独白时学妹写著护理记录,并清点急救车上的器具

1、獨白時學妹寫著護理記錄，並清點急救車上的器具學妹獨白：我是一個剛畢業就進入急診室工作的護理人員，對於一個生手在這充滿急迫性和壓力的環境下，這一個月下來不管是生理或是心裡都承受著很大的壓力I just graduated from nursing school and worked at emergency room. This environment is full of urgency and pressure; as a new nursing staff, I feel so overwhelmed during this month.學妹：學姐，急救車的東西有缺的我都補齊了Miss L

2、in, I added all the missing items on the emergency car.學姐：恩，好Okay, good.(旁邊傳來聲音：有車禍急診病人進來了)Emergency patients is coming in with car accident.學姐：我先去接病人，學妹你去通知陳醫生過來I will get the patient firtst, Miss Huang, can you get Dr.Chen here?(鏡頭轉向診療間，學姐及學妹在評估生命徵象，家屬在旁)醫師：什麼情況Whats the condition?學姐：17歲男性車禍，頭部外傷大

3、量出血，被送來時已經沒有意識，血壓72/40，GCS：1，1，117-year-old male, got hit by a car. Head injury with massive bleeding on the face, no consciousness, blood pressure 72/40,GCS: 1,1,1學妹：呼吸8次/分，脈搏43下/分Respiration 8 times per minutes, pulse of 43 per minutes醫師：通知血庫備血，N/S 500ml，Bosin 1Amp IVCall the blood bank to prepare

4、 blood, N / S 500ml, Bosimin 1Amp IV家屬：(拉著醫師)你一定要救救他啊，我求你，我就一個兒子Dr. Please save him, please, He is my only begotten son.學妹：這位太太你先出去，我們一定會盡力搶救，你在這裡會影響治療Please wait outside, we will do anything to save him.學姐：病人AsystoleAsystole醫師：開始CPRStart CPR(30分鐘後)30 minutes later學姐：呼吸和脈搏沒有回復Still no breathing and

5、no pluse醫師：停止急救死亡時間晚上9：38我去跟家屬解釋Stop resuscitation,Expired at 9:38PM. I will go to talk to the family.學妹獨白：在這裡死亡隨時都在身邊。生命的逝去，家屬的悲痛，是否自己的努力在這場比賽中永遠都是輸家Work here. I feel life, it seem so unpredictable! I wonder myself always be a loser when you failed to save a life. .(插入片段一)可是急診室緊湊的步調沒有辦法讓我思考那麼多，一個一個

6、的病人不斷進來，重覆著停不下來的治療。我們每一分每一秒都在跟時間賽跑，和上帝競爭。However, the quick pacing in the emergency room rushes me have no time to think about . Patients come and go one after one, repeated treatments over and over again. Every minute, we seem to make racing against time, and life.(插入片段二)在這場比賽裡，我們贏了是理所當然，輸了也沒有任何安慰，

7、就算受了傷也只能無奈的接受。漸漸的，我遺忘了這個職業有什麼意義，只是不停地工作During this racing, we take for granted if we win; gain no comfort if we lose it. Even when you get hurt, we would just accept it. I feel myself to loose my passion to this profession. What it means to me, but busy work day by day 學妹寫著護理記錄，學姐走過來學姐：學妹，剛剛119通報再5分

8、鐘會有一個心臟病患者進來，你請陳醫師準備一下Miss Huang, there will be a patient coming in with heart disease in five minutes, can you tell Dr.Chen to come here?(5分鐘後)醫師：病人情況?Hows the patient?學妹：47歲男性有心肌梗塞病史，因為感到胸部不適自行打電話叫救護車，意識清楚47-year-old male with a history of myocardial infarction, called ambulance when he felt chest

9、 discomfort, clear conscious.醫師：你現在感覺怎麼樣How do you feel now?病人(2)：我胸部又悶又痛很難過I have chest pains, dont feel good.學姐：血壓100/60(掛上鼻導管)BP 100/60學妹：呼吸28下/分，脈搏107下/分(接上心電圖導程)Respiration 28 times per minutes, pulse of 107 per minutes醫師：準備MONA，十二導程心電圖、動脈血液氣體分析(ABG)、心臟酵素檢查Prepared MONA, 12 lead EKG, arterial b

10、lood gas analysis (ABG), cardiac enzyme examination.學姐：Morphine 1Amp IVMorphine 1Amp IV學妹：病人有ST波上升ST wave rise病人：醫生，我喘不過氣了.(暈倒)Doctor, I cant breath學妹：先生，先生病人VFSir, Sir, v fib. (Ventricular fibrillation)醫師：準備電擊，200焦耳非同步Ready to shock, 200 joules of non-synchronous學姐：充電，clearCharge, clear(電擊後)病人：我剛剛怎

11、麼了，胸部好痛What happened? My chest hurts.學妹：你剛剛昏過去了，我們實施心臟電擊所以你現在胸部會痛You just passed out, we did a cardiac shock, thats why your chest hurts now.醫師：NTG IV drop，Aspirin 1顆，持續觀察心電圖和血壓NTG IV drop, 1 tablet of Aspirin, continuous observation of EKG and BP.學姐：脈搏65下/分，血壓95/55，心電圖正常Pulse 65 per minutes, BP 95/

12、55, normal EKG(學姐注射藥物)(病人拉住學妹的手)病人：小姐，真的很謝謝你救了我一命，不然我女兒才7歲不知道她們母女以後怎麼過Miss, thank you for saving my life, my daughter is only 7 years old; if I died, I dont know what will happen to them.學妹：不會，這是我們應該做的，你先休息Youre welcome, this is what we should do, please get rest.學妹獨白：在病人握住手和我說話的那一瞬間，有一種特別的感覺，就像心臟被重

13、重的敲了一下，但是那股沉重感卻不令人討厭，就像是一種喜悅。以後的工作還會繼續忙碌，不同的是在這一刻開始會慢慢找到我的價值。The moment when that patient hold my hand and talk to me, there was a special feeling, like something heavily knock on my heart, but that heaviness is not unpleasant, like a kind of . joy. Future work will still continue to be busy; but the difference is, starting this moment, I will slowly find my true value.片段一=>學姐：病人飲酒過量失去意識，發紺Excessive drinking, lost consciousness, cyanosis 醫師：動脈血液氣體分析(ABG)、準備氣管插管，喉頭鏡 插入，打氣Arte