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At Baylor University Medical Center and across Baylor Health Care System intranet we are using an application from Thomson Health Care. It is a one stop shop for everything we need at work. It provides us the following:

• Diseases-all diseases we can find in there just type the disease and it serves as our Medical Surgical Book.
• Labs and labworks resource- a resource for all kinds of labworks, When you are using it for labs you can find tips how to collect the specimen, precautions etc.
• Patient Education forms- all you have to do is look for the disease or medication or the type teaching you need to give to your patient and click “print”. There it goes you have your teaching with a form for patients to sign that they have recieved the material or teaching.
• Drugs, Interactions- It also serves as our Nurses Drug Handbook, and its printable too, and serves as patient teaching again.
• Alternative Medicines- Every altenative medications approved by FDA is in there too. You don’t have to worry again what that funny medication is all about.
• PDA software- they also have a  PDA software that is compatible to Palm OS and Microsoft OS great one. A must have for your smart phone and PDA. But one thing I don’t like both format are unsstable!!! needs  inprovements. Its also complete and basically can provide all the things you need.
• IV incompatibility- where you wondering if the IV meds that just hanged are incompatible? at Micromedex all you have to is key in the medication and enter them in a box and click one more there you will know if your vancomycin and dobutamine are incompatible.
• Medication Calculators- Every medicaine calculators you need. except for the highly technical calculations of unfamiliar medications. This feature too can be found in their PDA Software, smart right?

and that makes it great… a MUST have for every Health Care System.

Nurses has to stay awake while working nights and its hard for nurses to stay awake whole night but if that nurse has been working for centuries already on nights no question that nurse can succumb staying awake more than 12 hours for a 12 hour shift. But for those new to working nights that would be tricky.

Starting nights is not good for you if you are married and has toddler at home because I’m pretty sure that toddler will keep you awake whole day and by the time you know you still have not slept in preparation for your night work.

The trick for working nights is you have to sleep at least 6 hours prior to going to work so you can stay awake whole night. My colleague usually keeps the coffee maker keep on brewing, and for them that sure does the trick. Keep yourself busy. Clean the nurses station, med room, your locker(im guilty) and maybe the dynamaps.

Or visit your patients and check them but wake them up, you sure don;t want to that, and I don’t want to do that either.

and just dont forget do not sleep. Sleep but don’t let them catch you. If you can do sleeping with your eyes open that will be a great talent! Im sure Nurses already learned how to do that! : )

I was lucky to work in a Pawnshop in Kabacan Cotabato Philippines. Its a pretty profitable business ever I’ve seen even during hard and good times in economy.

If ever I have to go to into business in Philippines I would really go for Pawnshop business. I know couple instiitutions giving educational classes in putting up pawnshop business. I might enroll in one of those.

When I was still in Nursing schooll, at Mountain View College, in Valencia, Bukidnon Philippines. When we were about to start our stint as student nurse one the requirements for us by our Clinical Instructor was pray for your patients. Not only that our Clinical Instructor will really go with us to just pray for our patients. Funny huh… but it sure gave an impact to one of my first patient who we studied for our Case Presentation.

First night for my 2 night work , here at Baylor Universty Medical Center, my friend took care of these patients who cannot sleep i can remember he called my colleague for a sleeping pill but its the hospiatal’s policy not to give a sleeping pill after 2am and the patient already had taken his sleeping pill and he’s still awake nnothing we can do. Even if you call the MD for it, the MD will just bark at you for that silly information. Of course the reason for that is that we don’t want our patient sleeping whole day and awake whole night.

Well anyway next night I was that patient’s nurse I already gave him all his nght meds including his sleeping pill(whichever ambien, restoril, benadryl, etc.) at nine in the evening. Yet at midnight I got a call from the call light system with his voice saying I can’t sleep. I was frustrated because I dont have anythiing to give him anymore so I went to his room and talked to him and explained to him that he should decrease or not to take a nap during the day, I also offered to get him milk taking in to account milk has a property that makes you sleep but he said no, and I told him that Baylor TV has a Sleep Channel, and he said I will try that… so I turned his TV on Baylor Sleep Channel and told to count his sheeps or his blessings and put off all the lights… but before I approached the door I told him Don’t forget to pray! and he said ok…

an hour later my Tech Karen Maranca came over to me and saidd that the patient want to see me and she told me that the patient wants to thank me about the advice I gave, but I didnt go I gave him uninterrupted sleep and by morning I went to see him I cant belive the impact of that peice of advice. Later he told me that after I told him to pray he took out his rosary and put it on, and prayed and that made him sleep. He was saying its his best sleep for a long time. I admit i was teary when he told me that.

and a week ago I was told that he came over to our floor to give thanks to all of us who took care of him. Im happy to know that.

Now the trick if you want to go to sleep Pray sincerely.. you wouldnt know or you might not even finish your prayer youre already asleep. that happened to me many times.

Thanks MVC for the education. And to my patient God Bless you!

Well I work in a Cardio Thoracic Transplant floor which means we take care most of the heart and Lung transplant Patients..

And here are the list of meds most of these transplant pattients get:

Cellcept(Mycophenolate)
Rapamune
Prednisone
Neoral
Prograf(tacolimus)
Cyclosporine
Imuran
Myfortic

I think those are the usual medications a Heart or Lung Transplant is taking.

If you need information about these meds pls leave me a line so I can send you some vital info’s on these meds.