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 observe 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 also 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 CS. 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 taking 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♥