Fourteenth DaY of AttaChMent
I was introduced to this ventilator, military anesthesia ventilator. The colour of device is a huge hint that it is for military use. The difference between oxylog 2000 and this ventilator is it only has two turning knobs which are for volume delivered and frequency whereas oxylog 2000 has knobs for the maximum pressure, tidal volume and frequency. Military anesthesia ventilator has a pressure relief valve to prevent the pressure from further building up after the maximum pressure, as it will cause bursting of the lungs if it reaches higher than the maximum pressure. Oxylog 2000 does not have this valve instead it allows the operator to select the maximum desirable pressure.
Faz brought back an endoscope which its insertion tip-elevator become faulty so I had to called the vendor, Olympus, to take back the device for repair and lend us a loaner as they only have this endoscope. However, the bad news was the vendor did not have this model to loan to us so in order for the staffs from the endoscopy department to use as soon as possible, we have to ask the user to get it repair once it arrived to the company.
A staff brought down to the department a monitor, propac, as they suspect that the device is faulty. After a while, I found out that the same problem arise again. The SpO2 sensor is faulty, as the infrared light did not light up when it was placed into the monitor. I used patient stimulator to see whether the ECG probes are faulty too but it turned out all right. The staffs usually bring down the whole machine down when they did not know where the problem is.
There was a commissioning of a laser device, Holmium Yag Laser (Dornier Medilas H20). It has the same function as lithotripter as it is to destroy kidney stones. However, the device is using laser while lithotripter is using shock wave and ultrasound to find the exact location of the stones. However, the commissioning failed again as the expected current supposed to be 16 A but the devices only generates 13 A which tends to draw to much current that end up shorting the electricity supply of the whole ward which causing a black out. This device is meant for the operation theatre so can you imagine what will happen if this device is used and halfway through the whole ward black out. It will be disastrous in a way. The laser device has a fiber that channels the laser to the desirable organ by puncturing two small holes at the region slightly below the hips and inserting the fiber through it. It is invasive. I asked the vendor which is better and he told me that the lithotripter is better than the laser as it uses ultrasound to locate the positioning of the stones. If there is more cases of kidney stones in hospitals such as Tan Tock Seng Hospital, the hospital will purchase the lithotripter because it has a higher demand. If not, they will use the laser device instead.
I went to diabetes centre which is the clinic A to continue with my research on diabetes type 2 patients with neuropathy. In the morning, the place seems packed with people regardless of their ages and the room that i was susppose to use for my research is being used by the nurses so i had to go back in the afternoon. I had result from a patient with neuropathy. i feel that it is quite difficult to find people who are diabetes type 2 with neuropathy.
Faz brought back an endoscope which its insertion tip-elevator become faulty so I had to called the vendor, Olympus, to take back the device for repair and lend us a loaner as they only have this endoscope. However, the bad news was the vendor did not have this model to loan to us so in order for the staffs from the endoscopy department to use as soon as possible, we have to ask the user to get it repair once it arrived to the company.
A staff brought down to the department a monitor, propac, as they suspect that the device is faulty. After a while, I found out that the same problem arise again. The SpO2 sensor is faulty, as the infrared light did not light up when it was placed into the monitor. I used patient stimulator to see whether the ECG probes are faulty too but it turned out all right. The staffs usually bring down the whole machine down when they did not know where the problem is.
There was a commissioning of a laser device, Holmium Yag Laser (Dornier Medilas H20). It has the same function as lithotripter as it is to destroy kidney stones. However, the device is using laser while lithotripter is using shock wave and ultrasound to find the exact location of the stones. However, the commissioning failed again as the expected current supposed to be 16 A but the devices only generates 13 A which tends to draw to much current that end up shorting the electricity supply of the whole ward which causing a black out. This device is meant for the operation theatre so can you imagine what will happen if this device is used and halfway through the whole ward black out. It will be disastrous in a way. The laser device has a fiber that channels the laser to the desirable organ by puncturing two small holes at the region slightly below the hips and inserting the fiber through it. It is invasive. I asked the vendor which is better and he told me that the lithotripter is better than the laser as it uses ultrasound to locate the positioning of the stones. If there is more cases of kidney stones in hospitals such as Tan Tock Seng Hospital, the hospital will purchase the lithotripter because it has a higher demand. If not, they will use the laser device instead.
I went to diabetes centre which is the clinic A to continue with my research on diabetes type 2 patients with neuropathy. In the morning, the place seems packed with people regardless of their ages and the room that i was susppose to use for my research is being used by the nurses so i had to go back in the afternoon. I had result from a patient with neuropathy. i feel that it is quite difficult to find people who are diabetes type 2 with neuropathy.
posted by Michelle Tham @ 6:33 AM
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