49Th DaY of AttaChMent

When i was about to settle down on my seat, i received a call from staff nurse Chiew that the anaesthesia unit, from datex-ohmeda, had oxygen leaking. Therefore, Faz and i went to Day Surgery to analyze the problem as it is impossible for it to be brought down. All the devices in the intensive care units and operation theatre are always have the first priority to be repaired. Staff Nurse Chiew showed us where the problem was. When oxygen is pumped to y tubing, the oxygen level seems to be dropping drastically. Therefore, Faz tightened all of the tubings and wiped all of the vapours on the lid for the bottle of soda lime. The problem seems solved. Anaesthesia unit is used to monitor the the oxygen level of the patient as every small drop of the oxygen level is very crucial. The bottle of lime soda is used to absorb the vapour produced by the patient to prevent it to enter into the unit. However, pure oxygen being introduced to a person will damage the brain. Therefore, once the unit detect there is a need of oxygen being pumped into the patient, it will mix nitrous oxide and carbon dioxide before pumpng the mixed air to him. Nitrous oxide is used to freeze some surgerical tools to cause burnig effect to remove cornea for example.

There was a commissioning of graseby omnifuse which is later version of pca pump compared to the pca pumps that i have been dealing with the last 2 months. Since it is a later version, the handset is more advanced in the sense that there is LED indication for bolus dose. The LED indicates the availability of bolus dose so after the patient pressed the handset, the LED will not light up until a period of time that the qualified nurse set. There are more settings that allowed user to set such a nausea and pain level, selection different brand of syringe and wider range of syringe being used. The plunger clamp is able to automatically clamp to the syringe by a button away.