2007-03-06 00:29:29雲妮

@~~急症室~~@

一口氣打o左兩篇diary, 唔爭在打埋呢篇第三篇~~~

之前放完新年假之後, 我就初四啟市, 開始出AED(acute & emergency department 急症室). 其實一年前都去過AED做part-time ga la, 不過今次以student身份去, 責任無咁大, 工作量亦少好多. 之不過...話唔多, 其實都係多, 睇下你做咩位而已. AED分五個area: triage (分流站), walk-in clinic (美好診室), cubicle (診症格), e-ward (急症病房) & R 房 (急救房).

triage:
所有要睇急症o既人都要經過o既地方. 由護士依照你病情的輕重去將你分成1-5個categories. cat 1-2 o既case通常都直入R房, 因為太嚴重. cat 3 case就會o係cubicles 外等入cubicles 見醫生. cat 4-5 case分別叫做次緊急 & 非緊急, 呢d case就要去walk-in clinic 等睇醫生, 閒閒地一等, 就兩, 三個鐘ga la......
student o係 triage 要做o既就係不斷幫人量BP, Pulse, SaO2, 問有無人同你一齊o黎, 有無藥物敏感. 可以係好忙ga~ 就以今日為例, 一早返工, 每個鐘都有約46人o黎到分流站la~~~!!
姑娘話星期一係特別忙ga, 因為d人放完六, 日假唔想返工, 又或者放假玩到癲o酉, 到星期一就會o黎睇急症ga la.....

e-ward:
同普通病房類似, 但就多收症. 一收症就係咁做fall assessment, 幸好一年前d o野都仲記得下~

walk-in clinic:
都係跟下treatment, 打下針, 驗下血糖, 跟下點滴. 最緊要記住唔好出診症室出面, 如果唔係, 由你一開門o個下, 就會有人lur住你, 問你幾時先到佢睇, 等到炆o個d仲會鬧你tim...
雲妮: ”嘩~ 我頭先一出就係咁俾人jur住la~~~”
寶玲姑娘: ”係ar~~~ 唔好出去ar~~ 死梗ga~~!!”
:p

cubicles:
又係跟treatment, 借下眼, 幫patient 換衫等去照X光, 驗尿, 等. 相對o黎講比較得閒.

R房:
case由ambulance直入o黎. 都係acute case, 如 drug overdose, fall from height, cardiac arrest, sudden collapse, hypotension, hypertension, low SaO2, traffic accident victim, burn, fracture, etc. o岩o岩上星期五返pm shift, 一返工無幾耐就有個case剝剝下瓜子就cardiac arrest, 佢本身係道友, o黎到都無vital sign, 於是救護員搓(做CPR)到咁上下, 就到我接手搓, 一路搓, AED 主管醫生Dr. Ho都已經話個patient唔會救得番, 不過我o地都照樣繼續做我o地要做o既treatment. 到2pm Dr. Ho終於都cert. death.......... patient個女朋友同埋阿媽喊得好悽涼.....

btw, o個日唔知點解好多R case. d 同學仔係咁同我講: ”嘩~~ 你今日R房o個邊好唔得閒wor~~ 我幾乎都唔見你出過R房~~~~!”

真係...好多cases...............


o黎緊聽日好似都係做cubicles + R房. 希望唔好太忙la......
Sheep 2007-11-11 14:13:38

Hope that you will enjoy your nursing life.