Hello, It's Nice To Meet You

Hello, It's Nice To Meet You

Saturday 23 September 2023

about work

 好像,我需要一场很深很长的对话。慢慢的道说一切。整理出一个方案

目前,什么都需要一个说法的未来,害我不敢轻举妄动。

这个年纪,这个看似职场打滚很多年,但实际也是初出茅庐的我,

充满了抗议,异议,争取,容易相信,希望,等等等等五味杂陈的每一个possibility

 这工作,做了五年,同样的病房待了四年,被耗尽的精力,停滞了自己接触新鲜事物的explore机会,常常被问到,到底我的未来计划是什么,为了强硬给与答复,我害怕我看漏了什么,为了回答而回答,却忘了自己真的要什么。 

好吧,撇开私人恩怨,我先自己整理自己的答复吧。 

护士,一个我埋头四年的行业,这四年,我好像从来没有后悔过什么决定。 

而成为病房里的轮班制护士,成为一个integrated care model 医院的护士, I'm given a lot of chances to have the autonomy to involve in patient treatment care plan. I have fewer encounters with acute conditions for active case patients but work on chronic disease complications and health education for patients. meanwhile, I am a leader who guided my junior nurses in the decision-making and handling of their complex patient cases. I am a preceptor who train and teach staff who are inexperienced and transform them into ready nurse. I am a resource that staff with problems that will look for to rely on and consult with. I am also a trained peritoneal dialysis nurse who has a hand on real patients to help them with the CAPD and APD exchange. I have a skill that is able to perform VAC wound therapy, and care of patient who is on BiPap/CPAP during night time. I am a trigger code blue trainer who guides ground nurses on handling triggers and code cases when they happen. I am a trainer on SC needle insertion to my ground nurses. I am a medication team leader who has led a project that helps minimize medication errors and late return of medication causing patient overcharges on medication fees. I also helped to voice out how to improve the proper workflow on handling patient belongings during the inpatient stay to minimize incidences on patient-reported loss of belongings. recently, with a degree of nursing background, applications my knowledge to participating in nursing L1 lead programs that review patient general condition, and coordinate with multidisciplinary teams to work on patient discharge plans. 

Throughout the year by providing bedside nursing care, I was able to encounter patients with pneumothorax that underwent chest tube insertion and drainage care, even with double tube insertion, and proceed with the blood patch procedure. I was also able to work hand in hand with the team when the trigger process going on, I remember one time that an elderly patient had an abnormality from the vital signs but physically looked fine, not in distress, but we still worked as a team to do what we can to make sure patient is safe and out from critical signs. On top of that, I am able to provide palliative care for a patient who nearly dying and maximise their comfort care. With the privilege of a general medicine ward, I am also involved in a geriatric specialty on looking after elderlies. Especially on dementia, and delirium clinical pathways. 

Looks, like these have been what I gained from the past 5 years of working experience, that really make me feel so worthy and living as a real adult. I am dealing with a real physical life, I am talking to a real patient to get to know their symptoms and chief complaints, not something over a textbook for a template answer and I am giving the chance for error and failing to address their concerns. Maybe I just feel like yeah, I did learn above, and definitely, I can learn more in-depth from each diagnosis but to remember that I had years that not able to learn and explore new knowledge from seniors where the time I should have learned on my field, I was occupied on patient's care, preceptor students that unable to leave them unattended for awhile. Most of my life has transitioned to how to teach a person to be rational, and how to stop a person from being not thoughtful enough. 

AH does have lots of opportunities to grab for promotion, as long as you dare to voice out good things, and actively participate in all the roles, for sure anywho who has good communication skills will gain more experience. The challenges that left behind that no one remembers to address, included starting off my working adult life in a team with a group of people, and now, it is close to everyone who left the team and worked in their new place. Time went on then I only realised, my hands were no longer there. Everything just suddenly gets tough, because there are not much of people who see what I see, feel what I feel, or know what I mean. I felt lonely to get thing done. I felt not worth to work harder. I felt no more support on finding out solution. 

There was a time, I wanted to change the workplace, yet due to the bond, I had only choice to rotate within my current workplace, with not much of exposure, it is, but when you have a voice out to all the supervisors what they see is different. literally like everywhere is the opportunity, what exact that you want to explore on. I use to have thought, and now people questioning and doubt on my thought that give me a sense of yeah, am I really not having smart goal on my plan, but why would I have a long term goal while I am not really achieve my small goal by find the correct place that suit me in? 

I am a person that who wish to have explore on different aspect speciality to ensure I am giving a chance to know what suit me the best, but not just sick of finish what I am capable for. Get things done just a step of being familiarise with your comfort zone, I am pretty sure when place me into other department, I will start to show lot of learning challenges where people never thought that I would have their problems too. Stubborn on what I am thinking on, having slow time digest on what people have just taught. See, if I never go somewhere else, I will have never know, what I lack of. AH, the opportunity to be honest, I am not so sure what I can I comment on that, yeah, it come with palliative, there yes I am not really working in that whole team with palliative team, but I am nursing overflow case of palliative patient, if I am not equip with that skill, how it possible that the nurses is nursing the patient everyday. If the say is only a train staff came from palliative ward give the best care for the patients, then am I saying that is not fair for my patient who under the team but not receiving the best care ever? No, right, I still need to maintain my professional that work on the best palliative care practise to nurse my patient, and yes, it make no difference if I request to transfer to palliative ward for exposure. Next, speciality with rehab ward, a place where I from, a care that nursing just carry out ADLs care, and the key role to help in patient recovery like others multidiscipline team is more important, they advise good in positioning, strengthening, nutrition, communication skills, working on their discharge plan, but nursing are being train to take care of them, and follow instruction that given by other teams. Good to see a person to recovery from a sick, but yet the involvement of nursing care just make me feel like, I can be do big in other speciality that really achieve me working satisfaction. Next with telemetry ward, but trust me most of the time patient all is the same general medicine and come in with some underlying stroke or heart disease that require to put on telemetry monitoring that in the end still taking over by ICU staff to monitor the trend. Ortho case, same same, our ward with the overflow case, we may not so familiar to what the team style but standard surgery patient care we still manage to handle. 


Hence, one of the conversation and stressful event, there's new thing call Home NUHS. A speciality that totally something different from what I am practising right now, as a general ward nurse, more on task and routine, and bedside patient care, be with patient at all time for early detection abnormal symptoms.when patient not well just one call away to activate the doctor and the code team. 

I may not really know Home NUHS how it work, but I pretty sure it need more knowledge and skills that to think of a comprehensive of history taking with some limitations. And, also a essential good communication and collaboration skills among the teams to make sure the information is deliver correctly.  From what my strengths, that I like to be bedside care, but I really feel like current ward base routine has trapping in and limiting me to have a chance to learn from basic and also let me to give a pause to realise maybe I am really not as good as I thought. I may have difficulty like my precept, its just that I overlook it.  by this age of 27, working experience 5 years, I am a senior staff nurse 1. to all the SSNI that I know off, they have been working for 8-10 years to get into this position with lots of experience, and they mostly not only from one speciality. Sister S who from respiratory ward previously, and it make me feel more reliable when I m having case of patient with respiratory support treatment care.  I wish to have all these embarking in my resume, but not just a general medicine nurse. 

I am just a fresh graduate degree nursing, and I have yet to think of studying again, because, I haven't returned my knowledge from my degree. I haven't really felt the worth of my degree. Changing of something that I really not know off, like cardiac, ENT all these it will need to rotate to NUH with this exposure, to remember I am bonded, I have not much of right of this, despite all supervisor say they will do as much to support what we wish, and the next day hear of gossip about this by pinpointing the staff. 

So maybe put aside all the hate, I really need to look as a whole big picture to think of what exactly that make me feel Satisfaction and happy and worth for. 

Working wise, what I hate like most was preceptoring. I love to teach, I love to share, I love to guide people to think rationally and make decision and be confident. but in real life facts was, different learner style I truly understand, but when it come to attitude I couldn't stand. In nursing, while I am dealing with.a real life situation, why I need to spend so much of extra time to forgive a person who don't treat patient life as a life, and just being irresponsible to their own career, not work hard on what they suppose to be. I provide guidance, leading them, but their goal is just want to get pass out without going through lots of ups and downs, when things happen not willing to work on it, just choose to avoid it. I m truly having a big difficulty dealing with these students and staffs. That keep draining me and make me doubt on whether I am really not a good candidate to precept people. they choose not to approach me just because I am strict, this sound ridiculous right, and turn around they rather just follow with wrong instruction also not dare to learn a correct thing. Am I suppose to lower down my standard? no right, I change my way, I offer a better tone of guiding, in the end, what my return was, people take it for granted, thought that I can be continuously feeding them with answer and chose not to do anything, just enjoy with someone back them up, clean their shit. you see the culture, while I am trying to adapt in, to suit in, to modify it, in a return preceptee say that is preceptor responsible, and them have nothing to do with that. people just don't like to listen advise and correction and give a change. 

I felt like I really need to step out from this, and a position twitch, my turn to be new staff need to get buddy, and see how challenges to listen feedback and be better? I don't want because of these people, make me just want to give up on what my strength. make me swear that I will never be a educator anymore. that is really bothering me. 

so move on, my short team smart goal. I really wish I able to switch to a new environment to know what the best thing that suit me in, and if I manage well I will definitely want to study more and work on that area. but there's something that not my ideally nurse care, I will keep myself stay on in general ward base to work on harder on preceptoring and thinking of way to improve on ground nurses knowledge and standard of practise. meanwhile, work harder on grabbing chance to work as a quality nurse in coordinating care with others team. dare to voice out. dare to ask question when in doubt. if I continue stay in AH, I may really want to work on chronic disease management as this is what something that back time I m looking forward into it. if able to change to other clusters, defiantly I can't think big, drag myself back to a new beginner to touch on cardiology which some terms and commonly happen in public that I can return in future. maybe when I much clearer on what really suit me, then I proceed with further study again, but if possible, I probable just wish to stay on clinical. not back to office not dealing with paper, but is patient.

Saturday 27 May 2023

无憾,即可

 这一篇,是一篇我必须要暂时非常认真的写的文

再过几个小时,即将出发一个10个小时的路程的悉尼之旅。

台湾6个小时我也点独自飞过,这一次,异常的紧张。毕竟一个不熟悉,英文也不知道管用吗

但这就是探索世界。

大家说观念很重要,妈妈总是觉得旅行是浪费钱,但也有人支持旅行是开拓视野,行万里路

妈妈固然不支持我,但也没有极力反对我,事事做到有交代让人安心,我相信这才是最重要的真谛吧。我27岁,也不再是以前年纪轻轻那种背对着,瞒着去探索的人,我想,沟通,诚实,交代才是对家人的责任吧。虽然我掌控自己的人生,但是我的任性也不应该有他们卖单,尽管你让他们不这样。 


昨天去了一个营养讲座,我惊叹科技的增长的确帮助了很多人,从事医疗界,我的视觉是好的科技本应该用之于人身上,和帮助有需要的人,但确实是,科技的发展被私有化,被一些很注重健康和平安的人,占有。昨天的一个传销商,说了一句人每一天都需要摄取维他命C,你喝了吗,我身为护士,我知道维他命的重要与预防,我知道利与弊,而我选择不喝,不是我懒,不是我对不起我自己的人生健康,而是我选择了既来之则安之,和不多不少的活着。也许我未来也会病重,但我没有祈祷我不病重,我也不会把我病重责怪在我不好好照顾我自己的身体健康,毕竟我选择了,所以我接受了。


多少人花了很多精力维护自己的健康,平衡了自己的轨道,算计,安排,被打扰,有好的效果而称心如意,稍有一点的不适或者失效,随着责怪,疑问,焦虑。这平衡了吗。所以我的回话,很简单,知道自己要什么,投其所好。而我做了我自己的选择,而不是在为我的无知卖单。


目前的自己。除了高堂。除了还不算出色的工作表现,但是我的的确确称职了自己的现在的能力,我没在怠慢,我没在荼毒别人,我没在得过且过。我依然把手上的工作尽责,照顾好病人,不妥协,教好学生,教好同事,读好自己的书,过好每一次得来的机会。钱一辈子不够花,但是省吃俭用啥也不让自己去碰的,万一,真的有什么事情,日子没过上,钱也没花上,那还是真正的快乐吗,起码我快乐过。


那天看上了一个影片,一个女子省吃俭用了几乎所有的人生,噩耗传来癌症晚期。于是没有牵挂的害怕,毕竟死是必然,无救是必然,那就善用仅有的时间活得精彩,充实过,也不输于那些活到90岁但却宛如一张白纸的人。


我也想有家庭扛起,我也想为自己的孩子供书教学,但是连他老爸我也没找到,我又怎么会误入歧途了,开始一个无穷无尽不敢死的人生。


所以,要是我三长两短,爸爸妈妈,我知道我没有什么伟大的贡献,但我很想做,虽然我人生没有很精彩,但是我每一天都活的很感恩,有一天是一天,要是突然我离开了,那也是一切必然的安排,只是时间的问题,从事医疗界,帮助过的病人,已经让我觉得比起平凡一生的人,很有意义了。最后上班的这两天,我用我学来的知识“nurse”了我自己的病人,他们安然,他们舒适,他们减少了不必要的疼痛不适,我也觉得自己已经有所用了。


那些不舒服的病人我及时发现,及时治疗,预防了他们的恶化,那些善举,我也存记心中,我自己也很满足的觉得帮助了别人,我真的觉得自己不曾空白过。我平时也没少在善用自己的时间啊,我运动,做自己爱做的瑜伽,也有所成就,唱歌,看电影,拍照,录影,游泳,和朋友聊天说地,做到让人信任依赖的朋友,就算我离开,我相信也是好的一面存记在大家心中。

遗憾固然有,但我不执着,因为我会重新一遍人生,再几个循环以后,重启。

安慰了大家。现在,说出要是安安全全,平平安安,得来的每一天小幸福,我会是希望自己如何呢。这一趟悉尼之旅,只想拍到让我满意,让我付的起自己的相机价位的功课,哈哈哈哈,记录收集好相册内容,喝到满意的咖啡,过上了从容不迫的旅途。

回来以后,安排上回学校拍毕业照,回KL拍毕业照,顺利的话7月再去台湾和哥哥拍毕业照,然后出席毕业典礼。未来的满当当行程,都快一一的加入我的回忆册了。

要是冲刺完了这一年,明年我要想的下一个步骤,就是我的事业。野心解决了,就是脚踏实地。一段开始学习新知识的旅程也在等我的规划。走一步是一步。


Thursday 26 January 2023

独行侠并不是时时都快乐,他也想被做主的一次

 后来发现

也不是后来

我总习惯性的总结所有事情

非的要把每一件事说的很重,给一个分割线

但同时又期待火花

这自相矛盾,估计把我拖进无数个深渊

故事大概就是,我对于别人说的但我不感兴趣的延续不了话题,我说起不感兴趣的话题,不吸引人但又在期待听懂和感兴趣的人,于是自己都给不了人聆听,怎么会让自己遇上愿意聆听的人呢. 


今天看了一部电视剧里的一个小片段,女主总是难为情,不好意思,怕丢脸,内心戏满满的上演完了也许会发生的情节,对着男孩,没给机会的,就先表明自己的所有想法,甚至还自己做了所有的果断撤退决定,也没有给予商讨,了解,和聆听男生的想法看法的机会,男生勇敢的留着转身要走的女生,说了一句“我可以表明自己要说的话吗”,然后由心的说出了一切很简单的感觉感谢,多么舒服的一段对话. 


我也许真心没有得罪人,只是大部分的时间,我的擅自主张,让人不厌烦,然后选择了算了吧,我就算真的用心,这个人也不会相信,防护墙这么高,何必. 而失去了这个人,这个机会. 


十月的你,和我说的每一字每一句我都深深的记得,因为你教会了我,真的不要自己独白的演完所有,然后再断章取义,甚至自己独行侠的做完所有揣测与决定,给人的压迫感,强加的问题. 

虽然你真的也许由头到尾只是来玩,没有想过你随便敷衍的话,我现在竟然拿来当借镜,好好的做好这一方面缺失的我. 


Tuesday 17 January 2023

词语之间

 我酝酿出了五味杂陈,有想要深陷入坑送死的节奏

我还真的是伤疤好了忘了痛,想要再一次尝试直到遇到自己期许的结果,才善罢甘休。

要是,我真的按下了下载的按键,我到底推翻了自己多少,路上的崎岖与碰撞,我还有权利去和别人哭诉我的不快乐,我的不安吗,我的遭遇吗。毕竟一切咎由自取。


如果说做自己,我真的觉得我想继续尝试,但是我做了一个我自己看着别人叫傻,自己重复的话叫尝试的犯傻。找上一个不让自己快乐,成长的人,其实有意义吗?我只是知道垃圾我也找不上,好的伴也好像没有要出现。 我知道对的时间出现的对的人,可是我好像没让自己好好的完整的让对的人看见我,反而我想尽办法折磨自己,降低自己的素质。 


突然我又语塞了。好像这辈子,我自己也搞不懂自己在说什么,别人当然也听不懂,也没有人愿意比我更花心思的读懂连我自己也表达不到的小细节。 


其实哪怕,有一个人,默默的关注我,洞悉我的一切,让我觉得我的一切有人愿意记得,没有义务,但就是肌肉记忆的记得我的每一个暗示小细节,我真的觉得我心愿足矣,我估计不枉此生了。遇上一个不为利益,只因在乎而付出的人。 


我想在爱里受伤,疗愈,我想被爱,也想爱人,我想让我活着的每一份每一秒除了给自己,我也想分一点给我爱的人,每一个人都有自己想守护,想就算牺牲自己也想守护一个人。 


我想要遇见那个没有血缘关系,但却是那个可以把在一起的时间,铭记心中的人。 我想要有一个可以固定的人,我想要一个我焦头烂额也好,欣喜若狂也好,第一个想找的人,而这个人永远敞开双手,对我迎面而来。 



Friday 23 December 2022

新生命。

 在20/12/22,我们家迎来了一个小生命,李慕。

一个我期待已久的小瓜,虽然你的到来崎岖,让你在出生的时刻,与疼痛交手了

但是你娃娃的哭声,你那可爱的肥肥胖胖的身躯,我知道你和这世界还有很缘分

你即将解锁很多彩色世界的角落,遇见很多善良的人事物,帮助很多因你而不平凡的人


李慕,你一定要好好的长大,一定要好好的。 

现在这世界,多了你,我愿意赴汤蹈火的动力。 

Tuesday 29 November 2022

对话

 好久没这么认真的说出心声:


随心

啥也不顾虑

不需要特意做好自己也不需故意摆烂自己


没有目标就空着

没有特别热爱

没有要找寻自己

没有要被善待

没有要明明白白


后来

你也断续的和我说了一样的对白七年了


这七年也不见得我找到自己

也不见得我改进了多少

我明白了多少


还是一样浑浑噩噩

还是一样糊糊涂涂的 灰色地带



我负起了多少责任

分担过多少责任 

找到什么自己的位置 

之类的


我 依然是一个没有方向的我

我 不知道自己求什么

也不知道自己要干什么


不想摆烂也不想努力

比起 以为自己在努力其实在原地的人更可怕吧


本该不是束缚

就是

我忘记了自己的责任


是这责任原来还没到我扛


这世界上哪有事情

是冲动的时候没有声音阻止的


越是随心所欲

约不期待期许了吧



世界真的好大

我真的都好想看一眼

只是觉得

学好一样东西本来就要时间要投入

这么多都想要学要懂真的闲暇不来


为啥不轻描淡写,蜻蜓点水划过水面

随时,明天都将会是一个一辈子遥不可及的东西


什么珍惜当下的

其实后来觉得我好像一辈子也满足不了一个人太多,连我自己也满足不了我自己,会不会我没有做尽伤天害理的事,违法的事,光明磊落的活着不丢颜面,那天我消失了,其实也没什么了… 


遗憾 遗憾 

本来就是选择了A 惦记着B 

觉得他比较美好的遗憾不是吗


我不是什么伟人,上辈子也没有做了什么善报善举,这一辈子也真的好像没必要这么清楚的,这么有方向的活着. 


我给过了陪伴

但不够全面,也算陪伴过.


目标

或许渐渐变成

如果我还有命继续活着

慢慢而衍生下去的


为了找到目标而设定目标

一辈子都在追


到了目的地的那一天

虽然过程攒了好多经验历程,但结果不如意,多少人还有力气转换目标重新开始?


我承认我想法很扭曲

简直垃圾


但比起以为自己是一张白纸

敢死站在最前方挡住一切的时候


才来在牺牲的倒影里看见自己是一张无法循环再用的废纸来得更无地自容吧


我天天在内耗

用意念谋杀自己

的这一段日子


我已经觉得

我还能活着


我还能一个人活着

我真的努力了. 


我没有不喜欢一个人在外生活

我没有习惯我的根我的家已经成为了我的不习惯这个事实


我的精神内耗

已经让我自己也不认识自己了

除了

有名字

有家人

有工作

我真的不知道我是什么.



Thursday 24 November 2022

细节是给自己想善待的人

虽然结果千篇一律,但是经历不同。我感恩,在我不断的摸索的路上,遇上形形色色的人,触碰了各式的尝鲜,而我不至于是一个赤裸的傻笨蛋。 而且每一个遇上的经历,都有他让我喜欢的点,还有改掉我原有的认知,这不就是人生的本意吗。没有一帆风顺,没有一次成功,人是贪婪的,总爱在众多选择里选择了最喜欢的却不断惦记得不到的。我相信我 不是那一种止步于还好的人,所以每一个的形形色色不断的让我看见自己的节奏,也礼貌地退场给我很好探索下一站的入门票。 


这一站,最失落的,莫过于,我高估了自己,我知道自己有80%,也固然的觉得别人的眼里对我也给予88%的评价,其实,真的很重要的是,别人眼里给自己的打分真的不重要,因为你不会让素食者对烤鸡打分,你也不会让农场鸡贩为冻鲜鸡打分,因为他们可以碰上,但没有交集吧。 道不同不相为谋,各自继续寻找那个志同道合的人才是人生真谛。而不是把喜欢的人扭曲成适合的人。磨合固然重要,但是,如果把一个人的本喜欢扭变成自己的满意,我觉得不管是心甘情愿的付出,哪一天,也会发现,最原始的,我本以为我可以,原来我不可以,就会发生了。 


我说过,我真的知道什么是该做不该做,什么是我可以接受与不可以接受的事,尝,是我给自己的弹性选择,是我自己权衡利弊以后,腾出的空间让自己的发挥空间。 珍慧说的,如果连爱自己的时间都没有,怎么可以把时间分出去,我回答了他,我就是爱自己满满了,顺带在路上腾出一点受伤的quota去爱别人,如果寻觅到了对的人,我在爱自己的同时,也会爱别人,让别人被爱。 寻觅不到并不代表我的世界要崩塌,我就没了,而是我在爱着自己的同时,治愈了我的小空间,涨了一点小知识。 

我可以正常运作,但也想偶尔像垃圾一样的摆烂,所以我让大家看见我的糟糕,最重要的是,是一个短暂,我爱面子,我自然就会痊愈,再以自信的自己回归。 

感谢,这一期,我学会了,“细节是做给想善待的人,所以根本没有学不会,要不到就不是契合的人”