DJNRMH was the second hospital that we were assigned to this semester also, the hospital where we had our first duty for 2012. It is located in Tala, Caloocan (very, very, very far to where I'm coming from) and was known for curing and rehabilitating patients with Leprosy. Our group had a chance to see patients with the said disease up close (more info in the later part of this post). Our area supposedly was in the ward but we ended up having our rotation in the Emergency Room. A bit advanced for our level, but we accepted it because we have no choice and it's somehow for our benefit too , so, t'was actually nice.
Day 1 (January 2, 2012)
First day as usual, is all about orientation. We've been oriented about Leprosy, and the facts and misbeliefs of the disease. We met our Clinical Instructor too. She was really nice and good in discussing ER topics, professionalism and experience are evident by the way she carries herself. She taught us how to do suturing, remove sutures and the basic protocols in the hospital. We've been dismissed early so that we can rest and prepare for the actual duty the day after.
Day 2 (January 3, 2012)
Woke up at around 3:30am, took a quick shower, dressed up with proper grooming, ate breakfast and headed for a long trip on my way to duty. I should arrive at the area on or before 7:00am. It took me almost 2 hours to get there. It's actually fast because I rode the "killer" but to avoid being late. Luckily, I reached my destination just in the nick of time. Saved by the bell!
We had our quiz (got a high score), she further discussed IV insertion and how to fill up the ER form properly and cautiously because it can be used in legal cases. Four of us are assigned in the bedside, my other group mates were in the information area and others are lucky to be in the assist of minor surgeries.
We also had our tour and met patients with Leprosy. It's sad how they are left behind by their loved ones. Some of them are admitted in the year 198 and they are still there, alone and just being cared of by the staff. We also met some patients who are still capable of showing their talents besides of their unfortunate condition. Still goes to show that there's still hope in them. :)
After the tour and lunchie, Our C.I. gave us the requirements for the rotation and we were supposed to be dismissed early but the C.I. of the other group jumped into the picture and discussed some Neuro-related stuff (cranial nerves and assessments). After his long discussion, we were formally dismissed.
Day 3 (January 9, 2012)
THIS WAS SUPPOSED TO BE OUR GLORIOUS REST DAY (because it is the Feast of the Black Nazarene and classes are cancelled) BUT WE ARE OBLIGED TO HAVE OUR DUTY for the reason that Caloocan isn't affected of the traffic re-routing and all that hassle. My rants or complains wouldn't change our C.I.'s made up mind.
Again, we're still assigned in the bedside, we've prepared and administered anti-tetano meds. One of our patients was a Tumblrista and it was a surprise that she knew me even if I was wearing a mask and my name plate's not on. It's really fun to meet new people by chance. While we were administering meds, A 3-year old kid was admitted and he was vomiting bloodwith Ascaris (worm/parasite). Her mother stated that her child was having those manifestations for about 3 days. He was immediately monitored and attended by the ER staff nurses and doctors of the hospital.
After all the 3-yr old kid looked fine, We decided to have lunch. One of my group mates treated the whole group free Domacs (McDo) lunch. Yeah! Cheese-B meal and PJ to satisfy my tummy.
ER really is a place of unexpected situations. Just after we ate, the kid who vomited blood with a worm had a cardiac arrest. He was given CPR and was resuscitated but all of the said life-saving measures weren't enough. One of the doctors said that the worms might have blocked the airway, causing obstruction and lead to the death of the patient. Here's a picture of one of the worms he vomited:
It's a sad point to end the duty for the day. Our Clinical Instructor further emphasized on the importance of Health Teaching and Handwashing specially in the community-based setting.
Day 4 (January 10, 2011)
We've extended hours of duty this day, good thing everything seems to be at fast pace for us. We just had our quiz (sorta like exam), passed our requirements and attended a seminar on BLS - CPR (this was the one who killed the duty time. veryyy looong and a bit boring) After the seminar, we had our lunch and our C.I. decided to dismiss us earlier than expected. Hooray for the last day of duty!
I can say that I gained a lot of experience in this rotation. I've seen rare cases and had a hands-on nursing care in the ER. The hospital was a good place for student nurses to be more independent. It's just that it's too far. Whew!
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