Obsession with Cross Infection Prevention
For fark's sake, PLEASE CUT DOWN THE NUMBER OF HDU NURSES IN THIS HOSPITAL PLEEEEEAAAASSSSEEEE!!!!
If it's 1:1 patient:nurse care in HDU, does it mean that it's 1:2 or even 1:3 in ITU?!
Gosh, this HDU ratio is driving every doctor in this hospital up the wall, simply because the nurses there are just "chi bao mei shi zuo", so they bleep us over every single thing, and watch over us like a nanny when we're attending to the patient.
Fortunately, for the time being, I have only ONE patient in that ward. ONE is enough to handle in that insane place.
Why?
I was asked to take blood from this patient who is swelled up (thank u very much..). A Registrar told me this before, "If u can't find a vein, just head straight for the artery".
Great, the best chance to try today. I can't be bothered to get the patient up onto the bed to do a femoral stab, so I just headed straight for the radial artery.
But before I could even say "Hi" to the patient...
Nurse: Doctor, maybe u'll like to put some hand gel *runs over and pours some gel on my hands..*
*I was just abt to say "Hi" to the patient*
Nurse: Doctor, I think u should put on an apron.
Me: Fine. *goes to look for the apron*
Nurse: There's none on left side of this bed. There is some on the right side of the bed.
*I looked around. Couldn't find any, so I went to get one from the bed of the next patient*
Nurse: Doctor, u've gone too far now. U didn't have to go to the next patient's bed.
Me: ...... *tempted to say "Does it matter??!?!?!?!?!"*
*I approached the patient, got my bits and pieces ready and...*
Nurse: Doctor, I think u cannot use this torniquet. Disposable ones please. This is HDU. *he then hurriedly take my torniquet away from me and gave me this disposable rubber one*
*I searched for a vein. Couldn't find it. Heck it, radial artery's my aim now. Cleanse the skin and held the needle in my hand, all ready to go...then...*
Nurse: Doctor, why are taking it from the artery?
Me: He's all swollen. I can't find a vein, so what's wrong with the artery?
Nurse: It's venous we want..
Me: It doesn't matter whether u take it from the artery or vein for these tests u want *me thinking "WTF! If u can take blood from a central/arterial line normally, what is the problem with me taking blood from an artery now? Same right?!"*
Nurse: Ok...
*About to stab the patient..*
Nurse: Doctor, I think u cannot use that needle for an artery. That needle is for a vein. U should use another type of needle.
Me: It doesn't matter. And I want to use this because I'm taking it from the artery. I want to assure a flashback!
Nurse: But I don't think u can use that.
Me: Why not? I've seen it being done before.
He's definitely trying to piss my ass off. So I decided to ignore further comments and got the bloods I need.
Piangz!!!!!!
I was certainly boiling within, but managed to keep my cool. Like wtf is wrong with these people? First, u claim that u can't take blood, yet here u are commenting about how I take blood.
And with that "Cross Infection" prevention, honestly, I think the way it's being done is CRAP!
Reasons:
1. Apron
What's the point of wearing it when it's not even sterile in the first place, and neither is it kept in a sterile environment?
2. Torniquet
The disposable ones are not sterile either. And I'm tying it high up on the arm, not on some wound, and I'm not stabbing the torniquet to get blood right?
3. Clothes
All the crazy fuss about ties, sleeves, clothes being in contact with patients. Gosh...shall we all examine patients naked then? Or should we all be given sterile theatre gowns before going into that insane ward? And if doctors' clothes are full of infections, nurses' uniforms are full of them too!
If there's that much obsession with infection prevention, then...
1. Patients should all each be enclosed in a sterile ward
2. Hospital staff who goes in there should be in sterile gowns from top to toe...wear weird sterile head masks to make sure no cells on the human body is being exposed.
3. Get rid of all the curtains which are made of cloth, and get disposable ones
And the list can go on.
Basically, this apron n glove business is just for show, and some mad people are just overtly obsessed cos they got nothing better to do.
If prevention is taken THAT seriously, then in the first place, I wouldn't be asked by some nurse to take blood from some TB patient and told this, "Doctor, just go in with an apron and glove. Forget abt the mask."
It's multidrug resistant TB for goodness sake. It's the same as asking me to go in without a mask to take blood from a SARS patient.
And I had to hold my breath while being in the room, and thank goodness the patient didn't cough into my face when I was taking blood.
If it's 1:1 patient:nurse care in HDU, does it mean that it's 1:2 or even 1:3 in ITU?!
Gosh, this HDU ratio is driving every doctor in this hospital up the wall, simply because the nurses there are just "chi bao mei shi zuo", so they bleep us over every single thing, and watch over us like a nanny when we're attending to the patient.
Fortunately, for the time being, I have only ONE patient in that ward. ONE is enough to handle in that insane place.
Why?
I was asked to take blood from this patient who is swelled up (thank u very much..). A Registrar told me this before, "If u can't find a vein, just head straight for the artery".
Great, the best chance to try today. I can't be bothered to get the patient up onto the bed to do a femoral stab, so I just headed straight for the radial artery.
But before I could even say "Hi" to the patient...
Nurse: Doctor, maybe u'll like to put some hand gel *runs over and pours some gel on my hands..*
*I was just abt to say "Hi" to the patient*
Nurse: Doctor, I think u should put on an apron.
Me: Fine. *goes to look for the apron*
Nurse: There's none on left side of this bed. There is some on the right side of the bed.
*I looked around. Couldn't find any, so I went to get one from the bed of the next patient*
Nurse: Doctor, u've gone too far now. U didn't have to go to the next patient's bed.
Me: ...... *tempted to say "Does it matter??!?!?!?!?!"*
*I approached the patient, got my bits and pieces ready and...*
Nurse: Doctor, I think u cannot use this torniquet. Disposable ones please. This is HDU. *he then hurriedly take my torniquet away from me and gave me this disposable rubber one*
*I searched for a vein. Couldn't find it. Heck it, radial artery's my aim now. Cleanse the skin and held the needle in my hand, all ready to go...then...*
Nurse: Doctor, why are taking it from the artery?
Me: He's all swollen. I can't find a vein, so what's wrong with the artery?
Nurse: It's venous we want..
Me: It doesn't matter whether u take it from the artery or vein for these tests u want *me thinking "WTF! If u can take blood from a central/arterial line normally, what is the problem with me taking blood from an artery now? Same right?!"*
Nurse: Ok...
*About to stab the patient..*
Nurse: Doctor, I think u cannot use that needle for an artery. That needle is for a vein. U should use another type of needle.
Me: It doesn't matter. And I want to use this because I'm taking it from the artery. I want to assure a flashback!
Nurse: But I don't think u can use that.
Me: Why not? I've seen it being done before.
He's definitely trying to piss my ass off. So I decided to ignore further comments and got the bloods I need.
Piangz!!!!!!
I was certainly boiling within, but managed to keep my cool. Like wtf is wrong with these people? First, u claim that u can't take blood, yet here u are commenting about how I take blood.
And with that "Cross Infection" prevention, honestly, I think the way it's being done is CRAP!
Reasons:
1. Apron
What's the point of wearing it when it's not even sterile in the first place, and neither is it kept in a sterile environment?
2. Torniquet
The disposable ones are not sterile either. And I'm tying it high up on the arm, not on some wound, and I'm not stabbing the torniquet to get blood right?
3. Clothes
All the crazy fuss about ties, sleeves, clothes being in contact with patients. Gosh...shall we all examine patients naked then? Or should we all be given sterile theatre gowns before going into that insane ward? And if doctors' clothes are full of infections, nurses' uniforms are full of them too!
If there's that much obsession with infection prevention, then...
1. Patients should all each be enclosed in a sterile ward
2. Hospital staff who goes in there should be in sterile gowns from top to toe...wear weird sterile head masks to make sure no cells on the human body is being exposed.
3. Get rid of all the curtains which are made of cloth, and get disposable ones
And the list can go on.
Basically, this apron n glove business is just for show, and some mad people are just overtly obsessed cos they got nothing better to do.
If prevention is taken THAT seriously, then in the first place, I wouldn't be asked by some nurse to take blood from some TB patient and told this, "Doctor, just go in with an apron and glove. Forget abt the mask."
It's multidrug resistant TB for goodness sake. It's the same as asking me to go in without a mask to take blood from a SARS patient.
And I had to hold my breath while being in the room, and thank goodness the patient didn't cough into my face when I was taking blood.
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