Friday, August 4, 2017

Acute Asthma Attack

after sending an alcohol intoxicated uncle to TTSH, we headed back to fire station.
en route to fire station, we received another call from command station. via GPS allocate system, the ambulance was closed to the casualty home at Toa Payoh.
we rushed to appointed location. Omg, i got shocked in my life. old ah ma was sitting on the chair, leaning forward, she has a bad ? scoliosis or ? kyphosis. she looked blue(super cyanotic) and her SPO2 only 40%. she said she has past medical history of asthma. Maam performed 1st auscultation. she told me and the NSF. "i cant hear air entry"
subsequently, we prepared 2+2 nebulizer for ah ma according to Civil defence protocol. 2+2 means 2 mls Ventolin and 2mls Normal Saline neubulizer. to reaffirm her finding, maam asked me to re-auscultate her lungs. my finding was closed to maam finding. "very tight, diminish air entry".
her Spo2 finally picked up after receiving the neubulizer, yet she was still weak, breathless and cyanotic. inside the ambulance, we performed ECG monitoring and gave her another dose of 2+2 nebulizer. we also called for medical standby.
we rushed to hospital immediately. Encik activated the emergency siren, blasting at full volume, with his skillful driving skill, i felt i was like participating in the F1 racing competition. at last we reached to the hospital within minutes.
... ...get well soon ah ma. i just cannot imagine what would happen to her if we arrive late...

Happy Nurses Day 2017

I joined nursing in year 2010. Back then, I was posted to medical oncology ward. Ward 5b. It was a super hectic ward. That is also the place where I learned the fundamental of nursing and a little knowledge about oncology as well as palliative care. Starting from the role as a junior nurse and subsequently being promoted as a senior nurse, I learned that my career path was deviated to management slowly.
As time goes by, I felt very depress. As a nurse, I don't know how to interpret a 12 lead ECG, I am weak in anatomy and pathophysiology, I felt panic each time during resuscitation as I don't know how to titrate/ calculate intravenous inotropes. I also don't know much on the emergency drugs, antibiotic and what to look out for, eg. the adverse reaction.

Finally, I asked for transfer out. It was a tough decision. if I would have stay in that unit, I may get promotion easily. On the other hand, the sense of uselessness continue to bother me.
Now, I am proud to say I am a nurse. I can't say I am 100% perfect. At least, I have better knowledge on drugs, ECG, anatomy and pathophysiology, etc... I lost the chance of getting promotion but I gained so much on knowledge and clinical skills.
I am a nurse,
I am a senior nurse,
I am a critical care nurse.
HAPPY NURSES DAY 2017 .