In 'how not to capacity build', 'the week before & the week after' & 'say it with bananas' I described one incident with the staff on ICU medicine & its ramifications, but below is my lovely VAs interpretation of the events. Sometimes it's really good to have an ally.
Reflection in case of Meningitis patient
Description of the event
On Wednesday my
boss and I went to check up patients in ICU Medicine ward as usual as around
9o’clock in the morning. We always visited interesting patients each room. But
when we arrived in the room 6, we noticed there is a remarkable young female
patient who is around 25 years old with suspected meningitis was a back-bend
patient. After questing with her mother about her history of illness and
complaints, we learned that this miserable girl, who had been treated as the
typhoid fever in health center and not yet improved, was referred from the
health center far away where she lives. Also, she had been staying
in the hospital for five days. She still got the high temperature including
abdominal pain as before. Suddenly, my boss examined her throat and abdominal.
She thought that maybe she had malaria because she lives in the
malaria place. Then she went to check the doctor document and knew that there
is no malaria test in blood test which they need to diagnose it when patients
come from the malaria location. So my boss asked Dr.V to do blood test with
the malaria test again. For the result, we had to wait until tomorrow.
On Thursday at 9 am, we went to ICU Medicine
ward to see the result. The result showed there is negative for malaria.
Immediately, my boss went to check up the patient. She examined her throat,
abdominal and took pulse. Then she thought that this girl probably has meningitis.
After examination, she told Dr. V about her ideas and recommended him to
change specific antibiotic early as well as do the LP test for making sure that
she has meningitis because the previous antibiotic was not respond to her
daughter disease for five days, according to her mother. He agreed her decision
and would change it later. That sounded so great that he listen to us. However,
Doctor asked a nurse whose name is P to do it. But she yelled at us that “I was
pretty busy with my paper works- the medicine papers and I didn’t have time to
do it”. And I wouldn’t do it until I completed this.My boss and I felt very
frustrating to get that response which is not appropriate for being nurse. She
said to her that “in role as a nurse, you need to put patient first not your
paper work. You need to change to specific antibiotic early as soon as
possible, otherwise patient would be died soon because you’re carless and
laziness-you are not busy. You kill patient“. As a translator, I had to interpret it in diplomatic way by changing
that” you didn’t have time to do it, so can you ask someone to do instead of
you?” Dr. V suggested the new qualified doctor to do LP test. However, thing
did not happened due to this nasty nurse. She said that she did not have time
to prepare the LP equipment for new doctor and told him not to do it. We told
the qualified doctor that “when you do LP test, we can help you.” After that,
we left the ward to calm our emotion down; then we went again and something
came up with interesting. We saw invoice on the patient’s bed. The invoice was
about two compress steroids purchase. The doctor asked the patient to buy
because they run out of compress in their medicine store. But it is not right for
patient with PFD. Immediately; we came to Sry P to confirm about that. She
really shouted at us and said that it was out of stock. We decided to see
pharmacy to make sure whether it is true or not. Exactly, it was no more inn
pharmacy, according to medicine workers. Then we told the sub-director M about and asked him about PFD patient (patient has equity card) problems. Dr.
M said that he would solve this problem himself in order to avoid the
conflict between staff and u. He went straight to ICU Medicine ward and worked
that out. After this, we went to see doctor to make sure that the antibiotic
has change. Nevertheless, a nurse told us that there is no antibiotic in their
medicine store; hence they couldn’t do it today. There was nothing being done
on that day until tomorrow.
On Friday at 8:00am, we checked up the
patient and knew that the new antibiotic which had been changed since yesterday
afternoon responded to her disease. We were so happy to see that. One week
later, she was improved and discharged from hospital.
Two week later, the mother of meningitis
girl came to meet us and gave us a lot of bunches of banana, and a bunch of
Longan fruit for saving her daughter’s life. She was very thankful and grateful
to us, especially my boss. We felt very happy to see and hear that. We think we
have done the great job today. This is the great success for us.
Feelings and Thoughts
At beginning of the event, I felt very sad
because doctors didn’t treat the patient correctly, as pointed out by Dr.Esther.
They did not observed the patient whether she was improved or not with their
treatment. Absolutely, they just did it to show that they already completed
their duties. I thought they are definitely not doctors but they are killers. After
seeing and arguing with the doctor and nurses, I felt more frustrating and
upset what nurses did on patient. They didn’t put the patient first instead
they thought their paper works were more important than patient’s life. It
seemed that they did not know their basic duties or they were lazy to treat the
poor patient because there was no bribe for them, so they did not look after
the patient properly. For another thing that caused me felt more
aggressive and pity to
patient is that they did not control well in medication as well as medicine
store. They should have kept all
materials, especially antibiotics and compress all the time. If they don’t have
that stuff, the patient will die because they delay treatment until they have
it. It showed us that they are careless as well as laziness. However, at the
end, I felt happy to see that patient get the correct treatment after this big
argument. I think my boss did the great job and cheer the patient up by concentrating
the doctor and nurses to do the right things. Her works was served the
patient’s life. All in all, I feel very impressed with my boss’s work, but I feel
very upset and frustrated with nurses and nurses due to their bad works and
behavior.
Evaluation& Analysis
Through critical thinking, I can explore
some good and bad experiences as description below:
· Well done:
-
Patient and illness observation:
Dr. Esther observed patient’s illness from day to day until get the correct
treatment. This really helped her disease improve and get better from time to
time. As result, she recovered
from the illness and discharged from hospital. So following up the patient is a
key to obtain the right treatment.
-
Hard-working of Dr. Esther: Dr. Esther parts were really changed the situation more actives.
And her work made the patient get the correct treatment and recover from
meningitis. Patient felt very happy. So her assistance brought the new life to
patient.
-
Struggling with nurses even
in hard-time:
Even though Dr. Esther and I confronted with lots of problems such as
verbal abuse, ignoring from them, etc., we still keep going on to see the
doctor and nurses’ works to the patient. Also still continued to argue with
them and recommended them to do correct treatment to the patient. This
struggling made them more concentrated on the patient, so she could have proper
care from them as the result showed. Therefore, our attention on the patient
put the pressure to staff there.
-
Appropriate authority: When the Dr.M took part with those problems, we noticed that
staff in ICU ward paid more attention and active in this patient. It means that
his position is more powerful than us which can put more pressure on them. His
present in this problem can give us more authorities because they might listen
to Dr. Esther, the professional doctor in order to avoid another problems,
otherwise they will get trouble with Dr. M who is sub-director of hospital later. This points out
that when we have similar case, we should tell Dr. M in case that they are
so stubborn with us.
-
Diplomatic interpretation: Diplomatic translation helped the argument get a little better. It
assisted my boss speech to become slightly negative to staff when the staff
felt very aggressive to us. So it could lead situation less tighten.
·
Bad done:
-Poor pharmacy
management: Antibiotic and compress are very important in each ward,
especially ICU medicine. They should have them in their store room all times,
or they will kill patient who were waiting them because Ward has to delay
treatment until they get them from Pharmacy. So pharmacy needs to check their
inventory such as medicine, compress every week to know the inflow and outflow
of these. They can control inventory flows and know the amount of inventory
left. Therefore, all of medical equipment or medicine will be ready for ward
needs.
-Poor ICU Medicine
management: There were no the antibiotics and compress in their medicine
store which are needed to be there all times, for they are ICU ward. They have
to treat the patient in time, but they didn’t have one, so the patient was
dying to get their service. Therefore, they should check it every day to make
sure there is enough material for treatment.
- Doctor and nurses Ignorance:
Doctors and nurses didn’t
observe the patient. The patient was not improved due to their ignorance. They
thought she was a minor life that no needed to care. As the result, she got
worse from day to day until the argument came. This made the patient feel very
miserable and angry. They should have treated her early not waited until the
argument took place, then started to concentrate on patient. So they have to
treat the patient correctly as they are the health staff. Their caring to the
patients will improve condition in ICU ward.
-Verbal abuse &-Laziness
of nurse: Sry P, a nurse in ICU ward, did not behave well to patient and us who cared the patient‘s life. She
yelled loudly at us when we tried to tell her to do something for patients. She
always said she was busy and did not willing to do it .In fact, she was not
busy but she was definitely lazy. Her attitude made the patient feel very upset
and scare to death. This is the cause of death rate in ICU increase from day to
day. In role as a nurse, she must have looked after all patients and offered
the good service all the same level. She must have put the patient priority
–not do the paper work. This is the basic of nurse duty. Also she should behave
well to patient and people who care patient and accept the good recommendation
from Dr.Esther.
Conclusion
After observation this situation, I could see that the great help
from big argument between us and staff. I also know how nurse should react to
patient, how to treat patient correctly, and how to interpret in argument. The
nurses and doctor should have treat patient correctly with their well- behave.
This has taught me to how to get involved in the argument and how can I help
poor patients. I could see that i can help them through my diplomatic
translation in argument. Moreover, these problems have given me more power to
confront with the bad health staff .So I have to ask my boss to see the patient
often. This is what i can do as translator.
Action Plan
This is an action plan that
I have to change myself to encounter this event against in the future in order
to get the situation more successful:
-
To control my feeling when we
have this argument again. I am not too aggressive, but I have to be calm down
and try to find the way to talk to those people more effective in order to put
them the pressure to do it.
-
To build up more strength to
confront with those bad staff.
No comments:
Post a Comment