Tuesday, February 26, 2019

The Pains Of Blogging

Okay.... it seems that I have been lax again with my blogging nowadays. Work had been giving me a toll to just do some thinking and writing at the same time. Working selflessly for at least sixteen hours a day was madness. I just can't seem to grasp the fact that I liked working at the bedside rather than rattling the keyboard and finished overdue paperworks. It's really cringing to think about it.

Despite the fact that I am busy at all times, I am still thinking of going back here and blog but it seems that it is impossible because the fatigue really had succumbed me at all times. My thinking was not just right and my body was really numbed and tired. My sleep and rest was really vital I think. That's why for so many months I haven't blogged.

I even have some pending blogs from my last European tour which I put in the draft yet nothing had been started yet. I hope I can still remember all the happenings. Maybe I have to do more extensive research just for me to name some of the places that I've been ranging form the bridges, squares, important buildings, etc. It was really a rut, I am really super overwhelmed. I am very exhausted.

To continue, I left this article hanging for quite sometime and now I am back to complete the entirety of it. Never knew what to write here but I guess my thoughts just flows out with bursting excitement. My knack to weave a topic is pretty innate and natural but honestly sometimes I ran out ideas to say and write. It's kinda frustrating at times but naturally I finished the job. Don't know if the ideas are connecting to each other and gave a meaningful story but it seems it did.

It just looks like magic to me but it happened. Hopefully I will flourish and polish it as I go along. I believe in practicing things to make it perfect so I am always positive that things can be improve if you put your 100% trust and dedication. Can't wait to be more adept in my other skills. Hehehe. I'm trying guys, but it's really hard to be trying hard. Hahaha. Does it spew some arrogance? or maybe boldness? Hihihi.... Can't just contain my silly ideas but I believe it add spice to it. Waaaah... I'm already hungry.... Hohoho.

It's really hard to blog but I always see to it that what I posted always reflects my ideals and myself. I want it to be more authentic and direct like me. I want my readers to enjoy it just like I enjoyed writing it, so that the feeling will be mutual. Thankfully, I am very appreciative of your continued support despite of my passivity these past years. And I am very grateful that you all understand me. From the bottom of my heart, thanks for every thing guys!

SPRING Goals

Just another tiring day for me. Today is the last day of my 3-day-streak of 16-hour work then I will be working only 8-hours tomorrow until Friday and then I am fully off on Saturday. It is always a drag to do it but hitting the third day is just like a win-or-lose situation. Win - because I will be only working 8 hours the next day, and Lose - because I am looking tired and drugged finishing the 3-day straight feat. It is hard, and I am doing it for many years now.

Despite having done it for many years, still I felt that my stamina is lessening. It's true sometimes that as a person gets old the routine work was just ordinary and boring hence maybe I am tired, not all the time but sometimes. Maybe it was just burnout and I needed another much needed break from work. Yeah.... it didn't cross my mind at first but indeed yes, I needed another short break. I guess I am ready for another short escape from work.

This Spring, I want to see some fresh blossoms and to that my goal this year is to see some amazing flower blooms. Since it was been raining sporadically in California this month, hopefully the Poppies will be in bloom this year. I've been waiting for so many years for the poppy fields to be abundant and vibrant in an orange hue since drought had succumb California for so many years. This year, California hopefully want to see those native state flowers, scattered like the embers of the sun rays on a wide open meadows of Lancaster, California. That's on of my goal for so many years that hadn't been realized yet.

Next goal is to see the fascinating blooms of the cherry blossoms. Since I only planned for a 5 day getaway, definitely Japan is not my destination. I have heard in the past that Washington DC has a vibrant cherry blossom blooms in Spring so I am headed there at the end of March. Albeit my dream of seeing the blooms in person will be realized. Although Japan is the best but I will set that in another time. For now, my focus is to see one so Washington DC is perfect. I just cannot wait to be there and enjoy the stunning view and the soothing smell of the flowers emanating in thin fresh air.

Third one is kinda an addition but it will never hurt to have it realized. I want to see a beautiful bloom of tulips in assorted colors. Tulips are my most favorite flower so having to see another field of it will be a plus and I will be an extremely happy person. Although, I don't know if they gonna be sprouting this March but it's just a goal and no sweat for it.

Things that were planned and set makes life so easy and smooth and that is also the same when you set goals in every endeavor you have. See planning ahead will not hurt you but will even make you stronger and prepared. It will be a good thing and clever thing to do, so I always have a habit of planning ahead, setting goals, and making things happen in a positive way. Although we can meet some resistance along the way still life has to go on. We only live once and by not having to try all the things that you desire will bring some critical impact in your life.

Spring is a time that always brings new life in us. It makes us more fulfilled in a sea of weariness and void of hibernation. It inspires life to look vibrant and lively and this year this three goals that I have set had given me the drive and the will to fulfill them. Things may not come as easy like for some, but one thing I can say is that; "For every things that had happened in your life, whether good or bad, there might be a true reason why it had happened." So in the end, GOD is the author of everything and we must trust Him in all our life. Good luck!

Tuesday, February 19, 2019

What A Sad Day At Work

I was doing paper works today. I was swamped because I have to review all the three admissions that came yesterday. Aaah... I am so overwhelmed and could not think of what to do next. Albeit, I have to do it because per policy all charts must be completed within 48 hours. And I cannot be so relax because time is ticking. I have to make the PASRR, review the medications, check if all the assessments were done, progress notes in time, and care plans initiated. Whew.... what a job!

I still have to do all the clinical checks from the daily communications, lab reports, abnormal vital signs and weights, do the IDT, care planning, verifying the order completeness, do the UDA audits, and many more. I feel so scared just thinking of it everyday. But oh well, got to lessen the loads so that I can very efficient in beating the deadlines. Despite of this things to do daily I still have to check off all those required webinars and meetings in between. I just don't know how I juggled all those times. It was just fleeting and boom it's done. Hehehe....

Break time for me is non-existent and I just used it up to finish my routines. Sometimes I nobbled something just to feed my stomach and to get some energy and sugar. I bite some apple wedges, sometimes peel an orange and nibble some of the ears. That's how I spend my break, multi-tasking as the same time.

I was in a very deep focus of my work when one of my subordinate told me to check for a patient who fell in her room. When I went in I saw the old lady lying in prone position on her right side with her head turned to the left, I saw blood gushing from her mouth and my subordinate had put some gauze there to abate the bleeding. I assessed her and noted that she was very alert and oriented, asked her for any pain, and checked if there was severe injury. I ask the charge nurse to help me turn her slowly on her back then help her sit down and eventually put her on the wheelchair.

When we put her on the wheelchair I ask her if she has pain and she was pointing on her head that it really hurt. I told the charge nurse to give her pain pill and then continued to talk to her asking her what happened why she ended up on the floor. She said that she was getting out of her bed then all of sudden she fell and hit her head badly on the wall. I ask her if she used the call light but she did not remember. All she remember was she was getting up to go to the bathroom and then she fell.

Her upper lip was swollen and sustained a tear from the fall which was really bleeding profusely and could not stop. I asked the charge nurse if she is on any anticoagulant and he said yes. I ask her again if she has any pain aside from her head and she said none. Since she is on anticoagulant and the lip is profusely bleeding I decided to ask the supervisor to call 911 to transfer her to ER for further eval. I don't know if she has bleeding internally so I cannot take the shot of keeping her in the facility because of the impact of the trauma to her head.

Soon after 911 team came and I gave them report of what had happened, then they assessed the patient and prepped her for the emergency transfer. I told the supervisor to call the MD and responsible party and then I informed the CNE about what happened. Then I instructed all involved what happened and discussed to them what to do in their documentation. I also asked the supervisor to gather some statements of the witnesses and anybody who saw the unfortunate situation.

I was so devastated that happened. I was also contemplating if I have done something to prevent it, maybe it didn't happen. Blame and guilt succumbed to me. As a leader I should have warned my team to check on those patients who were high risk for falls. But wait a minute..... didn't I do that everyday during the morning huddle. Or was it just all my team members were just lazy and stubborn to check on their patients? And now that this happened, it all goes back to me because I neglected to always remind my staff members to be keen enough to those patients who were high risk for falls.

Then in the afternoon, when I was about to leave the hospital called that the patient was admitted in ICU because she sustained a subdural hematoma when they did the CT scan of the head. She will stay there for neurological monitoring until she is stable. Thank God she did not have a hemorrhage. Whew.... that was a close one. But still it is inevitable that the lawsuit will arise sometime. Things like this that happen is for sure a good criteria for suing. Hopefully, this patient would not.

Tuesday, February 12, 2019

Not A Day I Will Expect

Okay. It's been quite a while lately that I have blogged but tonight I am very happy that I did it again (ooops.... sounds like a Britney Spears song) but honestly it was been a good feeling that I am back in the hood again. Yes.... very elated and ecstatic after those long periods of hiatus now I am back again to what I love.... blogging.

My run of thoughts were endless.... fathomless..... myriad. Cannot contain my excitement where to start. In fact, I just finished a blog a while ago and now, here I am blogging again.... hahaha. Funny right! Hope you'll understand.... hehehe. Just like a baby who had just handed a lollipop. Kinda hilarious but oh well what could I do, I'm just excited to be back.

Finally, I had retrieved my password and had found an apt computer to use at work where I can open the Blogger site and voila.... back to normal days again. From now on, I'll just follow my instinct and just start blogging my heart out.... whatever I have in me and I will share that to all of you.... whatever the mood.... be happy or sad.... uphill or downhill.... it will be posted here. This blog will be the testimony of who I am and I will cry and scream my heart out here.

Oh well speaking of that.... in two days will be Valentine's Day and my lonely self have not found any date yet. As if I am hopeful to have one.... but I don't feel like it. Actually, I will be meeting somebody tomorrow for an introduction and we'll see there if it clicks. You know me.... I can easily be bored and would rather be alone rather than rattle my imaginary world. Hehehe.

So far so good.... we'll see. The time was set and the date was been agreed so we'll just see.... why not? Will keep you posted what's the progress. Hehehe.

My Dilemma In Coming Back To Blog

It’s great to be back again and I am glad that everything went through. It’s been a long while that I am back here because of the fact that I was been atruggling to log in at my office computer at work and it was really a headache cuz my computer could not open the screen for the Blogger site. Albeit, I’m here back again into blogging my life away.

It was more than a year that I have not blogged. Believe me, I’ve been wanting to go back for quite sometime. But accessing my own blog was a pain. I even forgot my password and username.

And you know what I am using right now. I’m using my smart phone just to start anew. Alas, I made it here without a sweat. Thank God! I am back!

I was been traveling a lot lately and the last places I’ve been was Morocco and the entire Iberian Peninsula which Spain and Portugal countries were situated. I scoured those three countries for two months and I had a blast.

The first one was Morocco. I started at Marakecch and I went to Ait-bin-laden there where the visited some old settlement or village which was been always featured in some famous Hollywood movies like Lawrence of Atabia and Gladiator. I also went to the sea town of Essaouira, the old city of Fez, the blue city of Caouen, the bustling city of Casablanca, and the grandiose capital of Rabat.

After that my itinerary continued to Spain where I start off in Madrid, thenconnected with some day trips at Avila, Segovia, and Valladolid. Then I moved to valencia and took a day trip to Cuenca. Then went to the beautiful region of Andalusia where I based myself in Granada and made some day trips to Cordoba. Then moved to Sevilla and made some day trips to Malaga and Ronda. Then went to Extremadura Major and stayed at Merida to feast my eyes with some ancient Roman ruins.

From Merida I took a bus to cross the Spanish-Portuguese bordee and headed to Lisboa where I enjoyed much of the beautiful cobblestoned pavements of the city and some beautiful architectures everywhere. Had made some day trips to Sintra and Fatima the. Headed north to the famous city of Porto and had made some side trips to Braga and Guimaraes.

After that I took a bus and went to Galicia and stayed at Santiago de Compostela to feel the ambiance of the camino pilgrims. I also took some side trips of the Galician countrysides and had enjoyed it so much.

After Santiago, I took a local flight going to the Basque Country and start off at Bilbao to celebrate my birthday then made some side trips to Donostia-San Sebastian. Then I moved to Pamplona and stayed there making some side trips to Zaragoza.

My last stop was Barcelona and made some side trips to Monserrat and Taragonna. It was a two-month packful of adventures and I had a marvelous and loaded experiences in my life that I cannot forget. I wished I won’t be coming back home to face the realities of life but I have to in as much as I don’t want to. Ciao!