HSAJB news : Walao-eh

I received an email from jabatan farmasi, HSAJB today, the email is as follow :

weekend & pub hol :

a) beginning 31/10/09, Prp in tdm to work from 8am-1pm instead of 10am - 1pm..u need to follow-up d case in d morning.. HAR? WTF?? WHY WHY WHY???
b) as mentioned, tdm service is close at 1pm..so if any emergency (poisoning case) tdm sample come after 1pm, its d responsibility of the PF/PRP working at Farmasi a&e (8am-5pm) to do d tdm..


c) those working in ward, there r some regulation u need to follow:


sila catitkan kehadiran anda bertugas, masa sampai dan masa balik dalam buku rekod di farmasi satelit WTTTFFFF!!!
sila catitkan juga butiran bil borang cp1 - cp4 yang diisi & bil kaunseling dibuat sepanjang bertugas pada hari berkenaan dalam buku rekod item

sebelum pulang, bawa semua borang terbabit kepada peg farmasi di a&e (yg bertugas 8am-5pm) untuk dicounter sign.. WWWWTTTTTTFFFFFFFFFFF!!

anything tak faham, pls ask cik siti rosnah or myself..


d) prp working in tpn, after u finish prepare ur tpn bag, pls call & inform pharmacist at a&e to come n check your tpn bag (extension number 2290).. Must be the frp's idea... this one is acceptable!



My friends arh, why last time working on call for ward is considered one of the best on call, now become the worst already lur. Sobs! Sat A boss told me the rules will be effective from 1st Nov, my only ward on call is on this Saturday (31st October), mou diu only. WooooohoooooOOoo! :)

Frp posting

It was such a big shock when we heard about the posting for frp-to be in HSA last Thursday. Out of the 20 of them, only 3 stayed in Johor, and bear in mind, they were the 3 married Puan wang, Colyn and Zafeera. 3 unlucky one were thrown to Kelantan, 4 to Pahang, 2 got Sarawak and the other 8 to Sabah. We are almost ready to lose all 20 senior prps.


OMFG! EVERYBODY was talking about it so seriouly that day. I went to the office to enquire regarding transportation of cars to East Malaysia and the staffs in the office were all shocked!


5 of them (zhi yang, choon sen, yan jing, kim yen and shirlene) will be flying to Sabah tomorrow morning.


Tan zhi yang, the person who had dinner with me ALMOST every single night during the past 8 months will be going to Sabah tomorrow.



He said thank you to me in msn, for 3 times. Of course, i feel exactly the same. I want to thank him for accompanying me for dinner, gym, lending forensic books for me, sharing thoughts with me and many more!!! Thank you once again. Gambateh in Sabah! To the rest of you going to Sabah, Sarawak, Kelantan, Pahang and other places, I wish all of you success in your career and stay happy always!

I skipped work for something :)

Today was my last day attachment to CDR (cytotoxic drug reconstitution) in HSI (Hospital Sultan Ismail). I had a great day there.


When you are still a student, Would you skipped class to play dota/go shopping?

When you are working, would you skipped work to play dota/go shopping?


Mr Kv and i had planned a dagei trip since Monday. We asked each other out for dagei since at least 5 months ago and we always never make it. (you see how hard we actually get a chance?) However, our plan was stopped initially because Angela (Hui Hoon, who is the KPF of hospital kota tinggi) came back to HSI. Mr Kv and i decided to join the rest for lunch with Angela instead of dagei, although we both rated eating with Angela (3.5/5.0) and Dagei (5.5/5.0).


After lunch, the gals decided to go to Jusco Tebrau. That was the time when Kv and i headed to cc for our dota game!!!

We went back to work at 2.50pm (just 5mins late only leh), ahem (actually cdr nothing to do during friday afternoon one, especially now is Raya period). I joined the cpd session and grabbed a box of chicky meal (kfc set meal).

After we filled our stomach with kfc, we took our bag and headed back to the same cyber cafe at 4.40pm!

:)

By the way, today is the last day of July according to chinese calender. Happy ending ghost festival!

And

Selamat Hari Raya to all muslim

Happy holidays for chinese and indians

Happy working to ME

16 hours shift in HSA

I clocked in 7.45am and clocked out 12.00 am yesterday! 16 freaking hours...

Ohhh Miiiii GOD

I came back from Hong Kong on Tuesday and i am curently working in out patient department (8am - 6pm). I used to have some negative feedbacks on certain frps but now the feeling is gone. They are much nicer than i thought. Lunch call today (12.15pm - 2.45pm) was quite relaxing. I took a 10mins quick break to eat my lunch (Jian brought lunch)and skipped my lunch break so that i could go back at 5pm. All out of sudden, an irrelevant news hit me at 4.50pm. (10 minutes before i get to go home, happily).

HSAJB update :

Passive call from 5pm to 8am for all prps starts today

Since i am doing TDM oncall tomorrow, so i will be doing the passive call (the 2nd white mouse) for that day. Which means,

1) i will work from 10am - 1pm on Saturday
2) passive call from 8am - 5pm on the same day
3) continue to work in patient on call from 8am - 5pm on Sunday
4) work in OPD 8am to 5pm on Monday
5) continue in A&E pharmacy from 5pm - 10pm and
6) finally 8am - 1pm in OPD on Tuesday
7) drive back to KL after 1pm

* Bonus * i will be attending a 2 hours Boxing class at Excite gym tomorrow after TDM on call.


All the possible bad words are coming out of my mouth at this moment......


How is passive call like???


I better stop thinking and getting worried about it.

A visit to the Giant's Buddha in Hong Kong is not sufficient!

I will need to pray harder.

Nah, who cares. Its dota time :)

Solo TPN, level 16

Saturday, 27 June - Solo-ed TPN, double my experiences. There were 9 cases for TPN on friday (1 adult, 3 paed bags and 4 paed syringes) and i did my on call today and the next one will be next Monday.

I was quite excited. BULL SHIT. I managed to survive through 7 cases during a Sunday on call, with 'that person' missing for at least one hour. Thinking of 9 cases can make me faint. The truth is, i quite hate to handle all 9 cases alone.


Fortunately, 4 cases OFF today because they are able to tolerate oral feeding. Huuuray :) Means left with 2 paed bags and 3 paed syringes.


After finish clerking, i told 'that person' today off 4 cases, 'that person' replied "case sikit, saya tak akan masuk awal, i stay di luar untuk kerja lain'. Kerja lain included reading giant leaflet, newspaper, gossips etc. Why this is so similar with what Qristine told me?


The biggest surprise came after i finished my lunch. When i came back to TPN room at 12pm, 'that person' said "Ding, pn roshidah called me, we are all invited to New York Hotel to makan buffet, you want to go?" Kan she already know i went out for lunch already????


After all, i managed to finish everything by 2.50pm. And you know what, i saw 'that person' coming back to TPN at 2.55pm. 'That person' is getting paid for reading Giant leaflet, newspaper, gossip, missing for at least 2 hours for buffet lunch at new york hotel...

Interesting factS of HSA

One day, i saw this 'Buku Denda' in the DIS room. I was very curious and when i opened the book, i saw this interesting piece of note (where Mr. XXX was fined RM 10 because he didnt wear baju batik on one Thursday) :

Kindly click to enlarge -


Get it? Did you have a good laugh???


Next, another true fact of HSA - HSA get around 1.1k to 1.8k patient each day. Here is the proof :

Kindly click to enlarge -



Next, HSA pharmacy is very active in organising activities. There was this Pertandingan Futsal Tertutup Jabatan Farmasi HSAJB last Saturday.



The Reluctant FC represented OPD to compete, consist of Abang Fauzan, Abang Rizman, Abang Hamizan, Encik Issa, Syafeie, Zainarol and myself. Sad to say that we kena TAPAOED gao gao. (1st round 0-3 lost to hospital Kulai, 2nd round 0-2 lost to HSI, 3rd round 0-3 lost to Store HSA).




I felt much relieved the next day when i heard that Kulai was the champion and Store HSA was the 1st runner up for the Futsal competition.


Some other 'program akan datang tahun 2009' are listed below :
1) Mei : Pertandingan Badminton
2) Jun : Lawatan ke Pantai Timur
3) Julai : Pertandingan Bowling

Bye to OPD

Summary :
1) Last friday was my last day in Outpatient department (for 4/8 weeks). It was my first station and i will only be going back to OPD in August.

2) On my last day in OPD, Y suddenly asked me 'DO YOU HATE ME? HOW CAN YOU NOT HATE ME, SINCE I SCOLDED U BEFORE? (i mentioned about hating X and Y here). To Y, i think you should ask yourself why people like me hate you initially? I would definitely prefer an extra friend than an extra enemy.

3) ON my last day in OPD, i made a terrible mistake - i dispensed WRONG MEDICATION to patient A. I dispensed 2x2mg of warfarin to patient A instead of 1x3mg warfarin, for a duration of 1month. Uncle K managed to get SOME of the patient's details for me - Phone number, full ic and address. Besides uncle, many people helped me too. WE HAVE TO SETTLE THIS SECRETLY (under table). All the basic things failed - 1) call the patient (I failed to call the patients after zillion times calling. Unreachable, wrong number) 2) Get more details (patient was here for INR check up only, no further details can be traced) 3) Go to the patient's house (patient's address is in Negeri Sembilan!) Uncle K suggested me to send a mail to negeri sembilan for this patient. The patient's mum received my mail yesterday morning and she called me back. Everthing was settled by then. Thank you Uncle K, R, Z and everyone who listened to me. I will definitely learn my mistake.

4) So im now in TDM - Tien, How do you fine TDM? I will answer 'wow, Not bad.' Kak Maz gave us alot of pressure there. She scolded me for many times but i still like her, respect her alot.

5) Forensic exam is coming. EXAM IS COMING. I have applied for off day for next friday for this exam. EXAM is coming. T.T

5) Im feeling very cham right now. I worked from 8am to 10.20pm today (Friday). I will be working 8-5pm tomorrow (Saturday) and Sunday. Today was the first day i worked in A and E (5-10pm). Many problems came and i hope i have solved them. IF ONLY I DONT HAVE TO WORK TOMORROW...

Prps Orientation at Kulai Hospital

Yesterday, all provisional registered pharmacists (prp) from johor state were required to attend an orientation at Kulai Hospital. It was a 2days event.



It was mainly an introduction session - we were exposed to each department that we will be going through and requirements that we have to fullfill at each department.


We were told to wear the right attire to work - For guys (long sleeve, necktie, belt, black shoes and long formal pants, NAME TAG) and for girls (LONG formal top, LONG skirt, COVERED shoes, NAME TAG). But let me show you the best attire here :



Cun or not?


Yesterday, I could not stay awake for the entire session and napped for a few times throughout the almost 9hours talk. And today, i fall sleep during the very first hour of the talk, plus i was sitting in the first row!!


The only positive thing from the orientation was that this orientation brought all the prps working in johor state to meet up! I was very happy to see many of my friends here today!! They are from batu pahat (pei ling and eyo), muar (khaiyong, phekjoo, angeline, chew yee, suilin and huiming) and HSI (huihoon, adam, kha hong). There are a total of 25 IMU-ians working as prp in johor state now!!!!




HSA might flood one day like what happened in hospital kuching too. I wonder whether we are allowed to dress like them or not?


Mr yeoh from Hospital Kuching


Source taken from Miss Chong from Hospital Kuching


I will be working from 7.15am to 6pm in opd for the entire week starting tommorow. HELP ME.

Enjoying better Sex

We were given an oppurtunity to attend the talk on "Enjoying Better Sex : 10 years of Rediscvoring Passion" by Dr Rosie King at Mutiara Hotel this evening. It was a very intersting talk where we were shared with statistical studies on sex health in asean regions and the discovering of Viagra by an accident.



The first part was on the statistical studies. In Malaysia, it was found that Men ranked sex as the 8th (while women ranked sex as 14th) essential criteria in life after family, financial, religions, general health etc. It was found that viagra had significantly improved the general health and confidence of one in patient with ED (erectile dysfunction).





Viagra was officially approved by FDA at 1998. Some intersting facts :

1) Viagra is a PDE 5 inhibitor.
2) Sildenafil citrate (Viagra) was first used to treat hypertension. Then it was used in a study for angina patients. The study was abandoned because viagra is ineffective in treating angina. However, from that study, it was found that one of the adverse effects of sildenafil was erection. Thus, the discovery of Viagra in treating ED was an accident.
3) The subsequent study involved viagra in treating ED patients. It was found that a dose of 75mg or 100mg significantly improved erection in men with ED.
4) 1 billion of viagra were sold yearly with over 35 millions of viagra prescriptions. 6 tablets of viagra were consumed worldwide every 1 second.


After the talk, we were served with buffet. The food was good. :)








I couldnt answer this, can you help me please?




The ambient was excellent.





The only 'human' picture that i managed to snap. The 3 J's (L-R : jingmein, jen ing, jing yen)




The answer for the question i posted earlier in the post.




Even wonder how much each of this blue pill costs?



Rm50 - Rm 75 each. Can you imagine how much money pfizer manages to earn if 6 tablets of viagra are consumed every 1 second.

Target Grade 4 hardness - take Viagra

Experience with Dangerous Drugs

I was working in the outpatient department, handling dangerous drugs (DD) for the past 5 days. It was a more relaxing job compared to filling or dispensing in the outpatient department. Some example of DDs include diazepam, clonazepam, alprazolam, midazolam, lorazepam, syrup morphine, fentanyl patch, rectal diazepam and so on. After 5 days of working on DDs, i am so familiar with DDs now - I know the shapes, colours and packings well and i am able to use the tablet counter very well too. Thank you yokdai for helping me with DDs. Thank you jingmein for teaching me syrup calculations. Thank you En seng for helping me everytime i asked for help.

Pls, can i say NO?

I feel very pressured working in opd today.


If someone is talking to you but you choose to ignore that someone, that is very rude.


It is very rude to not answer someone's question in full also.


Yesterday, I volunteered for a campaign work for this sunday but i rejected the job today.


This is because I have a very bad feeling that i wont feel happy if i make it to sunday's campaign. I will have to try to make friends with someone who dont treat me as a friend. So there isnt any point for me to go. Now you understand why i said SOME of the frps are nice and VERy helpful in my previous post.


I didnt have a good time working with X and Y for the past few days. Today, I asked x, 'can you fetch me this sunday?'. Then X answered 'Oh, it is not convenient.' and immediately X walked away. It is so rude to not show concern to someone who is seeking for help. I feel very disappointed and i know i will have to face many black faces throughout my opd shift in future.


That is not the end. X gave me TONS of work for this weekend too. 'You do all this, this and this for me this weekend, since you are not on-call.' (Self added dialogue : Fei poh gave me all the work, so now i will pass you all the work!keke!)


If you are a nice person. I will definitely help you. But now...


Prps sekalian, Can i just say, 'NO'?

Gotong Royong during valentine's day

Happy Valentine's Day to all couples!!

Valentine's Day 2009 - Every staff from HSA was ordered to go back to HSA to 'Gotong Royong' yesterday.

BEFORE GOTONG ROYONG


This is our resting room


Some labels were hand written


Drugs are labelled according to their classes


The very expensive Plavix = Clopidogrel

I was placed in the outpatient department. Jen Inn + ah sing + me were incharged of changing ALL THE LABELS from the counters. 3 of us were under Pn. Farah (picture below).






We were given a short break at 11am - served with nasi lemak and orange juice.




It is actually a 'mission impossible' - copy down all the drug names accordingly, check the quantity, type the details in excel and sort them in a list, check mims for 'before food/after food', type the drug names again in words and finally replace the old labels with these new labels. After 4 hours, we only finished 1/10 for the counters. But the rest who incharged for the resting room and the 'papan kenyataan' have done a good job.

AFTER GOTONG ROYONG

That was what we have done for 4 hours - we copied down approximate 2/3 of the drugs name and we only managed to make new labels for these 6 drugs shown below.



Good luck and gambateh bah to whoever who will be ordered to 'gotong royong' at outpatient department next 6 months.


I was the first to reach tmnet yesterday's morning to enquire about streamxy. The day before i sacrificed my lunch hour to go there and i came back to work after waiting for one number to pass. All my efforts on streamxy were wasted - because i found an alternative to online.


People, let me introduce to you - P1 W1Max.



I went to Pelangi Mall alone to enquire about P1W1Max. I signed up for a 12 month contract, brought home a modem with 2 cables (one connect modem to the ac power, another connect modem to your pc) and the best thing is that i dont have to pay a single cent YET. Newly registered member like myself are given a 15days trial with full money back guarantee.



So i managed to go online 3 hours after i came back from pelangi mall. You dont need to apply another tm line to go online. Isnt that great????



Many of you might be interested to know the speed W1Max as compared to streamxy. I cant answer you right now because Pang (the salesman) submitted for Home Lite package (rm49 with 312kbps) for me instead of Home Plus (rm99 with 1.2mbps). I think the Home Plus package is a better deal compared to Streamxy Combo (Rm110 with 1.0mbps). I will definitely blog about P1W1Max again when my package has been changed to Home Plus in a few days time.

Life as a pharmacist

It is friday and it is supposed to be my last day of working for the week. However, all the prps (provisional registered pharmacists) are ordered to go back to the hostpital tomorrow for 'gotong-royong'.


Majority (almost all) of the seniors/colleagues working in the outpatient department are very nice. They are very helpful. In the past 6 days, i really learn alot in the outpatient department. At least, i am able to dispense to patient confidently. We were required to meet the requirement of 'at least 5 cousellings per week' and i havent got one yet!


How was work? Have you got used to working as a pharmactt?

My answer will be 'very interesting'!

Greetings from JB

Thank you so much to Chansuzjian and family for allowing me to stay for a few nights before i got a permanent place to stay.


I will be moving over to a new place tomorrow morning.


I am working in the outpatient department right now. I will be in the department for 4 weeks. Working from 8am - 6pm daily is very tiring.


I am looking forward to weekend!!! Huuray!