indeed! Furthermore, my heart is actually at peace with my cancer patients! I salute you for being a cancer survivor! God bless! =)
  9. cool_nurse

    MS, OB or Onco Patients?

    I always fear being at NICU! haha. although newborn babies are huggable and gives you a stress-free feeling , i'll stick with adult patients. haha.
  10. cool_nurse

    MS, OB or Onco Patients?

    I agree with CCU and ICU patients. However, I just don't like the morning care part. haha.
  11. cool_nurse

    MS, OB or Onco Patients?

    I had post-ortho patients in our ward. They only have pain issues most of the time. And yes they are not usually sick unless complications arise such as Fat Embolism, infection,etc.
  12. cool_nurse

    MS, OB or Onco Patients?

    I find OB nice as well if it weren't for me being a male nurse. haha.
  13. cool_nurse

    MS, OB or Onco Patients?

    It's a blessing in disguise since our ward caters to three major areas of nursing. We have OB, MS and Onco patients in which we can practice our nursing and theoretical skills. But among these three, which type of patients do I prefer to work with? Medical-Surgical is the least area that I would like to work at especially during emergency procedures. Pre-operatively, patients are always hot-tempered with what they're feeling. Some are quite panicky while the rest remains clueless of what they're going to face for the next few hours. Post-operatively, MS patients are either asleep, groggy or feeling cloud nine not until their anesthesia wears off. Then, the pain and hunger games begin. Depending on the skill of the anesthesiologist, most of our patients feel little or no pain at all. I find patients with continuous side drip of pain reliever to be the most effective in conjunction with several fixed doses of IV pain medications. Regarding the NPO status, most patients can resist food and water intake for several days (e.g. S/P Exlap patients) while I find it annoying for a few who always tell me that they might DIE if they're not going to EAT! As always, I tell them that they're current IV fluid has enough glucoseplus they're PPI will always make wonder in their starving bodies. OB patients are the best for me but being a MALE NURSE, I always find it awkward to assess female patients as their husbands might kill me! So whenever I make rounds, my female co-staff nurse is the one who handles the assessment part. From looking at the degree of heaviness of the vaginal blood post-operatively up to the patency of the suture site, female nurses,in my opinion should handle their fellow kind. OB patients in terms of toxicity, are not that toxic at all unlike MS patients. I always see fast recovery and full patient discharges in as little as 24hours for NSD moms up to 3 days for post-surgical CS, TAHBSO and D&C patients. To be honest, when I was a student, I find Maternal Nursing to be the most boring part of the curriculum. I really don't appreciate this field of nursing not until I became a staff and saw the miracle of God's gift come to life. Cancer patients for me are the kind of patients that I can tolerate. Though my heart always melts seeing these patients, I always do my best to be compassionate and to attend to whatever they complain. Though these patients are the most toxic during the terminal stage, these patients are also the sweetest as they would always verbalize being grateful for having a nurse to help them plus, they also give foods or items to nurses as a sign of appreciation. This area can also be a dangerous workplace as we are the ones who mix and dispense the chemo drugs without hazard pay (yes, that's our hospital for experience sake). This is also the area in which you can test your attitude and patience to the growing demands of a terminally-ill patient. But overall, this is the best area as you get to appreciate your healthy life and just be thankful to God for being fit and alive. Moreover, the Oncologists in our hospital are very very kind and humble and I just wish that every doctor was just like them. For my fellow nurses around, which area would you prefer to work at?
  14. cool_nurse

    Sweating The Small Stuff

    I respect your opinion GrnTea but by just trying to put yourself in my situation, you will later realize that these things aren't a big issue at all and just PETTY stuff. That's my POINT. Sorry for missing out the detail. But I mixed 2 vials of Cefazovit with 1 gram of dosage per vial. I took 1.5 grams. So .5 grams of Cefazovit remains in the other vial, which the Anesthesiologist, told me to just push the remaining .5 grams later in the ward. It's not an excuse actually. My point is, it's not a BIG ISSUE. And it's not my FAULT. Again READ the article. In our hospital, Patients have the choice where to BUY their medications, either in the Pharmacy or outside for them to lessen their financial burdens since medications in the hospital are very expensive. READ my article again why I gave it to the interpreter. It isn't my responsibility to deliver the message to the OR since my other RN partner was responsible with that surgeon's patient. Regarding the HMO, it does since the HMO would anyway pay for the patient's additional stay in the hospital since the EGD was cancelled. I again respect your opinion. English may not be my first language but I'm trying my very best to improve in this language. FYI, I took RESPONSIBILITY with all of these issues. I FACED the DOCTORS and EXPLAINED MY SIDE. Have you really read my article? I'm just bursting out my side through this article and I'm thankful to all those understood me. Are you telling me I won't make it in the US? Sorry to say but I had patients who were British, American and other nationalities who gave POSITIVE FEEDBACK regarding our SERVICE. So I really doubt your hasty generalization.
  15. cool_nurse

    Sweating The Small Stuff

    Indeed! Another doctor told me the same when I showed him the doctor's order!