THIRDfloor

@ridingbet (66857)
Philippines
September 10, 2018 6:59pm CST
It is definitely a gloomy and it-might-rain-later Tuesday today but still, happy morning on a Tuesday to all of us from this side of the earth. My duty yesterday was good: my students will be the first group to present their case on oncology nursing, so I expected they will have their 4-day duty without any hitches. Since the preventive isolation ward in medical ward is under renovation, all cancer-stricken patients are confined at the third floor. So I and the 8 level 4 nursing students went up to the third floor where they assessed a 41-year old female with breast cancer, post-radical mastectomy ®. I was also surprised because there was only 1 staff nurse on duty in the whole 40 patients at the third floor. (The hall is just a makeshift ward). The staff nurse was a graduate of the college of nursing where I am employed. I asked Miss K if she can handle the 40 patients; she said YES but until 10PM, she has not yet taken her dinner. If possible, I do not like to go to the third floor; I just thought we should have our duty there because the preventive isolation ward is there, and there are 140 patients at the medical ward, ground floor. Besides, the room where we put our things is so totally disarranged, whereas we can even sit down with chairs and 2 tables at the third floor. Dinner time, I just let my students buy me food, and we all ate our meals there at the third floor, with the heavy rains pouring. Later, I was notified that we won’t have duty next week, because it will be the students’ preliminary examination.
9 people like this
9 responses
@Courage7 (19633)
• United States
11 Sep 18
A very studious course the oncology wards.
1 person likes this
@ridingbet (66857)
• Philippines
11 Sep 18
oncology ward is a special area where patients are confined in a preventive isolation room.
1 person likes this
@ridingbet (66857)
• Philippines
13 Sep 18
@Courage7 i hope all patients will get better with the nurses' care.
1 person likes this
@Courage7 (19633)
• United States
12 Sep 18
@ridingbet I wish the patients and students the very best.
1 person likes this
@vsai2008 (11796)
• India
11 Sep 18
The real strength of the hospital are the nurses, they often go unrecognised here. They are backbone of the hospital, i have great respect for them.
1 person likes this
@ridingbet (66857)
• Philippines
11 Sep 18
thank you. yes, i believe nurses do the most of the work of health restoration for patients because we carry out doctors' orders and give our own nursing management. there are some though who are cranky, devoid of sympathy, but let us also consider how they are during their work.
1 person likes this
@ridingbet (66857)
• Philippines
13 Sep 18
@vsai2008 a smile is really needed despite the difficult work. i always encourage my students to smile because a smile eventually heals.
1 person likes this
@vsai2008 (11796)
• India
12 Sep 18
@ridingbet i have had a great relationship with my nurses whenever i was in hospital. They are all jovial and caring. Few have been rude but then i didn't care as a child. But it was the opposite for my parents, they knew the doctor well. Yes, work comes first and foremost, but if they do it with a smile, then it would be really helpful
1 person likes this
@DianneN (246814)
• United States
11 Sep 18
That is way too many patients for one nurse to cafe for! And no time for dinner?
1 person likes this
@DianneN (246814)
• United States
11 Sep 18
@ridingbet Wow! Poor Miss K! I think you are wise to tell your students to have a heavy breakfast of lunch before going tho the hospital. Are the nurses allowed to snack at their desks if they have time?
1 person likes this
@ridingbet (66857)
• Philippines
13 Sep 18
@DianneN yes they are allowed, but they should ask another nurse to do her responsibilities while they are eating so there is always continuity of care.
@ridingbet (66857)
• Philippines
11 Sep 18
yes, sadly that is the usual scenario here in the tertiary hospital where we have our duty. that is why i advise my students to have heavy breakfast or lunch before they go to the hospital because we do not know if the ward will be toxic or benign. Miss K i think left the hospital at 2 AM because she had to finish all nurses' notes and carrying out doctor's orders, and administer medicines as well.
1 person likes this
@RubyHawk (99425)
• Atlanta, Georgia
11 Sep 18
Forty patients sounds like too many patients for one nurse. Is that because of a nurse shortage. I've read that we have a shortage of nurses, that students aren't taking up nursing as much as before.
1 person likes this
@ridingbet (66857)
• Philippines
11 Sep 18
we have 200 enrolees for first year that is why our clinical coordinator and dean bragged about having 5 sections. but i heard my students last night that many of the freshmen are shifting courses now and the 200 is reduced to 130. there is abundance of nurses here but we are under paid that is why many seek for greener grass so they go abroad
1 person likes this
@RubyHawk (99425)
• Atlanta, Georgia
11 Sep 18
@ridingbet That is such a shame. We need nurses. I have two nieces who are nurses and as dangerous as it is, one works in a prison because the pay is better.
1 person likes this
@ridingbet (66857)
• Philippines
13 Sep 18
@RubyHawk here, because our government pay nurses so low, many fly to other countries where pay is better.
1 person likes this
@JustBhem (70555)
• Davao, Philippines
11 Sep 18
So when you say isolation, cases there are severe, right?
1 person likes this
@ridingbet (66857)
• Philippines
11 Sep 18
it is preventive isolation hija, where patients are those sick of cancer. the patients should wear face masks, and so to whoever enters the area, like my students. we have to protect the patients who are immuno-compromised. source isolation is for communicable, contagious, and infectious diseases present on some patients. cases like active tuberculosis and rabies are examples.
1 person likes this
@JustBhem (70555)
• Davao, Philippines
12 Sep 18
@ridingbet I see. Because we also have it in the Hospital. When I was confined I was assigned in the Communicable disease, and I hate it. But I ask recommendation from my Nephrologist because I know I cannot be well there so they did transfer me to a regular air-conditioned ward. I don't want to be an isolation ward.
1 person likes this
@ridingbet (66857)
• Philippines
13 Sep 18
@JustBhem an isolation ward is needed if you have low immune system. that is why nurses and patients alike should always wear face masks.
1 person likes this
• Philippines
11 Sep 18
Wow. One nurse with 40 patients. I guess she knows how to handle her job. Kudos to her!
1 person likes this
@ridingbet (66857)
• Philippines
11 Sep 18
she is a staff nurse for 4 years now so she knows how to prioritize her activity. but still, 40 is too much for 1 nurse.
1 person likes this
• Philippines
13 Sep 18
@ridingbet I agree.
1 person likes this
@allen0187 (58444)
• Philippines
11 Sep 18
One nurse to handle all those patients... definitely a tough shift is ahead of her.
1 person likes this
@ridingbet (66857)
• Philippines
11 Sep 18
it is. it was her off day yesterday and she told me she would not want to be reassigned there again if she is alone.
1 person likes this
@acelawrites (19273)
• Philippines
11 Sep 18
That hospital is understaffed; imagine a nurse attending to 40 patients? It could be toxic for her!
1 person likes this
@ridingbet (66857)
• Philippines
11 Sep 18
yes it is. it is a tertiary/teaching hospital so the patients should be considerate as well. Miss K actually was staring at me with tired eyes and about to cry when she mentioned '40 patients'.
@Kandae11 (53679)
11 Sep 18
Definitely too many patients for one nurse. Is the facility short staffed?
1 person likes this
@ridingbet (66857)
• Philippines
11 Sep 18
unfortunately yes. and yet, the salaries of the staff nurses are not yet high, unlike those in higher nursing authority like nurse III or nurse IV where they earn much but they do not do hands-on nursing care to patients.