just_me

that's where the hyperberic and diving med center is. it was in the pipeline since 5 yrs ago and since then navy-experts and other experts in this field had been involved in the setting up of this center (according to the NC there).

most of us were thrilled by the visit, we did our work fast-fast and pass report chop-chop then we visited the center. the equipment is almost like a long tunnel made of layers and layers of thick metal (like a gas chamber!). there is 3 chambers in the entire 'tunnel'. we were expected to wear clean shoes cover into the chambers. the NC of the center brief us why patients will need this treatment (not just for wound healing and nitrogen-poisioning). we also saw NC Tay there (wonder why) and we said 'hi' to the resident consultant, technician and even cleaner! (heehee)

it was an interesting trip. we got to know who are the patients that are with special caution when using such treatment (eg. pt with electronic devises in them/ with drips esp. those glass bottles sort/ pt with tracheostomy). and who are those that will benefit from such treatment (eg. pt with DVT or vascular blockage will not be able to benefit much from it). then she went on telling us how the treatment proceeds in the chamber (compress the pple in it to the pressure needed-> pt get hood up for pure oxygen-> air break to prevent oxygen toxicity->hood up for treatment again->decompress->completion). we got to know the risk involve for the nurses too. then we went into how to call for help in case of anything. we saw the special hole that allow food/ drinks to be pass to the pple inside the chamber. no bedpans and urinal allow in the chamber, dude! we saw the hood and the mask used for the patient for the treatment. the hood is like space hood and the mask was like anti-terrorist sort. fun!

the field trip ended at 4pm. we took a grp photo but it turned out terrible. i don't think any amount of photoshop will be able to save it though. =( but i think everyone of us took mental pictures to last a long time in our memory 'card'.

conclusion... i think i am more interested in wound care per say and the chamber is too small for my liking. plus there is a rule of the thumb that the staff that got in the chamber can only do it again in after 16hours later and if you are going to catch a flight within the next 16hours its not advised too. high risk to ear-drum related problem and if with history of sinus its also better not apply. its a clean and peaceful setting but i think i prefer the ward setting. hopefully i can get to visit TTSH's hypberic center someday too.

the std cost for the treatment per session is $1600 (or was it $200+) i am not very sure already, i didn't take notes lar. there is no C class rate, its just flat standard rate. and depending on the condition the patient will need it for at least 30 session! wow!!! imagine the cost sia!

<- every 'seat' has its own panel of oxgyen in and out, along with meter-depth gauge

<- pesudo E-kit

<-'passagers' pls remind sitted during the 'flight' down under the sea... hey shuqing... sit! LOL

<- this hugh oxygen tank is just fyi

 <-the 'back-side" of the treatment tunnel

 <-third compartment area...for?!

 <- mr cleaner's hands shake = blurred vision

<- "this is your captain and asst.captain speaking, thank you for flying with the hyperberic line, we will be diving in 3 mins. time please do not eat any oily food during the dive"

<-can u believe it? there are only 3 trained staff to go into the chamber now! and she is 1 of them.

 <- bob the engineer/ technician, ex-navy guy *wink* i did say EX rite? =P

 <- the front of the chambers (3 in 1)

 <-patients are sitted in this chamber for the actual treatment with 2 'air-breaks' in between the treatment to prevent O2-toxi.

 <-after this 'door' is an area where Drs can coming in case of emergency, before going to the actual treatment area. it takes ~ 1 min to compress the Dr to the rite atomsphere...just 1 min...

 <- a tiny area for the outworld pass food/ drink/ reading material in for the 'insiders' apparently soda with gas goes 'flat' in the chamber wor.

 <- these panels closely monitors the atomspheric pressure and the rate of compression/ decompression, etc

 <- hyperberic nurses wanna be but they want ICU trained staff only (for now)..sigh...

 <- due to the increase oxygen perfusion, complexsion of the nurses should be really good (rosy and smooth) like those kids living in the himalayas mt. we think we have good enough skin liao, so we will give the hyperberic nursing a miss bah

<- another look @ the panels that make the entire machine 'cool' and post modern looking

 <- what is a fieldtrip without those trademark photos of posing with the signature?

 <- i had been here too!

 <- finally...the signature on its own

 <- the mystery of the hyberic centre is now unfold.... next stop???

sounding good... the humming urban stereo grp.

When its time to upgrade and move on, its time to say bye... =) byebye to those leaving and may all of you have a good time ahead. afterall its not life and death, we will meet again when we meet again. til then... take care and be very fruitful in all you do!

When its time to upgrade and move on, its time to say bye... =) byebye to those leaving and may all of you have a good time ahead. afterall its not life and death, we will meet again when we meet again. til then... take care and be very fruitful in all you do!

with the recent renovation work at the OT building our ward is directly affected. the window on the side of the ward that directly faces the OT building had no choice to be shut close for the fear of dirt and dust being blown in affecting the health of our precious clients aka patients. since we are shutting rm II6 and rmII8, the other 2 rooms will have to face the same destiny, that's what we call unity?! haha..

so the decision was to on the blower on full then the other problem solver was to change the air vent system to yield stronger and cooler air into the ward. but... they set the thermoset to guess what.... temp!?? 27-29 degC! HOT...number 1. then with the window close SHUT SHUT SHUT!! there is no ventilation AT ALL!! stuffy stuffy stuffy...number 2. since the infection missy said MRSA nasal can be nursed in opened ward our MRSA (even PTB) clients are packed in our stuffy, hot environment all the will spreading their love with their droplets via breathing/ coughing. perhaps better ventilation will prevent the stagnation of the droplets in the air (in the room) but no... the air is still stuff and gosh!! can you imagine further???

boss up there said cannot adjust temp cuz we are the Caring class so no air-con. but... what...are we really achieving/ adhering to our pledge of do no hurt to our client with such poor environment? if a patient is BO-ing on a bedpan, the smells remain long after the bedpan is cleared! cuz... the air ventilation is terrible! the staff in the ward are affected too, sore throat, cough, flu... what are these?! AIR-BORNE diseases!!

today while help the other room admit a person, the relative asked me "why is your ward so stuffy? can we open the window?" i replied no. cuz we are testing our air vent system and suggest that they on the fan instead but the family said patient can't stand the fan blowing at her. how? how?? how long more til the renovation completes?! why is the building always undergoing this repair, that renew?!?! *sigh*....

the ward party will be on 6th of August 2008 from 2pm to 5pm at the KTV lounge (blk 6 level 9). AG_NC Mina is getting people to perform, so far there are ballet dancing, indian and malay dance and people singing. everyone attending must dress up in ethnic dresses/ clothes.

on the flip side, those on the evening shift will be unable to attend but i suppose sanna's cooking will somehow still make it to her GI tract by ways and means. =P

(ps- i am willing to change my D to E shift if anyone wants to)

it was 9.45pm and emma called for Aini regarding an ex-pt's casenotes. it was short-listed for audit tomor. all those ladies in green were in the pgmi going through those cases again to ensure everything is good for the audit. just 1 pt and we are having a few boo-boos already. emma was freaking out at the other end of the line. she was suppose to be alone there with the rest of the ladies in green. questions were aimed and shot. sis mag joined her a little while after those arrows started zooming in the room.

it seems things are not as rosy as they should be. there might be some areas that we are lacking in. damn it! its an accident that can't be predicted but we will soon be facing the aftermaths of an unpredicted and innocent mistake. i pray for the favor of GOd and angels to help us through it all.

its been a nerves-wreaking week so far for the ladies in green and all those seniors, especially. everyone is on stand-by. the common greeting is no more "have you eaten? how are you? busy?" but "have they come yet?" o_O|| the common greeting relating to the auditing process is ringing from the managers to the porters. everyone is on high alert! this is more code red than the our last birdie-hawk exercise, i feel. wish everyone will learn the needed but still pass the audit with impressive and unexpected results and grace!

my shift had been amended to be morning tomor, i remembered it was evening last week when i checked it. but now... =( i wish the auditors will breeze through our side (i heard they went to 63c and commented "lets get out of here, its so hot") and not stay too long. better still DON'T COME at all!!! oh God... if You make it happen that way, (protect our ward from the auditors) i will promise to be a good girl! (like as if i am not good like that sia...hahaha...)

i like what Sis Mag said today "JCI is good.... its good to go throught the process but not the audit" haha... meaning, its good to through the preparation but not having the acutal audit in our ward! hehee... BINGO! for a moment i totally sync in with her thoughts! LOL!!

acutally JCI is great! the consultants are so jittery abt it and i even heard a consultant buttering his HO for not doing things right! haha.. he said "its a crucial time now. if you said you had checked, you must document it down. now it is the JCI period if you don't document it down you will get it from the auditors" haha... its the 1st time i am sensing Drs being on the same line with the nurses! haha... last time was never mind lar, why nurses are so fussy one? must this and that, i already ABC already what... blah blah blah... haha... suddenly it felt like we are really a team! fighting against the intruders auditors. haha.... ya... it felt great. i bet SARs time was just like that? everyone was looking out for each others' back? oh! i even heard the NCs came down to the wards to help with basic nursing care!!! i am so surprise! hehee... cool...cool... regardless of ranks and color we are united as 1! wow...

3 more days to the end of the battle! fight on warriors of sgh, fight on! we sure overcome and earn that golden standard! and then... we will get our well-deserved break, celebration and rewards?! =) heehe... i bet this year's nurse's day celebration will be even more grand than the previous one! heehee... looking forward to that sia...

there's a pt with this diagnosis. i heard it once and i thot it was some skin condition plus the derm team had been seeing her. but she was under onco team. i was puzzled for a few days. finally i am 'energised' enough to do a little reading up and i found it is actually a skin disease found with some idiopathic rheumato roots to it and with some muscle weakening or so. but it had always been assiocated with malignancy.

i did the dressing for the pt for the past 2 days and it reminded me of the inital state of CA breast tumor 'eating' out to the skin surface plus the foul smelling element. her heart is not in very good condition and i am sad for her. apparently her skin had never been good all her life and the 'rottening' started to be beyond control recently thus she was warded.

her skin (the rotting one) looks like lotus' fruit. its really ekkkekk...

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read more by clicking here -> eMedicine-dermatomyositis

associating food to work is a HUGH TURN OFF! thats why i had refused to opt working in OT (smell of burning meat aka flesh + blood and the sight of human like pieces of chucky meat) and surgery ward (meat- raw, red and sometime disgusting.. how to eat another med-raw beef stake after that?)