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Tuesday, August 26, 2008
had 1 bld transfussion reaction occured when i take over shift.
patient is having chills and rigors badly, w/o fever, stable vital sign and h/c.
the 1st order is to slower the transfussion.
within 1/2 hr BP shot up to 200/85, HR up to 120 beats/min. and SPO2 86% on RA
the 2nd order is to stop blood immediately.
CONFIRMED REACTION
next, the DR have to take 2 red tube anD 1 EDTA tube (plus 5mls of urine if not ESRF n still able to pass urine)
filled up the blood reaction form, (make sure every part is filled, if not BTS will bounch back to u)
called BTS to inform them abt it.
IV hydrocortisone 100 mg, tab paracet 1g and piriton 4 mg stat
i always thought that bld reaction only occured during 1st hour of transfussion. but this happened 1 1/2 hr after transfussion. the chills and rigors is real bad kind.
after 2 hrs post transfussion, pt developed fever..
today, got a shocked when i have to went over 9a for acti9ve resus for zal..
noone expected this all will just happen today right in front of me.
she was still arrousable and able to drink PEG, 5 mins b4 we sent her for dialysis.
15 mins later received a call from 9a tt pt very ill, to fetch back.
at tt point of time, i thought she maybe sleeping too deeply.
when i reached 9a, CPR started.
Dr. Tan did intubation himself.
in the end we cant revive her.
the person who shocked most is Dr. Lee YY
he saw the pt 15 mins before she went for HD.
he was in wd 86 when he received a call abt her, he flew here with an unopen culture bottle to main block..
ir really didnt strike me at all tt this will happened.
after the whole event, i saw her son, he didnt seem to understand what has happened (her mum is gone forever)
life is unpredictable, tell them tt u love them......
life is unpredictable, pls cherish every moment
5:28 AM
Friday, August 1, 2008
HAPPY NURSES DAY !!!
" TTSH nurses do great jobs. they shoulder heavy responsibilities, deal firsthand with patient demands and frustrations, as well as provide excellent care on top of this. Nurses are the ones who do this tirelesslyday after day. we applaud their passion"
Albert Tan, COO
"Our nurses touch many lives in the course of their work. their compassion, understanding and willingness to serve others deserve our recognition and thanks.
Happy nurses day!
Lim Suet Wun
CEO, TTSH & NHG
"Nursing today is more complex than ever and our nurses face new challenges beyond patient care. They now manage patients and support our doctors in attending to patients. Their role is critical. Together, they have added strength to the TTSH team spirit.
Prof Philip Choo, CMB
U all have done a great jobs!!!!
life is unpredictable, pls cherish every moment
7:54 PM
