Computer Integrated System guinea pigs..

IT savvy 

Oh my god.. i'm so so knackered!! Slept for a while in the afternoon but wifey nagged that we should go out today. Therefore i had to force myself to IKEA as dearest wanted to buy new shoe racks. I was so sleepy that i tried to sit as much as i could in IKEA. She bought the striking orange coloured cool racks. As long as she is happy.. i am ! haks.. but the late lunch we had there was good.. mmmmmm..

Back to my ICU thingy ! Well , since i joined anaesthesia , i've always been the first batch of any new change in the department. My first week in anaesthesia was coincidental with the RE-OPENING of HKL major OT after 5 year closure ! haks.. and now , as i am posted in ICU ; I will be the first batch to implement the IT-SAVVY ICU : our Computer Integrated System on patient's monitoring. Well , maybe in overseas ICU , paper charting is ancient , but to us here.. we are still in the dark ages and only now about to move to the future. The newer hospitals like Selayang , Putrajaya are paperless and i suppose HKL being the premiere centre wants to be one too..

Haks.. obviously it is currently in a messy state. Nurses are more busy sitting in front of the screen trying to type in data rather than caring for the patient. Even among us doctors ; busy trying to figure out the software ! Luckily i'm used to this computer thingy and typing , so its not much of a problem for me. Some of my colleagues are dreading this as we are moving towards complete paperless ICU by next week !! haks.. But by the way the company ( who;s in charge ) is implementing the system , its haphazard , lots of bug interfering and everybody in the ICU is so so confused.. haks.. I'm the so-called IT expert now ! haks..

Well , we have to be positive and implement the way of the future..

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I received my first tongue lashing from Dr Tai today for ventilating a patient in the ward instead of bringing him to ICU !! He was in fact a good candidate ; 50 year old man , exarcebation of COAD with underlying PTB recently diagnosed 1 week ago !! having a good premorbid history and only a single organ failure.. with 2 ICU bed available at 5 am... I did ask Jalil about it but..Haks..

" Why didn't you bring him to ICU ? Did you call your specialist ?? "

I was ultimately speechless !! haks.. well , not my fault really because Jalil was with me and the decision was his ! I was the junior one !! but at least i know what i should do the next time around.. Intubating a patient in P2 is not really rosy at 5am in the morning.. having to do so in the bersila position !! haks.. it was one of those war-zone type of beds you see...

p/s Hmm..maybe i should put my ideas of how an ideal ICU software should be.. good business tu... haks..