Monday 24 October 2011

Kindergarten

When did u learn ur ABC from?
What basic u hv taught to know more things and knowledge?
When u have knowledge, wat u shud know abt this world?
But before u enter to a Hospital....wat u shud know as a HO?

Ppl said at least basic things u shud know...
Wat and how BASIC is basic..
When i started my 1st day HO life....i didn't know wat shud i do and wat shud i know..
No 1 guiding me..im jz like a humpty dumpty standing in the ward...
I wanna ask ... but no 1 is free to talk to u..
If ur not locally grad...then u might b end up like me...
Thank God...i still hv a pair of clear eyes and minds...
So...jz in case ur like me...best solution is to OBSERVE working environment n get to know wat is the basic things u need to know then learn to do and practice your skills!!!

1. type of needles
2. types of branulla
3. IVD (intravenous drip) set
4. types of solutions





Y do we need to know al these things?
Cz its the most basic things, simple and important.
Do u hv a chance to practice line setting in russ? Jz like those locals student in msia?
No chance = No skills = No experience
Line is so important, cz when a pt (patient) cm in....tats the most simple service u need to give.
Do u wish to be poke >5 times by the same doctor? or u jz get angry n just ask a senior staff nurse to do it?
What if a pt with low BP? U need for fluid resuscitation before the pt reli collapse in front of u!!!

These is the least min u suppose to know.
Always ask the staff nurses n watch them how they do...cz if they know how to do n wat abt u?
And the suffering part is when u started to oncal or when ur working alone drg shift time..u'll be bugging in every second by staff nurses to do simple things....

Blood taking and line setting are the most simple things n yet it can be difficult things to learn as well. Practicing is to sharpen your skills and to speed up working performance.

Peripheral IV devices
cannulae inserted into a small peripheral vein for therapeutic purposes such as administration of medications, fluids and/or blood products.

Peripherally Inserted Central Catheter devices (PICC or 'long-line')
inserted into basilic, cephalic, or brachial veins and enter the superior vena cava or into a large vein. A chest XRAY is taken to ensure that it is positioned correctly. They are used to deliver medications, fluids, intravenous nutrition, and/or blood products.

Central Venous Access Devices (CVAD)
catheters that provide vascular access and that terminate in one of the great vessels of the thorax or abdomen. They are used to deliver medications, fluids, intravenous nutrition, and/or blood products. In addition, they may be sued for some diagnostic purposes (eg: blood sampling, central venous pressures)


COMMON COMPLICATIONS
- infection
- thrombophlebitis
- infiltration/ extravasation

 All these complications started with redness, swelling, drip might starts leaking out, painful then might turned into necrosis. Then later on u might need a plastic surgery to repair it. Especially for babies, small kids. Same as those stroke/ coma ppl..cz they unable to talk n tell u...So u need to open up ur eyes n observe!!

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