THE BATTLEFIELD OF LOVE
Episode 5's. Nursing and Hospital Life
Delores the senior sister who was in charge of the night shift smiled at me who came very early today, not yet six in the morning I have arrived at the nurse's desk. Shiftku starts at 7:30 a.m.
"Jen, it's early morning." She greeted me.
"Delores, I'm being exposed to the spirit of spring." I laugh, my workplace is better than home. I just went home to sleep. I don't know if there's nothing good for me there.
"You're always excited. That's nice! There's a new patient coming in, Dr. Henderson from Emergecy just got 5 in the morning..." I opened a patient online charting system that I handled before. There are four patients under my supervision. Two patients by pass and one patient of cardiac tampone due to an accident are being treated, while another patient of lung cancer that recently came this ECG seems alarming.
This online system is very helpful. All patient records are recorded clearly. Nurses should work on all these charting procedures with detail and caution. And pay attention to what's in that charting to help doctors cure patients. It can be said that this is our legal document if there is a procedural error.
There are many things we have noted. The nurse's flow sheet record usually contains the temperature and blood pressure, the heart rate is the main thing we have to do. Then does the patient complain of pain, where it feels. Then what goes into the patient's body oral or IV (venous input). And what comes out of the patient's body, urine or vomiting for example.
Then nurse notes that explain the psychological condition of the patient beyond everything we can record on the chart. This information helps us to report to the doctor and remember everything we have done or not because sometimes we can handle six or seven people in our supervision.
I'm watching the new patient records below me. This patient is in trouble in his report. I sent a message to James. Then ordered the intern nurse to take care of the morning medicine that we had to give to the patient.
Noah showed up at seven just when I needed him.
"Morning sunshine, miss me... " He appeared with a big smile.
"What's wrong with you. Excess caffeine and sugar? Or marijuana overdose..." He still smiled broadly.
"Hmmm...I know, you got a great blind date this weekend." Now he laughs loudly. I want to throw him to be quiet now.
"What should I check on Sweetheart."
"Once again you call me Sweetheart, I'll charge you $10 for ruining my market." Noah glared.
"Basasan you're a blackmailer."
"Listen to this doc, this patient has just been recommended by dr. Henderson lung cancer patient Tom Hanson had problems with his body temperature overnight rising, shortness of breath, shortness of breath, palpitations, left chest pain even though the doctor had given temporary treatment. Blood pressure 110/70 mm Hg, rate 80 bpm, breathing 20 rpm. The ECG shows the development of myocardial infraction followed by inferior and lateral leads . Low voltage QRS in precondial. This reports its cardiac marker C troponin T 0.14ng/mL and new proBNP 450 pg/mL coming out. There seems to be pericardial effusion¹ increased suddenly, could it be cardiac tamponade, they have given him medication?but it must be dealt with immediately, you must check it out..." Noah looked at me dumbfounded.
"Do you know how to read this Jen?!"
"My dear, you're dealing with a senior nurse who was recommended by the chief cardiologist for CRNA..." He looked at me with admiration.
"You're soo sexy sweetie." I grimaced to receive Noah's praise.
"I'm smart not sexy. You better report to Mr. Wilson. Actually I sent him a message earlier as soon as I received his patient report, but he hasn't answered..." Noah picks up his phone to report to James.
No end yet Noah waited for his phone to be picked up. James appeared. He could see the patient reports online as well and he seemed to have after receiving my message he immediately rushed over.
"Tom Hanson he's in trouble. Thanks for the report, Jen. You did your job well. Noah's coming with me. We need to check on him right away. Jen make sure to call her family I want to talk to her and Dr. Henderson makes sure she sees me right away." I'll obey his orders immediately.
If there's an impromptu operation I can be sure I'm double shift. Today will be long.
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Explanation of the term above
*Pericardial Effusion
The common term you often hear about this pericardial effusion is that the heart is watery.
The medical definition itself is the fluid that develops in the lining that envelops the heart.
If this liquid suddenly-fiba much then can charge a condition called cardiac tampone. A situation that can be categorized as a life-threatening condition. Where this fluid inhibits the normal heartbeat*
Almost certainly lung cancer patients experience pericardial effusion (because the lung and heart are close), as well as other types of cancer that can spread to the heart area also cause pericardial effusion example breast cancer.
In addition to cancer, other pain that can cause a watery heart include
● Kidney failure
● Severe infection. Either from bacterial fungi or viruses such as HIV
● Medium in chemotherapy
● Heart surgery.
● Autoimmune diseases like lupus
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We ended up doing cardiac pericardial drainage and pericardial window creation in Dr. patients. Henderson. Withdrawing 600 ml of pericardial fluid. With so many numbers, his breathing was so short.
Large operations that burden the body in cancer patients sometimes only add to the suffering. The family who heard the doctor's description only let out a long sigh while the patient was still asleep.
Pericardial fluid will be sent to the lab to determine if there are bacteria, fungi, viruses or other malignancy that need further treatment. Almost three o'clock I was able to rest a little.
I sat down to stretch my legs after finishing with the post-operative setup with Noah.
Our pagers ring. I saw our pagers.
"STEMI alert emergency?" James rises. The two of us rushed out and moved to the elevator.
"God, why so many emergencies today...." James and I immediately ran into the emergency elevator. Noah and one other intern met us in the elevator. Two of my other circulating nurse team mates met with us below.
"Emergency surgery again?"
"It seems so..." It's three in the afternoon, it is certain that the double shift does not know until what time.
The nurse and I moved into the theater room to prepare for the surgery. A team of doctors went to the Emergency room to receive the patient.
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*A. STEMI ALERTS
A request from doctors at the ER to call a cardiologist team with a time frame arrived as soon as five minutes for suspected serious heart attack in which the heart arteries are completely blocked and most of the heart muscle is feared damaged because they cannot receive blood supply. The ER doctor or ambulance paremedicine makes this diagnosis from the ECG reading (in the ambulance/in the emergency), the cardiologist team must immediately insert a catheter in the artery and make a balloon in the artery to release the blockage.
B. DO HOSPITALS STILL USE PAGERS?
** need you know 80% of hospitals still use pagers. The reason is not because the doctors are still alive in the age of dinosaurs \, but because the pager signals emitted stronger satellites and can reach even into hidden corners. While the cell phone signal sometimes there is a special zone that can not be achieved*.
Nurse who is on duty in the operating room (this is the British hospital based system yes I don't know which is here gmana, maybe more or less the same)
Scrub Nurse's
🍁Nurse senior in charge of helping doctors (such as assistants) during surgery, also in charge of preparing patients, and supervising patients. Operational tasks such as providing equipment that the doctor asks for. Stand next to the doctor. In front of the doctor is usually an surgical assistant (can be a second doctor or intern). CRNA Licenses.
🍁 Circulating Nurse
This is the nurse who is in charge of preparing the room. Record on the chart what happens during operation.
List what is used during surgery. Pick up equipment and supplies needed during operation or perhaps answer a phone coming into the operating room . Clean up the room when the operation is complete.
🍁Anesthesia Nurse
This nurse is the one who helps the anesthesiologist perform anesthesia and helps the course of anesthesia* and supervise the patient's care. CRNA licensing Nurses specifically supervise this task.
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I almost ended my shift today. It was exhausting, when a beautiful woman with perfect blonde curls and a charming pastel-colored casual dress approached the ward of the treatment room.
"Hi, I'm Lily. I'm looking for Doctor James. Maybe you know where I can talk to her..." I'm staring. What James' date is. This woman is so beautiful.
"Oh, hi Lily, Doctor James is in the patient room. Maybe it'll be over soon. You can wait here for a minute." I pointed to the waiting bench in the waiting room at the side
"Lily why are you here?!" James saw the beautiful girl coming at him. But his expression said he was disturbed.
"I'm in a job not far from here, baby." Well the word "honey" was spoken like an affirmation in front of me. I grimaced. Is this woman insecure just by looking at me. Please don't waste your energy, baby.
"You don't have to come here... We can meet outside." Well, it seems he's clearly distracted.
"James, I just wanted to see you happen to be near here. I remember you saying you worked here as a cardiologist, and I tried my luck a little..." He said in a soft voice. It made Noah and I, who tried not to be seen engaging in their conversation, look at each other and smile.
"Jen, start putting Apixaban and Moexipril tomorrow into Mr's medicine. Donaldson, he put the drug records on the treatment chart." Mr. Donaldson is our patient by pass surgery.
"Good..." I took the tablet from his hand.
"He needs special attention, have him closely monitored if his blood pressure rises. If that happens, enter Sacubitril, Noah." James gave his next order.
"Good, ... " Now answered immediately. He glanced at Lily a little. Admire the girl. All men must admire a perfect girl like Lily.
"You come home Lily, you can't see me here. I have a lot of work to do..." She held Lily's hand and took her out. The beautiful girl was chasing James. Obviously they've been naked.
James left quickly leaving us, along with Lily who was taken walking with him.
"You're envious..." I laughed at Noah who was staring at the couple.
"No, I can't reach a woman like that." James shakes his head. "Not my league, to high..." I laugh.
"You know Dr. James was his father and his mother was also a famous Cardiologist. They have their own hospital in Dallas." Of course I know.
"Why doesn't he just work at his parents' hospital." I was just thinking for a second. Why James doesn't work at his own hospital.
"So maybe he wants to see a bigger hospital system and have a good reference here. He's still young anyway. You know he worked at Mount Sinai under Doctor Gordon Lewitt, who won the ACC Award last year."
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*ACC Awards: The American College of Cardiology Awards.
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"Really...ACC Award-winning doctor team?!" I didn't know James had such high references. I think he easily got in here with his mom and Dad's big name.
"He's a young doctor certified for minimally invasive robotic surgery. Beaumont will soon begin adapting this system soon. He'll soon be training some doctors to do this. I'd love to be one of them." I nodded with my mouth held up. I'm starting to be amazed by this "Dickhead. He could not only rely on his parents' big names alone.
"You want me to take you home... My shift is over soon too." I'm shaking.
"No need. I'll ruin your market. You better drive the others. Do you want me to call one? You just have to choose." Noah laughed immediately.
"Come on, we both know we're not interested in each other. It would be easier for me to avoid anyone. I'm actually wondering who spread my phone number. You didn't do it, did you? Lots of people try to talk in chat with me." I grimaced.
"You did it?" Noah shook his head while folding his hands in front of his chest.
"No, I didn't do it..." I did it for £50. Sure was! He and James have been my extra sources of income lately.
"Liar." He raised one eyebrow.
"They insist on asking for it." I finally looked for excuses, lowered my voice and grimaced with a guilty expression.
"Let's accompany me to dinner as your punishment..." He pulled my hand.
"I'm in saving mode." I was frank with Noah.
"My treat..." Noah insists.
"I'm guilty but you paid me? Why are you so sweet..."
"I just want a friend for dinner. You're reliable enough to make the atmosphere crowded." I laugh.
"Filen." I finally agreed. Noah's gonna be a fun friend, apparently.