Health of the Nursing Students

[markpaul]

Hello, I really had a very bad experience. I want to cry.
I can't sleep throughout the night thinking about it.

I was assigned kasi sa Medicine Department sa OUTPATIENT DEPARTMENT sa Provincial Hospital sa amin. Tapos, there was this man na nag cough malapit lang sa akin basta lapit lang. When he coughed, I immediately stopped breathing and ran outside the hospital compound still not breathing to the Hospital parking lot to breath air. Di naman malayo ang OPD sa Parking lot mga 30 seconds away lang. Later, I found out that man was having a CAVITARY TUBERCULOSIS with no history of taking medications.

SANA MAN LANG, WE ARE ALLOWED TO WEAR MASK IN THE HOSPITAL PREMISES PARA NAMAN MA PROTECTAHAN AMING HEALTH OR KAHIT SA PULMONARY WARD MAN LANG.

[waxy]

wawa ka naman... so are you infected with cavitary tuberculosis?

[angelise]

Hello, I really had a very bad experience. I want to cry.
I can't sleep throughout the night thinking about it.

I was assigned kasi sa Medicine Department sa OUTPATIENT DEPARTMENT sa Provincial Hospital sa amin. Tapos, there was this man na nag cough malapit lang sa akin basta lapit lang. When he coughed, I immediately stopped breathing and ran outside the hospital compound still not breathing to the Hospital parking lot to breath air. Di naman malayo ang OPD sa Parking lot mga 30 seconds away lang. Later, I found out that man was having a CAVITARY TUBERCULOSIS with no history of taking medications.

SANA MAN LANG, WE ARE ALLOWED TO WEAR MASK IN THE HOSPITAL PREMISES PARA NAMAN MA PROTECTAHAN AMING HEALTH OR KAHIT SA PULMONARY WARD MAN LANG.

Like it or not, the country has a lot of cases of tuberculosis. And that's the reason why it is a common joke that you aren't Pinoy if you do not have any TB.

TB here in the country has a social stigma - to the point that some ppl think that it is best not to admit that one has TB otherwise suffer the normal consequence - be an outcast in a sense.

I know the feeling of seeing patients who have cavitary lesions. Normally, the thought of having those ppl around, and the act of not breathing, hoping that you would not inhale any particle. Honestly, it's a normal response, and a normal thought process - that one does not breath for quite a time, thinking that if he does not breath the particle doesn't go in.

it is a fact that if a patient has cavitary tb, he is most likely infective.. especially if he has no treatment at all. You only need a small droplet froom these highly infective ppl, and you know somewhere, one person who has a low resistance would eventually have it.

Let me tell you something. The regular mask that you wear, that wouldn't protect you from the TB particles. Studies have shown that those masks aren't that protective at all. Do you know what is the required mask? The real 'sifter' would be like that used in a space suit, really locked out from the outside world.

As a health care provider, you need your immune system to be quite alright... meaning, your resistance should be high. When your immune system isn't working well, when your resistance is low, then, that's the time when TB strikes.

Then I ask you, did you have primary complex when you were a kid? Did you have a baseline PPD check prior to the start of your rotation, or even, start of your college days? You might be blaming the man with the cavity, but you have to remember, you should have the baseline first.. TB is an indolent disease. There are some patients who are asymptomatic, even if they have big cavities.., please keep that in mind.

If you want to be protected, when the patient is known to be infective (the ones having positive sputum examinations), we ask them to wear the mask (and not the personnel). That way, you limit the droplets they spread.

[jeddah]

Like it or not, the country has a lot of cases of tuberculosis. And that's the reason why it is a common joke that you aren't Pinoy if you do not have any TB.

TB here in the country has a social stigma - to the point that some ppl think that it is best not to admit that one has TB otherwise suffer the normal consequence - be an outcast in a sense.

I know the feeling of seeing patients who have cavitary lesions. Normally, the thought of having those ppl around, and the act of not breathing, hoping that you would not inhale any particle. Honestly, it's a normal response, and a normal thought process - that one does not breath for quite a time, thinking that if he does not breath the particle doesn't go in.

it is a fact that if a patient has cavitary tb, he is most likely infective.. especially if he has no treatment at all. You only need a small droplet froom these highly infective ppl, and you know somewhere, one person who has a low resistance would eventually have it.

Let me tell you something. The regular mask that you wear, that wouldn't protect you from the TB particles. Studies have shown that those masks aren't that protective at all. Do you know what is the required mask? The real 'sifter' would be like that used in a space suit, really locked out from the outside world.

As a health care provider, you need your immune system to be quite alright... meaning, your resistance should be high. When your immune system isn't working well, when your resistance is low, then, that's the time when TB strikes.

Then I ask you, did you have primary complex when you were a kid? Did you have a baseline PPD check prior to the start of your rotation, or even, start of your college days? You might be blaming the man with the cavity, but you have to remember, you should have the baseline first.. TB is an indolent disease. There are some patients who are asymptomatic, even if they have big cavities.., please keep that in mind.

If you want to be protected, when the patient is known to be infective (the ones having positive sputum examinations), we ask them to wear the mask (and not the personnel). That way, you limit the droplets they spread.

very well said, i couldnt agree more :)

[«FickleMinded»]

SANA MAN LANG, WE ARE ALLOWED TO WEAR MASK IN THE HOSPITAL PREMISES PARA NAMAN MA PROTECTAHAN AMING HEALTH OR KAHIT SA PULMONARY WARD MAN LANG.
--Eventhough I'm not in a medical related field,but way back in college na naging member ako ng organization na nagbibigay ng free medical help,parang assistant kami ng doctor,as in next to the doctor na yung job namin,hindi rin kami makagamit ng mask,not bec we don't have any,kaya lang iyon ang advice sa amin ng director ng organization,kasi medyo sensitive yung mga patient,feeling nila kapag naka-mask ka eh nandidiri ka sa kanila or something, go figure hindi pa mismong health center yung place ha,tent lang ang gamit namin sa Smokey Mountain pa, sobrang baho ng basura,at talagang kahit walang amoy yung patient pero yung environment ang grabeh, feeling ko ako nga ang magkakasakit.Tapos may nakikita pa akong mga open wounds,my goodness!!!!, masusuka talaga ako,*** never na magtrabaho ako sa hospital,it's not the patient,but it's me ang may issue sa mga ganon at ayokong makahurt naman ng feelings nila.
but I love those days though,kasi mga bata ang ginagamot namin,i mean ang binibigyan ng service.

[ChicagoPinoy]

Markpaul,
It's good that you were able to hold your breath that long. Hwag kang mag worry, that doesn't mean that you will contract the disease pag inubuhan ka. It's a fact that alot of Pinoys are positive sa Mantoux test or TB test. This means that at one point in our life we were exposed to someone who had TB and that we have developed antibodies.
If you tested positive 3 times, they require chest x-ray to see if you have developed TB.

Wearing mask is a good idea. But this does not guarantee that you will not get infected. There are several type of masks based on the size of particle it filters. I doubt it if you guys have that kind available in school.

The best way to avoid getting infected is to keep youself healthy. Tubercle bacillus is also an opportunistic organism. It proliferates if the person is immunocompromised.
I was exposed also in our provincial hospital and did community health nursing and all sorts, visiting crowded under privileged areas.
I am one of the Pinoys who is tested negative in Mantoux/tuberculin test which is being done annually by my employer.

Just eat healthy food, rest and sleep for at least 6 to 8 hours, take your vitamins and try to be a compassionate nurse, not judgmental for you will be rewarded in the near future.

[kreuk]

hay nako... tapos puyat pa mga nagiinterns doon, both nurse and med students... w/ their immunity going down the drain w their sleep. on a side note... i dont understand why most medical/nursing schools here in the philippines employ a 24 or more hour intern ward shifts. in other countries, including INDIA, a third world country, they wont allow u to be on duty for even more than 8 hours. they'll send u home.

[markpaul]

at least na relieve na yung anxiety ko.
nagka KNOWLEDGE DEFICIT ako. hehehe. :eyecrazy:
Thanks sa mga nursing interventions niyo :wave:

[beefnmushroom]

hay nako... tapos puyat pa mga nagiinterns doon, both nurse and med students... w/ their immunity going down the drain w their sleep. on a side note... i dont understand why most medical/nursing schools here in the philippines employ a 24 or more hour intern ward shifts. in other countries, including INDIA, a third world country, they wont allow u to be on duty for even more than 8 hours. they'll send u home.

oo nga, bakit nga ba may 24-hour shift? sobrang counterproductive. sino bang nagpauso nun?

[pexxerdoc]

Like it or not, the country has a lot of cases of tuberculosis. And that's the reason why it is a common joke that you aren't Pinoy if you do not have any TB.

TB here in the country has a social stigma - to the point that some ppl think that it is best not to admit that one has TB otherwise suffer the normal consequence - be an outcast in a sense.

I know the feeling of seeing patients who have cavitary lesions. Normally, the thought of having those ppl around, and the act of not breathing, hoping that you would not inhale any particle. Honestly, it's a normal response, and a normal thought process - that one does not breath for quite a time, thinking that if he does not breath the particle doesn't go in.

it is a fact that if a patient has cavitary tb, he is most likely infective.. especially if he has no treatment at all. You only need a small droplet froom these highly infective ppl, and you know somewhere, one person who has a low resistance would eventually have it.

Let me tell you something. The regular mask that you wear, that wouldn't protect you from the TB particles. Studies have shown that those masks aren't that protective at all. Do you know what is the required mask? The real 'sifter' would be like that used in a space suit, really locked out from the outside world.

As a health care provider, you need your immune system to be quite alright... meaning, your resistance should be high. When your immune system isn't working well, when your resistance is low, then, that's the time when TB strikes.

Then I ask you, did you have primary complex when you were a kid? Did you have a baseline PPD check prior to the start of your rotation, or even, start of your college days? You might be blaming the man with the cavity, but you have to remember, you should have the baseline first.. TB is an indolent disease. There are some patients who are asymptomatic, even if they have big cavities.., please keep that in mind.

If you want to be protected, when the patient is known to be infective (the ones having positive sputum examinations), we ask them to wear the mask (and not the personnel). That way, you limit the droplets they spread.

Thanks Doc!

:)

[markpaul]

LATEST CHEST XRAY RESULT
MAY 2 , 2005


NORMAL CHEST. *okay*

[waxy]

^good for you, markpaul! :)