Thursday, December 25, 2008

holiday with a work..

Today was Christmas holiday actually but still need working... before 9, i sent miey to hospital.. Drop a moment to farmasi bekalan ward, to call staff nurse to confirm either today's chemo pt has already admit or not... As the pt never admit yet, i ask miey to handle this chemo drug... I think i can back home after that but unlucky cant... The sample of tdm come across.. So, need set up cobas n tdx machine first. I,m working alone at tdm room... Dah la gelap...huh..kurus semangat......

Next sample come again. That one for pcm poisoning.. Gile.. nak bunuh diri telan la racun tikus, stakat telan penadol, betul2 susahkan org!!!!!! Funny, actually this pt had run away from ward yesterday.. Means dah dpt tangkap blk la pt nih..Huh, lawak... The level of pcm for this pt very toxic and need start the antidote... but staff nurse told me that this pt concious..boleh jln2 lg tuh... As the way to prevent liver damage, antidote should be given quickly.... although this pt wat keje gile, x ingat Tuhan!!

A lot mis communication between doc, nurse n pharmacist... I got a lot uncorret info from nurse. Especially regarding on the sampling time for tdm... Like today for pcm assay.. Nurse told me that the sample had been withdraw this morning but actually doct had withdraw the bood on last night.. The most important thing, every info need to clarify with doct...so right interpratation can be done..

Another kelam kabut today regarding on cyto drug that mytomicin c.. Staff nurse ask for this drug.. Actually only one pt on this drug, not for used today but tomorrow... Staff nurse ni silap dengar la, dah la bagi name pesakit yg x on ngan drug nih... Mytomicin is cyto drug. We never prepared our own, everything must be request first before the use because we got the medication only from kuantan....Thanx DR Mohan for cooperation......

Around 12, my job at tdm halfly settle.. I need waiting for another blood sample from htaa to run at hoshas.... but the sample only come around 3 p.m... Boring nih nk nuggu lame2. So, i went upstair..go to ward to see one pt who had chemo today... sampai kat ward, pt ngah lunch, x start chemo lg...so, nothing i can see. Finally, i went to Satelit 8 to see either there are another sample for tdm or not.. Clear!! no sample.. nak wat ape nih..boringnyer...Kat S8, en nuar, k.zu n miey ngan sibuk seme...miracle... mei fong also come on the public holiday..to help us...hu...

Miey ask my help to counsel one pt on novo pen... So..pegila kenanga 3 ward..counsel pt.. cam biase.. pregnant pt on insulin... dah setel seme...perut dah bunyi..laparnye..... miey pun dah ciap keje..we get lunch first.. after ciap je lunch, dpt call dr htaa, sample for tdm dah sampai... ambil sample kat bilik pemandu and then run tdm... around 4pm we complete our job.. back to home..so tired today...zzzzzzzz...... walaupun penat tp im glad becoz everything fine and smooth... hepy!