Friday, November 29, 2013

Life as PRP Part 1 (Inpatient)

4 November 2013 was my Hari Peristiwa, when i was officially registered with Government as a Public Server. My parents and I went to JKN Kedah at Alor Setar to register. There I was asked to give the original offer letter from KKM to the one of the staff. He then put a stamp on my letter which said "Lapor diri di PKD Kubang Pasu & menjalani penempatan siswazah di HSAH". I was a bit confuse earlier so do the staff at PKD KuBang Pasu. Rupanya I was given the post of Gred U41 at PKD Kubang Pasu since the post of U41 in hospital was occupied due to newly finished PRPs (whom still floating ATM). Hence, I have 2 employer now.

So things in PKD just settled on the evening so I was unable to rush to HSAH for lapor diri on the same day so I went HSAH on 6th. There, i met up with other PRPs, 3 from UKM, 1 from CUCMS, 1 from UITM and me from IIUM. On 6th & 7th we just having briefing from respective departments such as satellite, outpatient, manufacturing, ward etc.

10th November, we pick a random number as been asked by our preceptor. From the number, we knew the flow of departments for our one year PRP.  I chose No. 1, so I was assigned to start with Inpatient department, followed by TPN, and CDR. Meanwhile the other PRP chose No.2, so she have to start in Outpatient department, followed with IP and the list goes on.

1st day in IP, im doing nothing much. The Pegawais explained the jobscopes of PRP, the location of drugs etc. Since in IP, we have to verify new prescriptions for polypharmacy, wrong dose, wrong drug, wrong frequency, then check on regular prescriptions list. For inpatient department, we just have to supply the medicines to the patients in wards. The term "Regular" is for the few days admitted patient, and "New Prescription" normally use for new admission patient, changing drugs, and reorder drugs.  If there is anything that seems wrong, we must do intervention by calling the doctor. We only allowed to call the doctors after 10 am after they finish ward round. There is some wards incharge by pharmacist, so, for that, its better to consult with pharmacist in charge for that specific ward rather than calling the doctor first.

Besides, we also do the ward trolley (if PPF was not there), check the trolley for polypharmacy, wrong medications etc. The staff nurse will send the empty trolley (sometimes with returned medicines) to IP on early morning and about 12 pm, they will come down and pick up the fulfilled ward trolley.

Aside from that, the PRPs have to do counselling and its better if you validate first. Earlier I was following the senior PRP to perform the counselling and they watch me do it. And now I able to do perform by myself. Even so I still have to validate my counselling with the Pegawai that I was assigned to. The counselling in IP covers MDI/Accuhaler/Easyhaler/Handyhaler, Insulin pen, CRP (Cardiac Rehabilitation Programme), and Warfarin (which I haven't encounter yet).

Other than that, the PRPs also have to do the extemporaneous preparation and DD supply. For DD, I never have the chance to do it betul2 yet, but able to try once under the guidance of my PRP's friend.

Overall, there goes my almost 3 weeks in IP. It sounds easy right? Actually, it was not. ^_^
The situation may be varied according to you, the people you're working with, and the place itself. But I really enjoyed my days in IP, great Pegawais, great PRPs seniors, great PRPs friends, and great staffs.

This coming December wont come easy, my next station is to TPN (still near IP), and will be starting the oncall, dispensing slot, and flexi. Just wish me luck okay =D

And I dont have time to snap picture in IP at all. SO this post will be picture-free. Bye!