shellgal

A newborn doctor who is enthusiastic about her career and passionate for her life and of course, she also dreams a lot when she is awake...

Thursday, May 04, 2006

My first call



Today is my first call, after a two-weeked tagging in the paediatrics department. My first call is in Paeds ICU (PICU)unit. Something special about doing oncall here is (hehehehe...sniggering) : The house officer's oncall schedule is only from 5pm to 11pm, and yet we claim for the full time oncall (36 hours) allowance. We need not to stay overnight in the PICU.
As the name inplies, this ward is a place to cater for the critically-illed children patients. Some are road traffic accident victims, some are oncology patients (patients with cancers), few with respiratory problems that require mechanical ventilation and couples of children with acute illness that necessitate intensive and close monitoring (for instance, Dengue haemorragic fever and Dengue shock syndrome, acute severe asthma, acute heart failure, severe pneumonia with sepsis/septic shock, meningoencephalitis...etc).

So, my job here is to monitor those patients in the HDU site (for your knowledge, the PICU is further subdivided into acute bay, high dependency unit a.k.a HDU and isolation room). There are a total of 6 beds and 6 ventilators in the acute bay, 8 beds in HDU and 3 beds in isolation room. Besides taking care of the patients in HDU, i need to help my M.O. to do some simple procedures also, for the patients in the acute bay, like bladder catheterization, blood taking, arterial-section and tracing lab investigations results.
So, the day went on smoothly. No major disaster happened, not too busy, not too many procedures, no admissions at all (kekekeke) and a few breaks in between to chill out at the pantry, having gossipy chats with the nurses :P

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