Well the pneumonias turned out to be swine flu probably. One is on ecmo at another hospital, i dont think they do ecmo here. Another ventilated. We are barrier nursing in the ward. The response from on high seems to be mainly about coughing and handwashing no real guidance they are still discussing the response. If i were a pregant woman with a flu I'd be on the anti virals quick. They had an article from the CDC that said there were issues with pregnant woman so this should have been seen coming but there is such a disconnect between the sayers and the doers in the system.
eg funny story from my husbands work nursing home one RN on shift 120 patients and a few carers. They loaded all patient documents onto computer so you pick which one. There are over a hundred documents with no index and some very odd descriptions of what they are. Why so many because instead of rationalising the documents of different facilities they put the lot of them on. The office people thought that was a good idea.
The design of our paperwork is terrible the patients history is a three page list you have to seach thru for info no one has time to read or find stuff now. To be fair there are some good things we can print off name stickers on the ward and the docs can generate a path form at any terminal. Pity they cant sign meds orders from any terminal but I wonder if thats a good thing they would probably never come near the ward. I bought some shares in a medical tech company but when i realised what a mess it is I got rid of them, we had a occ therapist training us bit of a joke. The designated expert users are a good laugh.
The stock market game is starting soon my husband is playing too I hope he is good at trading.
The patients are interesting we had a intelligent lady from Lybia so we had a good chat about Islam and woman. I would like to go to that area of Africa she said it is very beautiful. We have some interesting people from all over the world as we are near the uni.
Better do some gardening while its warm.
Saturday, 18 July 2009
Saturday, 4 July 2009
Ahh I've got the cold. Its a bad winter this when we are seeing pneumonias in midwifery thats bad. I dont remember so many woman coming in with pneumonia. I guess being pregnant with reduced lung space they are more vulnerable plus if they have PIH (pregnancy induced hypertension) then their kidney function is off. I have to learn more about PIH catch up on the latest its a bit of a mystery of a condition.
I have been painting the house portland stone and royal blue. Its nice I am only doing the bits i can reach then we will have to get a painter for the 2nd story I'm no good with heights. Had a lovely 2 days away golf trip down the coast with the friday golf ladies the pros came and we had lessons and 9 holes at 2 different courses. I think I learnt something, if I remember it. I am trying to play a natural relaxed game then its enjoyable even if you are not going well but if you do relax you play better. I got nearest the pin which was exciting. Well back to the garden, its so cold this weather i dont have long in the day to do things.
I have been painting the house portland stone and royal blue. Its nice I am only doing the bits i can reach then we will have to get a painter for the 2nd story I'm no good with heights. Had a lovely 2 days away golf trip down the coast with the friday golf ladies the pros came and we had lessons and 9 holes at 2 different courses. I think I learnt something, if I remember it. I am trying to play a natural relaxed game then its enjoyable even if you are not going well but if you do relax you play better. I got nearest the pin which was exciting. Well back to the garden, its so cold this weather i dont have long in the day to do things.
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