relocation....

 

The final plan of ED was settled few days ago. Lem had brought us the news that the 175 would be relocated in the ED – same level instead of basement. A real good news…..the long walk would be dangerous in the night. The coward still call up and threaten us from time to time, we don’t know when we would be ambushed…. nothing much to shout as justice had been served. The room is definitely smaller than what we have at the moment… there is window still, the view is still bad – facing wall of an building, but better than none…1 more month before the shift begin…

ambush...

There was this violence incident occurred during my weekend off last week. A local scum had attempted to strangled our gastroenterologist during his ward round. The scum was “neutralized” as other had come to help. Later he had confessed that he had done this as a favor for another patient. The same old patient who had threatened me a few weeks ago. Well, what an event, very unsecure but have to live with it….As a black belt holder, I felt more calmer facing this kind of threat but still, facing an ambush is a different kind of story…

Most of the time, the management would fight fire with fire, a local gangster would be sent to the patient and issued a warning and further action would be taken if the warning is ignored…I hope it works…

the move

We were led by boss to the new building yesterday… Its infrastructure is readied but still lot of interior renovation going on… Me and Lem had the same feeling – outsider job. Our ex-dep supt had said that the architect who is specialized in hospital design charge an additional fee of NT 500k….well, a small figure compare to the construction fee, but still no one wanted to listen…

7 days before the move begin….

new lifestyle....

 

I had been reading a lot regarding food for the past 6 months… There were a lot of stunning materials which I did not know clinically. I had found that the way I and family used to eat would lead to a path of no return. We had decided to cut down meat and the final destination was pure vegetarian food. However to lay our hand on health vegetable was truly a challenge. Nothing is safe out there – I do not trust those farmers to be frank. I would encounter a few farmers (who farm Jambu) in the ED complaining of intoxication after spraying insecticide and pesticide. In the past most of them use 1 or 2 chemicals, but nowadays many of them use more then 3 types of insecticide and pesticide. The product and profit were their primary concerned, just can’t blame them – they rely on that for the living…

We had decided to grow vegetable by ourselves. We had rented a small piece of land in the local citizen farm. A land of about 400 sqm2.

I did most of the land shaping job…. It was really a tiresome one in the beginning. Although the owner provided a free plough of the land at the beginning, we were able to plant half of the land prior to the typhoon and rainy season. After the rain pour the other part of the soil was harden – the land shaping stuff was really a physical torment for a office worker like me.

One of the challenges was digging a good drain… I learnt a lot from others who farmed there.

We have harvested our first batch of vegetable this week… It was great eating vegetable which was grown by your own hands….The next step would be proper planning so that we could harvest every day…I had once read an article from the web, one of the organic farm owner had said that he used 70% of his time planning instead of actually farming…. At the moment, I total agree with him…

The land is about 5 kms from my house. We go to the farm 4-5 times /week, 2-3 hrs per trip. I am closer and closer to my dream. My final destination is to attain a state of self provision – growing and producing the food we need….

safety in ED

 

I got a threat few weeks….An alcoholic was brought into the ED in a stupor state. I had did a check of GCS and the alcoholic had jumped up instantly and accusing me of using “force” on him. He had threaten me that he wanted to call his buddy over and teach me a “good” lesson. What a crap. Few months ago, there Department of health had issued a statement after an assault incident involving patient and ED staff stating that it would be must for ED to have restricted assess and security coverage in the future. I remembered those old days working in the Casualty department of Hospital Tengku Ampuan Rahimah…. There is always a security guard outside – the ED. Every pt would be triaged and called accordingly. There is a police’s hut nearby and there is always a police on guard… Relative safe environment protecting the violence victim in a sense. There was a case about 9-10 years ago, a wife which was assaulted by her husband sent to a local hospital nearby. The husband had later arrived in the ED and unexpectedly drawn out a knife and stabbed her over her flank. She had sustained kidney laceration and later death on table despite of emergency surgery in the ED.

I had heard threat and I think it would be appropriate to do so but it would greatly increase the cost. However Lem had told me that our hospital is different from others. Our ED had contributed 75% of the admission unlike the other hospital which comprised of only 30%. Just hope the management would look into our safety. I had told my colleague not only once that if firearm is to be legalized here, I would apply a license for firearm and carry a Glock during my shift….

new 175.....

The new building is at the final stage of construction….it was scheduled to be readied by the mid of the months but the last typhoon had delayed the work for about 1 week so nothing happens…

There are currently 2 buildings at the moment, A which consist of 3 storey and B which consist of 8F+basement. The A building would had to “go” to comply with the law (building coverage ratio….) in order to obtain Certificate of fitness for the new building. The ED is currently situated at the entrance of block A and we would be moving to ground floor of Block B. The GF of Block B is the current OPD. The OPD would be temporary move to the supply department across the road.

The plan for the new ED was initially drawn up by the medical staff of ED. But 3 weeks ago, boss had called up the matron stating that he was going to overrule the old plan. He wanted to “popped” up 5 more ED bed and the doctor rest room(175) would be shifting to the basement of ED. Lem had protested to the dept supt of admin but had yet received any reply. Life would be worst than…..basement is not a place good for resting, dark, wet …. I had told Lem that I would be utilizing the head nurse office for the rest in the night as I don’t want to walk all the way down to the basement…. What had happened when the designer could not meet the end users demands ? Bad relationship and poor working morale….Just couldn’t figure out how the management think….well, had to coup with it....

untrustable and arrogant....

There was further update regarding the mis-transplantation of HIV organ. Apparently the university hospital had drawn blood from the patient and sent the blood sample back to the university hospital for HIV and other hepatitis marker test.

So when the lab test result came out, the lab technician would inform the transplant coordinator about the status. According to the protocol, any extraordinary result(such as severe hyperkalemia) should be reported to the relevant personnel (including the attending doctor). In such case, the head of transplant project should be informed via SMS. However such protocol was not follow. Well that was why the mishap had occurred.

The head of transplant project for the university hospital is a trauma surgeon – I had attended a few conferences facilitated by him. He was a dedicated person and a philanthropist. He truly had a passion in life. He had given an excellent talk on ethic issue of ECMO and artificial cardiac machine… He is currently the only person who stepped down (not resign from his post of professor of surgery and surgeon of coz) from the post of head of project.

The act of sending the blood sample back to the university hospital laboratory is an act of arrogant and waste of public assets. Why could they just trust the local hospital lab ? The public had to pay twice for a same lab result…. One of the member of the Control Yuan(department of Supervision) has volunteered herself for investigation. She holds a doctorate in nursing and hopefully she could properly probe into such situation and in-proper act would be corrected in the future…

untrustable and arrogant....

There was further update regarding the mis-transplantation of HIV organ. Apparently the university hospital had drawn blood from the patient and sent the blood sample back to the university hospital for HIV and other hepatitis marker test.

So when the lab test result came out, the lab technician would inform the transplant coordinator about the status. According to the protocol, any extraordinary result(such as severe hyperkalemia) should be reported to the relevant personnel (including the attending doctor). In such case, the head of transplant project should be informed via SMS. However such protocol was not follow. Well that was why the mishap had occurred.

The head of transplant project for the university hospital is a trauma surgeon – I had attended a few conferences facilitated by him. He was a dedicated person and a philanthropist. He truly had a passion in life. He had given an excellent talk on ethic issue of ECMO and artificial cardiac machine… He is currently the only person who stepped down (not resign from his post of professor of surgery and surgeon of coz) from the post of head of project.

The act of sending the blood sample back to the university hospital laboratory is an act of arrogant and waste of public assets. Why could they just trust the local hospital lab ? The public had to pay twice for a same lab result…. One of the member of the Control Yuan(department of Supervision) has volunteered herself for investigation. She holds a doctorate in nursing and hopefully she could properly probe into such situation and in-proper act would be corrected in the future…

trust and aro

There was further update regarding the mis-transplantation of HIV organ. Apparently the university hospital had drawn blood from the patient and sent the blood sample back to the university hospital for HIV and other hepatitis marker test.

So when the lab test result came out, the lab technician would inform the transplant coordinator about the status. According to the protocol, any extraordinary result(such as severe hyperkalemia) should be reported to the relevant personnel (including the attending doctor). In such case, the head of transplant project should be informed via SMS. However such protocol was not follow. Well that was why the mishap had occurred.

The head of transplant project for the university hospital is a trauma surgeon – I had attended a few conferences facilitated by him. He was a dedicated person and a philanthropist. He truly had a passion in life. He had given an excellent talk on ethic issue of ECMO and artificial cardiac machine… He is currently the only person who stepped down (not resign from his post of professor of surgery and surgeon of coz) from the post of head of project.

The act of sending the blood sample back to the university hospital laboratory is an act of arrogant and waste of public assets. Why could they just trust the local hospital lab ? The public had to pay twice for a same lab result…. One of the member of the Control Yuan(department of Supervision) has volunteered herself for investigation. She holds a doctorate in nursing and hopefully she could properly probe into such situation and in-proper act would be corrected in the future…