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Posts Sunday, January 29, 2006  Happy Chinese New Year To ALL!!! From: Zi JiE
Last blogged at 10:09 PM Tuesday, January 24, 2006 Schedule at Unity Pharmacy in Bedok.
fana Last blogged at 11:16 PM Friday, January 20, 2006 Going straight to the point: it is an advantage if a pharmacists know how to speak english, jiang hua yu, cakap melayu, gong hokkien and... hmm this is tricky gong guan dong hua (speak cantonese did i get it right?? haha). Makes me wonder our lecturers can speak how many languages haha.This my fourth week in alexandra hosp. Got a rare opportunity to go to a clinic on the 2nd floor "which ive forgotten the name" where a pharmacist would obtain the INR results from the patient and counsel them on whether they are consistantly taking their warfarin medication. The target range for INR is around 2-3 in these patients. If they're results falls below these range means that their blood is too 'thick' so must increase dose vice versa. Yup.. no need pack drugs for the morning hehe just sit one corner in the room and watch the 'pro' pharmacists counsel in not one but 5 different languages in the different patients!! There was this 'interesting' patient who entered and his INR reading was like 1.23. When asked by the pharmacist why he's not consistantly taking his medication he say in hokkien he sometimes take sometime dun take coz take everyday his 'ka' will swell like balloon. The weird thing is that... if im not wrong warfarin doesnt cause edema. So after some investigation by the pharmacist, he was prescribed by some other cardiac doctor before a drug which i guess it's furosemide la because when the pharmacist asked whether he got take the 'pang jo (hokkien for urinating) drug or not he replied: 'no la! cannot tahan this drug man always go toilet!' Then i was like lol joker man this guy face expression... And also a yellow pill(potassium chloride) to go with it to prevent hypokalemia coz of loss of potassium in urine. I'm starting to love pharmacology man all the things studied in school proves to be really helpful in understanding what is going on around in my attachment here. Not to mention packing... think positively and not a robot packer, that packing can get u familiarise and remember the drugs more easily. If dunno whats the drug for then juz pull out the patient information leaflet or the different references to check it out. No time just remember or write the name and check it out when free ;) - Janson Ang Last blogged at 11:38 PM Daily job scope for Christina Peh at The Cancer Insitute (NUH) Morning (In the cancer insitute) 1) Dreamer (I love to day-dream!!! =]) 2) Slacker 3) Rotter 4) Protocol Reader (There are tons of protocol to read =[) 5) Observer (Basically, i was told to observe their work) 6) Toilet tender (Basically I make it a point to go toilet every hour... YES... to kill time!!) 7) Behave like an autism patient (I have mastered the skill of not talking to anyone for as long as 3 hours! *trust me dudes*.. although it don't sound convincing -__________- Lunch: Parnters: Amreet Singh and Terence Seah. Location: Staff Canteen/Kopitam Snacks: m&m chocolates!!! For Amreet: ICE KACANG DEFINATELY. For Terence: Prehaps will be Buns/curry puff/mashed potatoes???? Afternoon (Evidence-based nursing unit) P.S. Dun ask me wat the hell i'm doing at nursing unit. i have no idea also.. 1) Scan-er (Well, judging from the word "scan-er", i'm simply someone we does scanning .. whenever anyone need any pictures from the book i will help them to scan into the computer") 2) paper cutt-er (Yes... i cut paper... mind u it is 1800 pieces.. and now... i'm a phD holder of paper-cutting) 3) Typer (Needtheless to say, yes i type documents for whatsoever reason.. and i do powerpoint slides for them so that they can teach the new nurses) 4) File-r (I file documents for dunno wat reason) 5) Snack-er (Esther taught me that.. she even showed me where she got her snacks from =X) That's all, i can't rmb much of wat i did and sometimes the things are simply irrelevant also lol... Fortunately, the people i met are 1000000000000000000000000 times better then ppl from KK hospital =) Take care all People keep updating please! Love: Missy M.I.A. Last blogged at 10:26 PM Just a short update on my one... UNITY is relaxing... PPle here are good... Pharmacist willing to teach... And i'm ALLOW TO DYE MY HAIR... Not like in AH... Hee... And the best is that ... Mr W is not my liaision officer!!!! --- Zi Jie Last blogged at 2:05 PM Tuesday, January 17, 2006 Busy time at National University HospitalLet me clarify with what Amreet said on the tagboard. Work at NUH is indeed busy, at certain times and is dependent on what your role is. =P Today I was at the enquiry counter, and even if there wasn't any prescriptions, I had to file the dispensed prescriptions and bill any discharge bills. So I guess it was pretty busy for me. That Amreet got almost a day off, though he had to stand at long periods of time beside the pharmacist. *Jealous look at Amreet* Hehe, no one has updated regarding their work places since last year, all right, allow me to kick start for this year then! Amreet and I were posted to the Retail Pharmacy at the Main Building of NUH for the first week. When we went to meet Mdm. Nancy Yong on our third day at work, we found out that we were in the wrong pharmacy! We ended up in one of the busiest pharmacy in NUH, nicknamed "R1" amongst the staff in NUH. Work at R1 was very busy. We never got a chance to even stand still, literally! We were always rushing around with a prescription, trying to get the drugs required without the buzzer (A buzzer tagged to the queue system would sound when a queue number is beyond the set time limit.) sounding on us. (A near impossible deed when it is during the peak hour.) No wonder they hardly had any chairs there; there isn't a need for one because no one have that luxury of time to sit down. Mdm. Nancy posted us to the Retail Pharmacy at Kent Ridge Wing (Nicknamed "R2") till 2nd of Feburary, when we would be posted to a satellite pharmacy. Work at R2 is more relaxed as compared to R1. Even during the peak hours, the buzzer does not sound as much as R1! But yes, in terms of packing wise, its less busier, till the point I see Amreet snacking on something from the pantry once in a while. (That greedy pig! =P) Both of us also get to experience more odd patients as we see more neuroscience patients there, meaning more patients on psychotic drugs. On our first day at R2, we were introduced to this lady whom we were told that if we ever see her, we pack her medicines first, and let it be dispensed first, otherwise she would make a big rukus of it. I guess for her, the rule Last In First Out (LIFO) applies. ;) Just a a couple of weeks ago, we had this lady who was collecting this anti-psychotic drug which had an expiry date near the end of A.D 2006. As that is the only stock of the drug in NUH and it is the stock that we borrowed from somewhere as we ran out, we could not give her any that is of a longer expiry date, until the supplier sends us new stock. Strangely, she blasted at the pharmacist repeating lines like "You dare to sell me borrowed goods?!" ) (Note: I bold her words to emphasized that she was screaming at us all the time.) "Don't you have any conscious?!", "NUH pharmacy so big and you don't have more of this medicine?! Laughable!", "You are all educated people, and you dare to give me borrowed goods?!" I italicized her favourite phrases. ;) There were some other phrases, but I think it is enough to show how unreasonable she was. Basically, she was angry at us for trying to give her drugs that were expiring in the same year as the course of her medication, even though it was within her prescription's medication duration and for apparently giving her "borrowed goods". Even in our course of learning, we have learnt that it is common practice for pharmacies to borrow drugs from each other in times when we run out of stock, so it is nothing wrong, nor uncommon to have "borrowed goods" in pharmacy practice. I really have to admire the courtesy and service attitude of the pharmacist and the pharmacy technician (PT) who was in charge of stocking the drug for facing her screamings calmly and trying to explain to her as well as trying to arrange for an alternative form of the drug for her, in syrup form with a much later expiry date. If I were out there, I would be very much tempted to have a screaming brawl with her. The episode did not end on that day, as she had to come back the next day to collect the syrup the PT tried very hard to get for her. Another screaming brawl ensured, in which she apparently was not satisfied with the answer that we do not have any more stock of the drug and she found another reason for screaming at the PT. She accused the PT for not calling her to tell her that the PT had gotten the syrup for her, even though it was agreed that she could come anytime the next day to collect it. (The rest of us can pretty much hear the agreement from the previous day that she would come without calling, since she was screaming most of the time.) The issue was resolved one hour after the standard closing time of the pharmacy on her second visit. All this for a drug that she is collecting for her brother.*Sighs* Well, that is one of the most exciting episodes Amreet and I encountered. Everyday lunch was accompanied with the beautiful Christina (Well she is the only lady who lunches with us anyway, besides Esther just the day before.), with snack attacks on the R2 pantry and the 7-Eleven in the Main Building. Amreet is being attached to a pharmacist who knew Miss Yap, and hopefully, both of us would be doing some dispensing next week. Phew, that is a long post. Wish all the rest a blessed new year ahead! Terence Seah. Last blogged at 10:02 PM Class list AmreetJanson Jun Hao Ling Ling Selina Sim Lan Terence Tini PCT0304 MSN Group Credits Layout: AngelaPicture: AdvancedAnime Insert your tagboard here =) You can get one from Cbox, ShoutMix,
SayBox, MyFlashBox or get a mini-chatroom from Chatango.
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