A short break follow by a stressful week….I had been back to Malaysia for my holidays(to be exact, I did not have a good rest…) and came back 2X fatigue than ever. A few events had occurred but the track was not affected. Everything was working fine... It was long but not physically stressful shift; after 20hrs in the blue working suit, a nurse in the respiratory ward had called me….A patient’s endotracheal tube seem to slogged off and I told her that I would come up and had a look.
Indeed, there was noise from the tube and I thought the nurse was right. One of the nurses took out a long stylet and asked me if I wanted to replace the tube with it…I was in a good mood than and told her that a 50% chance I would pass the tube into the oesophagus if I did it with the long stylet. I told her I would do a direct intubation. She ran to the station and prepared a tube for me. From 10m away, I saw her passing a “brown” stylet into the tube. Well, I grumbled to myself, ”since when we had this brown stylet?, MS golden plum should have informed me and Lem earlier[we were the major ‘intubator’….]…” (Ms golden plum is our purchaser cum store keeper). The intubation was smooth and when I removed the stylet, I was shocked when I saw the stylet...…..
Well, it was “rusted”….lucky I was as it did not “break” during the removal or else I would need to call the chest physician for bronchoscopic removal…
close up look....
Well, I had later informed the matron and acting head nurse later called me up and explained that the stylet was in that state when the store keeper given the tube to them….Well, I told her that I would look the matter up and pay a visit to Ms golden plum and she told me that the ward had applied the stylet 2 yrs ago…really Crap and Meat SXXT….I had shared this incident with Ong and this was this joke of the week response, “ Well, a jab of tetanus toxoid will be enough after the intubation…”
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