Tuesday, July 15, 2008

mad rush

JCI- Joint Commission International..
can be such a pain in the ass.

imagine being just 2 months and 2 weeks into a new workplace.
still adjusting to the full responsibility of a staff nurse.
then auditors coming to the institution and questioning you on anything regarding the hospital's many policies or procedures.
it isnt fair to put us new staff into such stressful situations.

monday, 14th july
the very first day of their 5 day of auditing
here's how it works.
there's this group of 5 auditors (angmohs mostly) who go round the whole of SGH in search of anything to mark the hospital down
they pick up any random patient's casenotes and follow tt patient's details all the way from A&E to admission to transfer to discharge while on the way questioning any poor random nurses along the way.
Any wrong answer might cause a failure for the whole institution.
yes. THAT much of a pressure

Morning shift today was the worst ever.
Usually we sponge all the bedridden patients and bring the mobile patients to bathe in the morning shift. But due to JCI, all the bedridden patients are bathed in the night shift, and the rest are left for the AM staff to bathe.
Even thought the work was supposedly lessened, everyone was treading on a thin wire.
The feeling is like UGH. Rushing to do everthing and hoping to get stuff done before the auditors come so tt they cannot pick on any minor details.
Everything we did had to be done properly, every thing to be kept in its right place. Breakfast served at 8AM sharp. I/V meds to be served before 9AM. Patients asking why they are bathed so early in the morning. And everyone panicking when rumours float that the auditors are just in the ward upstairs and might come down at any given moment.

Many things went wrong that day.
-I/V medication (ward stock) was finished and had to be restocked- thus wasting lots of precious time and I/V schedules being put on hold.
-One of my long stay patients passed away and we lost lots of time waiting for the family to bring the patient's own clothes to the hospital (as we had to clean her up and send to the mortuary).
-No one even had the time to go for a break.

I left the ward only at 5.30pm, with a stomach full of air, growling.
A head light with fatigue and hunger.
On the verge of breaking down.
Thruout the day, there were many times when i had little scenarios playing in my head like what would happen if i suddenly fainted in the ward?

But the great thing is that i no longer have to face that kinda nervewrecking 'am-i-gonna-be-the-one-being-audited-today?'
why you ask?
cuz im working night shift till the end of JCI!
thank goodness.
I dont mind sponging patients in the early morning
just dont put me thru tt JCI anxiety rush~

moreover like i said everyone is on a short leash.
sharp tones are used. everyone's being more strict on each other.
gosh
i wish all the best for all the staff working in the morning and aftnn shift.
may we pass this JCI with flying colours.

then its time to celebrate!~
(:

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