Wednesday, July 23, 2008

gossip girl.♥

July 12, 2008

The day after our capping ceremony. We had our class in the afternoon which was Psychopathophysiology under Ms. Salera. And oh my, I forgot that we have quiz for this day! I just scanned my notes hoping that something from it would retain in my mind. But i guess this was my day. I got 14/15 = 96% in our quiz and i was really surprised.=0 But either way, i still have to review my lessons before going to school and not just rely on p
ure luck.

The highlight for this day was actually 2 event. (1)Ambassasdors Of The Lord session and (2)General Assembly for 'The Artiar', our school newspaper. They are both happening on the same time so i just decided to choose the general assembly and attend the aol organization next saturday for my membership completion.

The general assembly was fun. I actually joined the Art Department, where i had to compose myself in being a cartoonist and at the same time, a writer. I had once became a head cartoonist during my highschool years but it was just for a short span of time and i decided to resign. Ahaha! So childish. I really wasn't expecting that big responsibility at that time when I auditioned for it, actually the main reason i got myself auditioned was for me to be excused in one of our boring class then. But with no intention of actually becoming the head! But now i realized, i lost a big opportunity. So now i'm trying to patch things up and continue with it. Aja!

During the meeting, responsiblities and rules were imposted to all the members. Student handbook was given where all the rules and policies were written. Each department was clustered for them to dicuss a plan for the next newspaper. Our head cartoonist, sheimi, gave us an assignment to submit to her at least 1 art in a week. And after the conference in each departments, we had our picture taking! As my title says, gossip girl, that was the motif of the meeting with stars and a paparazzi set at the back of the room.

I ended up going home at 9PM.

til the next post.

♥tryxzha♥

capping ceremony.♥


The moment all the juniors are waiting for, the placing of the cap in our heads as a sign that we've made it! Yatta!


Time is of the essence when it comes to nursing, you should come an hour earlier than the call time.
Coming from Laguna, i had to wake up 4:00 Am to prepare myself. 9:00 is the call time
but of course my parents would also be preparing themselves with my grandmas from both side, even though the allowed number of guests are just 2. You know filipinos when it comes to events like this. Always punctual and following invitation. Well, i don't blame them cause i know they are excited like me as well.


We departed from Laguna at about 6:00 in the morning but before going directly to the venue (don bosco church makati), we headed towards caltex-slex and ate in McDonald's first. WE got a little overconfident about the time that we departed from there at 7:30. At 8:00, i arrived at venue. I was so surprised because all of the students are already on line and in their proper uniforms, so i really hurried up cause i really thought that there was a stat announce
ment that the program would start early well in fact there is none. Snap back to reality, the program started at 9:00 exactly. So on the minutes waiting in line, we just took pictures of ourselves with our peeps and clinical instructors as well as to our dear relatives.


We had a lot of fun especially the taking of picture part but the weather? It's blazing hot even though it was just 8 in the morning. The event started exactly 9PM. We first had our march going inside the church, holding the nightingale lamp on our right hand and the cap in the left hand. The ceremony started with a mass then proceeded with the program proper by hearing speech from the head clinical instructor and of course the Nightingale's Pledge. An oath for us nurses. After we pledged our oaths, every student nurses are called by tens to come up on stage to have their caps (for the female) and pins (for the males) placed by their respective clinical instructors in front of the church. Our section was called last because i belong to section E. Hehehe.^^ It was a nice feeling when the symbol of being a nurse was placed now into your head. Even though cameras and video cams were not allowed while the program is on progress, gerie, bobi and I still managed to take some pictures while gerie's aunt took videos. And as we had out final picture-our class picture, the program has ended. Ultimate picture taking time! I was busy taking pictures with my friends for remembrance while my brother is busy looking for my crush (he's only a second year student and he happens to be our usher). My official photographer, Patrick Kevin Angeles, my brother. Ahaha!

After the program (it ended at about 11AM), we went to Gerry's Grill in Glorietta for our lunch. I met some of my colleagues there eating with their family as well.

Before going home, my dad has to finish something. So we went to Alabang-Honda near Alabang Town Center if I'm not mistaken to get some parts. And since we're near ATC, we were tempted to watch a movie. And so we did. We watched Wanted starring Angelina Jolie. It was so cool. The effect of the bullet and the way they were trained to be an assassin was great and that's what i want to learn! Hehe. Seriously I do!

We just got home late. I was tired that time that after I do my bed time routine I ended up sleeping already without preparing for my things tomorrow for my class (even in saturday we have classes).

til the next post.

♥tryxzha♥


Tuesday, July 22, 2008

rotation in the delivery room.♥


As i started my third year in college, i began to have more consistent and longer periods for every routine in areas assigned to us to have duty. And our first rotation was in the delivery room of makati medical center with one of the respected clinical instructor from our school.

June 16-July 9.


During our first day for our 1st rotation, we were all so anxious for we don't know what to do yet. And of course, delivery rooms are considered to be one of the special areas in the hospital.
Our duty time is from 2:00 PM to 10:00 PM from Mondays through Wednesday for 4 weeks. Whew! just thinking about the time makes us wanna sleep. (Ahaha!) But of course, we can't or else a disciplinary slip would be given and goodbye "most humane award".

Our first meeting were more on orientation about the area itself, procedures done and equipments used. We don't have patient care yet during our first meeting but instead we familiarized ourselves in the area and of course the equipments! Luckily, we got to observe one major case, and that was a cesarean section. The unfortunate part was, we were able to o
bserve only the part where the doctor has to suture the mother's organs and skin. we weren't able to see the most important part which was the actual cutting of the skin and the organs to be able to get the baby out of the mommy's uterus. But atleast, we got the vibes of what it feels like being inside the delivery room. And oh, I'm super excited. This was the thing i'm looking forward to!

As days and weeks passed by, we got ourselves familiar to the
procedures. We weren't anxious that much when there is a stat procedure to be done or any cases on hand. Well, it's just a matter of getting used to blood and organs and genitalia. Of course, we weren't there just to observe, we have to have our own case by which we had to assist (for the baby after delivery- you suction it, test its APGAR'S score, place the ID Band and deliver the baby to the nursery room for further assessment. And oh, the most thrilling part in assisting, you have to go down the delivery room and shout the baby's weight in grams, pounds and ounces! Ahahaha! Why thrilling you ask? 'Cause everybody in the DR would stare at you for you really have to make your voice loud enough for all of them to hear. Pretty embarrassing? Oh NO. It's just normal. Hehe.^^)

Of course, if you have to assist a baby, you can al
so assist the mother! or what we call the actual case. What did i do here? Hmmm.. I just placed my sterile hands with gloves on the sterile field! and that was it! Ahahaha.. But in my case, after the actual SVD or sponteaneous vaginal delivery, the doctor faced the baby to me fro me to initially suction it. My hands were trembling but i got the job done. Pretty cool isn't it?^^

Major case
such as cesarean section and TABSO are the most exciting case to have. But during our shift, we didn't had any TABSO cases, all of which are C
S. What do you expect us to do there? Oh we just do medical handwashing first and foremost then wear our scrub suits (maintain sterility, or else you'll be scrubbed out and you won't have the opportunity to be involved in the case), you're supposed to give the physician with whatever he/she demands to have (so you really must memorize all the equipments! And btw, almost all the equipments lloks the same!). Sometimes doctors asks questions related to the procedure, luckily i've answered the question. "What's the placenta part that first separated from the mother after giving bith?" The answer? It's duncan! Well, basically there are 2 kinds of placental seperation, only in my case it was the duncan or the dirty side of the placenta. After placental expulsion, i just dirtied my gloves with blood from the placenta. It was warm to touch, really! The longest part in CS, the suturing part. Though the getting the baby out thing takes only about 10 minutes, the suturing takes for 30 minutes or more. The suturing is per layer, if you miss one layer or the gap between 1 suture to the other is not tight, the mother is risk for hemorrhage, that's why it takes a long time for suturing!

The only Minor case I had handled was D&C or dilatation and curretage in tagalog raspa. This was the fastest procedure ive gotten myself into. It was only about 10 minutes! The doctor needs only to assess for bleeding inside the uterus then collects samplt using an OS. After collecting samples from an OS, i experienced transferring the bloody clots fro the OS to the vial with formaline for tests. And that's about it!

Every after rotation was exhausting. You have the privilege for coffee break (for 20 minutes) and meal time (for 45 minutes) but if you have a patient in labor and is fully dilated or ready to give birth, you have to not get your privilege for as to have the case done and signed! I forgot to tell that we have to complete 5 cases from each of the cases in bold, all in all it's 20 cases. Toxic right? Whew! but i can do it! I know i can!

Thinking about the procedures tires me out what about having quizzes and reporting while having your duty? Exhausting right? Plus. Plus. Plus. I got to go home in Laguna every after duty or even during lecture days (thursday to saturday). My parents didn't allow me to stay in dorms. Well, it's just fight for survival then. Ahaha.^^


To divert our attention, we just ebjoyed ourselves in t
aking pictures during meal times (the chance for us to reunite with our cellphones - phones are not allowed during duty).=p

Alright! During the third week, we have to compose our case history for the case presentation or the mini thesis thing. One for the group and one for yourself. And like most of the students do, we crammed! We made and finished our case the night before the submission of the papers. Oh well, i think that's just a normal phenomena for all of us, sleep time? 2-3 hours.=p Hmmm.. Me? 1 and half an hour. But in the end, we managed to present our case. And. We've learned our lessons. Do not cram! Cramming is a sin! Ahaha!

As we end our duty, our case presentation that day (july 9), we had to make it fast for we aill be having our practice for capping in don bosco church makati. We started our rotation anxiously and we ended it the same way we started it. Goodness! I love my group. Ahahaha.. Through good times and bad times.

funny pose infront of the delivery room. too bad gerie is not there.


gail is pregnant!


first post done.
ill be posting late events though^^

♥tryxzha♥