Now I Know Why They Said It's...- Episode 2

1.45pm
Selamat datang ke Rumah Sakit Ibu dan Anak Siti Fatimah!

2.00pm
Muka Chwi sungguh berseri-seri waktu menyampaikan penjelasan tugas-tugas yang bakal dipindahkan ke bahu kami berdua (Ainul dan aku) selama seminggu ini. Ohoho…

2.30pm
Perawat di sampingku menyapaku sambil tersenyum.
“Akak yang gantikan untuk minggu ni ye?”. Aku tersenyum mengangguk.
Dia menyambung, “Kakak itu (sambil menunjuk ke arah Chwi) tak pernah tidur tau...!”
Ohohoho…

3.00pm
Sambil mengintai-intai 11 baby-baby yang bermasalah kat kamar bayi, aku still blur2 ape nak buat. Nak kate kena follow-up, satu je yg kena follow-up. Mane sibuknya? Santai je...biar betul...

5.00pm
”Meh makan...adik koas, dah pernah try kapurung?” perawat mengajak kami yang terpinga-pinga.
”Kapurung? Ape tu?”
Ternyata kapurung ni besh jugak! Habis 3 pinggan! Waduh2...asyiknye kalo macam ni terus!

6.00pm
Ada tiga partus! What??? Tiga sekaligus?
Ape patut aku buat??! Ohohohoho....(sambil berlari-lari ke kamar bersalin)

6.15pm
Aduh...camne nak pegang baby ni...mati anak orang karang...
Okay, timbang, ukur-ukur-ukur, suntik, bungkus, bagi die menyusu ngan mama die, dan tulis status yang panjang gile...
hmmm....
Caput succadenum?
Refleks moro?
Expiratory grunting?
H/L?
APA ITU???

Hari itu berjalan begitu perlahan….mcm orang bercinta, sehari bagaikan setahun! semuanya kelihatan sangat kabur.

From that nite and on, kami belajar satu-persatu perkara yang tugas perlu kami buat kat sini which consist of:

1 - Setiap pagi bermula jam 2 am kami kena tulis status semua pasien untuk follow-up esok harinya...



2 – Starting 5am after performing Subuh prayer, kami kena telanjangkan baby dan timbang mereka sume!!! Hehe But there’s a catch! Sambil telanjangkan, baby2 ni boleh jadi baru buang air kecil atau besar...huhu So kamilah kena bersihkan...ohoho Apepun depa tetap cute!!!

3 – Follow up! TNPS are modified to HrPS which stands for Heart Rate-Pernafasan-Suhu. Every baby tau! Tanye jugak dah brape kali buang air besar, warna apa, kencing smoothy tak(hihi), tengok tali pusat die basah atau kering and ada tanda2 inflammation tak…okay?

4 – Pastu around 8am doktor akan dating utk visite (ward round). Turun naik pusing-pusing…tulis resep(for medications) dan pengantar lab…anything the patients need, we’re here to serve!



5 – Back to kamar bayi, doktor akan isi status dengan instructions. Sambil tu kite buat jadual susu for all the babies kat kamar bayi. Jangan lupe berat badan baby, because the nurses need that to suit them with their milk!

6 – Sometimes kena buat parenteral feeding utk baby yang kena puasa. Baby ni dipuasakan sbb die sesak, distress pernafasan, cannot drink thru mouth. So alternatively, thru infuse. Makanan die ni consist of certain ingredients which have been calculated by the doctor. So keje kami adalah membuat parenteral food ni…senang? Bukan mcm buat air sirap tau…need full concentration and patience! Satu kesilapan can cost u a fortune! Seriously! (ada sejarah sebenarnye…) Wanna try? ohoho

7 – Sepanjang hari, we need to check at the labour room every half-an-hour for any spontaneous partus(normal labour) or sectio saesarian (operation labour). Pada hari2 santai, partus boleh menghantar sehingga10 bayi2 ke kamar bayi! Terima kasih doktor2 obgyn! ;)

8 – Sambut bayi, suction2, timbang dan ukur, buat APGAR dan BALLARD die (which are complicated to be explain here…next time maybe k…), resepkan neo-K (vit. K penting utk baby baru lahir utk cegah perdarahan) dan suntik intra-muskular, bungkus, bagi mak die utk menyusu! (Fuuuh…! Selesai satu baby!)

So basically itula keje wajib kami kat Fatimah. List di atas tak termasuk keje2 tambahan tak berbayar yang sebenarnye bukan keje kami. They are:

1 – Bagi baby minum susu. For newborn babies, sgt tak digalakkan bagi minum susu pakai botol susu sbb ini boleh ganggu pertumbuhan rahang depa, so kena bagi either using small spoo n or spoit (picagari). Tak tersangka, kesabaran yg tingi diperlukan utk menyempurnakan kerja ni hanya utk seorg baby. Apatah lagi 10 babies!!! Thank God I’m not a nurse!



2 – Menyambut bayi adalah keje seorg nurse kebidanan, not a co-ass. Tapi pernahlah satu hari, nurse2 ni tiba2 menghilang! So ape lagi, kamilah yg ditunjuk. Nasib baik dh pernah tgk byk kali sangat…so takdela kekok. Aku pakai apron, sarung tangan sterile, tadah sarung (kain batik), sambut baby, bersih dan keringkan, rawat tali pusat dan bungkus!

Some moments yang tak terlupakan:

1 – There’s one day, semua doktor residen anak ada exam nasional, so kami ditinggalkan tergantung tanpa tali! Kalau ada pape, all up to our heads and hands… Oh noooo!
Nak dijadikan cerita, hari tu lah yg paling hectic! That day lah ada banyak SC, time tulah ada patient gemelli (kembar) which is very prone to pathological condition due to their size and their mother’s strength to give birth to two babies… So there I am, waiting in full curiousity, what will happen to the babies? When the first baby is out, cepat2 kitorg bawa ke kamar bayi, suction, rangsang taktil…thank God after a few seconds die pun menangis…then baby kedua…after 15 minutes die still tanak kuar! Ibu…semangat bu! Kuat!!! Aku rase aku yg paling nervous dlm bilik tu sbb in my mind, kalau baby tu mati, I’ll be dead too! Huhu Alhamdulillah, again, after a long few minutes, the second baby keluar sendiri walaupun before that try pakai vacuum tak berjaya…at the end, both babies selamat dan sihat… :)

2 – Melihat ibu2 yang bakal bersalin. Gelagat mereka: unforgettable! When people are in pain, they tend to do unimaginable things such as crying like a baby, making funny faces, and even being in a position which seems like a horse or a cow. Seriously…even it’s not supposed to be laughed at, it’s too funny! I’m sorry to that particular person for laughing at her, I didn’t mean to, but in an absent mind with a very exhausting body, we kind a searching for entertainment in everything. Our bad! Really sorry…

3 – Opposite to d above, it’s very warming and heart-felt to see a mother’s reaction looking at her baby for the first time…there’s no word for it…what I know is that they are the happiest person at that time…I hope one day I will experience something like that, the moment of my life…insyaAllah…

3 – My moments with the babies! I love everything about them! Their faces, their cries, their smells, their skins, their chuckles…owh, aren’t they the cutest thing?!!



As conclusion, I can say this might be the most exhausting week in my life!
Stressful, painful(literally) until it leaves a mark at my foot! (after that kaki aku sakit selama seminggu di LB, time cek doktor, doktor ckp aku maybe kena gout arthritis…how serious is that??)
Kat sane kitorg betul2 emotionally challenged! Bile2 je boleh rase nak mengamuk, rase nak nangis (dh nangis dh pun…), rase nak buat muke…tp alhamdulillah, Allah beri kekuatan di sebalik setiap kekurangan.
We become more mature, more stabilized in emotional control, smarter in making our choises; lepas ni jgn pilih Fatimah lagi!! huhu

RSIA Fatimah dah memahatkan kenangan signifikan dlm minda dan hati ini…I’ll use what it taught, I’ll leave what’s painful, I’ll keep what it gave as a unique present…

And now I know why they said it's STRESSFUL at pediatric department!

IMAN NAILAH 2008
noradrenaline2001@yhaoo.com