COMPLETED PRP. I M NOW FRP

I wrote this like 1 years ago when I done my PRP , I actually realized this post when I m “cleaning” my laptop. 

Well this explained why this post only uploaded now

 

 **************

Date : 21/4/2020

Finally , It’s like so finally , I get through all this damn shit.

Well, hectic life took over me, cant even have much time to spent on my hobby= Blogging .

Hurry up congrats me, A BIG GOOD NEWS that your …this superb clumsy sister just completed her PRP recently.

<Upgrade to FRP>

 

*For the one wasn’t pharmacist student,as brief explanation

PRP = Provisional Registered Pharmacist.

FRP = Fully Registered Pharmacist

 

( A big advise from me as senior , please pass your forensic as fast as possible) Don’t be like me , wasted my time waiting 8 months. I should have get my placement faster. Student from oversea (just neighbourhood Indonesia ) like us , had been totally lost contact with updating info

 **********

I M THINKING FEW INTEREST TOPIC FOR SHARING.

 “HOW MUCH OF SHITING THINGS I MEET DURING MY PRP”
“MY TERRIBLE MISTAKE DURING PRP”
“HORRIBLE EXPERIENCES DUIRNG PRP”
“HOW MY LITTLLE SOUL WAS CRUSHED AGAIN AND AGAIN…..”
“MY DEEP HEART COMFESSION”

 
<WOULD YOU GUYS INTEREST ABOUT?>

 

I think those entry would be much interesting than this...

 (KINDLY PRESS THE LINK BELOW TO READ MORE >....< )

•  TIPS LULUS PEPERIKSAAN FARMASI
• TIPS DAFTAR PRP
• HOW TO APPLY PRP POSTING PLACEMENT 

***********************

Life like a ball can be up and down sometimes. But I was wondering why my life always down along this one year (Depressed )

After my graduation , really looking forward my working life. With the tittle of unemployed ,it annoyed me whenever my uncle /aunt come across their favorite question : “ Why don’t you find a work ? ”

Looking forward those luxury life after earning , waving my bank card without thinking of price. Well, reality always hit on you cruelly , slapping and wake u from your daydream.

Once I get a job , my realized the burden on me gaining in same time. 

 *************

How was PRP life?

Hmmmm….for me. How terrify it can be? It was terrify from rumors and ITS FREAKING REALL !!

Not mean to terrify you , just warn all of u to really get yourself on with those weapons, knowledge , mental and stamina , protection suit well on before get in this war. If not , You will get K.O , shotted down, not knowing what happened.

Another words suit well , CHALLENGING. High expectation from senior or FRP or boss. Deep apologize from me to them, 

"I KNOW I LET YOU GUYS DOWN"

I m jus a damn clumsy always getting scold for confusing and careless mistakes. 

Getting a bit excited when patient actually mistaken you as doctor. Hihihi . For them , person in labcoat always doctor. Maybe you will correcting patient for first, but after few times you might just used to it and let it be. Feeling gooood ^…^

Ever heard “ your study life will end by the time graduate”. When you struggle so much and finally graduated, then u realize its was just beautiful lie.

 PRP life definite as those sleepless night , deep eyes bags, lacking sleep, no more TGIF, overtime on weekend, stress off with those assignment , rushing presentation slide deadline…ect. WORK …WORK…WORK…no life , The only different with those university times is you get pay for it.

 Like salesman, we had our very own quota or …can know it as “TARGETs” to achieve for each month, each rotation. All of us , PRPs , we tend to be aggressively struggling to get patients in order to complete those requirements. If you slow , perhaps the patients grabbed by the other.

Not to mentions we had tasks to complete every rotation, presentations, lot of guidelines/ books / journal to study. Fail of completing the tasks might need to repeat task again / get scolds / get low marks. The worst would be repeat the particular rotation again.

 

Let me give a simple example :

Validation is a task we need to full fill in order to proceed counseling task. The problem is,the spectrum is wide and much out of my tiny brain. Let me give you an example make it more clear for u guys.

Inhaler technique validation

You think its only about those inhaling technique? No no no its wrong . It can goes far till the guideline of cpg copd an asthma. Everytime I will prepare myself mentally and physical facing those “m16 gun” like bullets questions which goona hit hard against me. No matter how much I study , I still get stucked in validation. Because the questions always unexpected and sometimes can find in books, impressed by those outstanding / extraordinary question.

 Helpless feeling of mine when I finally get well prepared , study overnight , but end up delayed. Reason, preceptor busy, on leave or they simply not in mood to do so. While the date task submition was getting so near.

Pharmacist life, lifeless. Its all about “ Work” and work work work….When ever we complaint about how stress we are. I should grateful as doctor double than us.

I found uploading blog psychologically calmed me, stress releasing . Everyone have their very own way to release tensions. 

BARE in mind, a good PRP is the one good in stress managing , time managing and multitasking. 

Take it as an process to path of success, it take times but worth it. 

Resignation letter

A huge decision , I made.

This wasn’t a sudden decision of mine. Actually  it took me quite long time and huge braveness to take out this step. 1 months before I end my contract , these came in my mind , hunt me in long long night. I do hesitate when my parents were against me.

I did a list of advantage and disadvantage , and included all those future…life ..ect. Later I will tell u more. Conclusion , 

I decided to CONTINUE MY SERVICE  RESIGN

                                    *********

When I m typing my resign letter, unexpectedly I felt peace and relief. Wasn’t as sad or as hard as I thought this will be . Of course I will definitely miss my co worker here , just wanna let them know

 “U guys are the best, Thank you for all this time , those tears and sweats moments. Hope I dint cause much trouble along this while”

Everyone must be curios why m I choosing this path ? 

My family was shock when I told them , but they respect my decision.  My boyfriend is an awesome man, he is a good lister and supporter , that make me feel fearless and worry less toward my upcoming challenges.

 Love him so much !!

                                                                               **********

Isnt good to be Hospital Pharmacist? A little tiny bit in mine, I have a great ambitious enough to be a clinical pharmacist before, then why I m giving up this time? I make a list of reason for leaving and arrange them in order of priority.

Lets list out the advantages of being a Hospital Pharmacist in government.

• Secure , Stable job
• Good pay of  salary (Yearly increment)
• Medical benefit personally and family
• Fixed working time (Sometime Oncall or night shift)
• Nice working environment and friendly co worker
• 25 days of  Annual leaves / year
• I mastered it well 

Isn't the pay better in private ? That's what I thought before. Reality hit me when realized private pay wasn’t as good in government. (This might apply only for Sabah , as I did survey some part of Semenanjung retail offered quite good salary)

 

Then why?

Generally , people leave their jobs for certain reason.

My reason is simple , I m looking for 

"Better career prospects, professional growth , new challenges..ect."

                                                                        *************

Back to the story,

Ever you felt lost when keep repeat the same routines everyday. I tried to be more productive , I read those books, guidelines, and journals... still I feel something missing, my passion is missing gradually. Perhaps we tend to slow down or stop our steps in comfort zone. Yeah this  just too comfort till I m getting lazy. These is good  for someone , instead me.

 

I whispered to myself ,

“I think its time, its time for me to jump out of this comfort zone!!  When if not now?”

I took the courage. In the same time, give myself a chance to see this world in another perspective.

Never expect this path would be easy. Lets take it as an opportunity to see how far I can fly when I m still young (Not that young), at least before my age of 30 , before I m settle down and moving to another phase in life. After wedding / become a mummy, I might not bold enough to bare with failures.

 

“Inside of this little girl , have a dream”

 I have a dream , a dream to own a pharmacy. If stay in government will not help me to get closer my dream, then I choose to leave.

Lot of them tend to say , Its hard. But how hard?
Everyone told me PRP was hard, but I survived.
People told FRP was much disaster , and I m fine.
Human told its impossible ,
My attitude is 

“I have nothing to lose”

 

Yes I get myself new job, a retail pharmacist.  A whole new things, new job scopes, new environment..ect awaiting me to discover it. I m kind of overwhelmed and a bit of excited looking forward.

 

< 1 step forward and 99 steps more to go >

Guys, wish me doing all well in my new job. I will update more when I m free.

< 21 April 2019 - 10 May 2021>

END OF MY GOVERNMENT SERVICE  : )

 

YOUNG DUMB PRP ATTACHEMENT IN WARD ETD

Stories to share during my YOUNG DUMB NOOB PRP attachment in ward emergency department.

 

My boss came in, slammed the door. Fortunately the door was designed to be lock safe , if not, I think he might need to replace new one.

 

“I cant see your improvement .”

“You make me stroke”

“Ever you know how to study ?”

“Why cant you performance well”

“Can’t you refer on how other study? He study in front laptop with his book and making own notes for hours ”

 

Those word smashed on my face harshly.

 

“Then how u think I study ? How and what my u think I m not study well few hours in front my laptop too? You think I study closing eyes and eating popcorn ? laid on my bed?

Even if yes, everyone have different study pattern.”

I swallowed back all my words, looked at him hopelessly.

Not to mention, my preceptors was one of the most top high rank of clinical pharmacist in Malaysia. Undoubted, his scolds, stare , aura enough to make me shivering to hell. I did admitted my stupidities did gave them few episodes of heart attacks, hardship in life too.

 

“New patients in …” Everyone was so busy with their stuff.

 

Ya I m just an useless thing that blocking the way. 

For me,the most stressful thing happened everyday wasn’t about how much or how bad the condition of patients, but my preceptor’s mood. Ya kinda noticed ,every preceptors have their very own working pattern and mood. Smile or angry , in a split. I got confused of either to approach them or keep myself a distance .

Every morning, I took sips of coffee, pampering my soul be end up pride-lessly inside. Yup , thats how I survived .Same routine happened in a cycle everyday.

 **********************

What I did in emergency department ? Basically I tried to involve myself in those kind of activity happen around me .

I would shared u a story of mine, was damn funny.

Once upon at time……..

I was walking around with my cp1.

Then, an old uncle waved his hand to me, instructed me to come over. I looked a round, point finger to myself. After sort of “connection loading”, body language actually work.

He wanna wewwee.

He was on IV infusion GTN , not mean he cant go toilet which only a short distance away. Unfortunately the toilet was in use by the other.

More concern on his current condition , if any fall issues or get the things pug out. Either nurse or doctor or my boss will hate me so bad.

“ Hold a minute, I get u an urine bottle. I ever saw the nurse bring it around."When I pass it to patient , here come another problem. He asked me how to use?

 

Just a photo, if any of u no idea how urine bottle looks like.

“ HOW?”I asked myself too.I knew it meant to be weeee inside , but how to explain. A deep frown on my brows, yet I tried to hide it.

Just put it in, than weewewe..? I answered.

“How ? Where ?Left , right or middle ?”Again , he asked.

“Up to which make u comfortable. Let me know if done ya” I cleared my throat, fixed my labcoat pretended to be calm. Then I closed the curtain. Wiped off my cold sweat.

 Look at my watch, few minutes past.

“Done? ” 

He smile and gave me a thumb up , mean he will try his best.

Why it take him so long. Flipped through the patient profile , any history of urinary problem , ect Benign Prostatic Hyperplasia(BPH) ..?

“Done?”

I whispered in low tone with a curtain in between.

“Doctor, I cant weewee if you keep rushing me.” replied uncle.

😓OPPPS my bad. I really dint mean to disturb him.

Finally done.

He pass his hot fresh urine to me, closed the lid. The problem , where to discard this as the only toilet was in use. I m basically holding urine jar and walk around seeking help from nurse.

 

“The pharmacist girl , dun u bring the urine around. U are the one need clean it if spilled.” a nurse was yelling to me from far. Everyone in room was laugh, did actually lessen the tense atmosphere in emergency department for a moment.

Let take this part of funny story as an experience.

************************* 

Another story.

An hot tempered old uncle, insisted to discharge even he wasn’t in good well condition (DISCHARGE OWN RISK). Well, I prepared his discharge medications and came to his bed. After dispensed, he asked me to remove his catheter on hand, I looked around for any nurse on duty. Everyone was so busy on their own stuffs, measuring BP, some was cleaning the vomit residue, some was doing CPR,ect.

 

<Pharmacist, doctor, nurse might look alike in eyes of patient, without knowing our job scope was huge different. Pharmacist was legal drug dealer, we know all about drug, dispensing, drug handling ect. Highlight here, Pharmacist wasn't trained to give injection, diagnose patient, insert/ remove of catheter ,ect, thats out of our job scope.>

 

Uncle was making a fuss , when I gave signal to wait for a moment.

He took off his catheter with his bare hand and put the catheter beside his bed.

I stunned for a moment. I hurry up run to emergency trolly and grab him gauze and plaster. He refused and walked away with his baggage. He shown his impatience in such aggressive way.

Blood was dripping. Sigh.

Looking at the blood stains on bed, I sort of felt the pain on my vein too.

I never went for blood donation, due to my low hemoglobin level. The another reason that contribute much was “I M FEAR OF NEEDLE”, NEEDLE PHOBIA SYNDROME. Might due to childhood experience , a newbie nurse unable to find my vein, poked on me few times. My vein was swollen for few days which gave me a trauma. 

That was why I cant be a doctor or nurse >…<

(I m actually getting better now , trying to overcome the fear)🙈

 ***********

I admitted I wasn’t calm enough in handling , always got panic attack.

I m wondering how you guys will deal if putting yourself in my shoes too. Kindly comment down and let me know.

😊

For more detail of tips for PRP Outpatient department  kindly click on link below

TIPS OF PRP OUTPATIENT DEPARTMENT 

Tips For PRP : Outpatient Pharmacy Department

Outpatient Pharmacy Department , no doubt "THE MOST BUSY DEPARTMENT'. 

According to statistic in my hospital , 1 counter need to serve 100- 300 patients per day. Imagine if your pharmacy have 4- 5 counters , everyone in this mentally tensed , a small mistake would not allow as it can drag down the whole workflow.

I did admitted even I get annoyed few times , especially during peak hour. When newbie PRP did a very simple or very basic mistake that shouldn't done by a PRP. It definitely made me slightly irritated. 

In that split of moment , I saw myself,  myself when I  was newbie in OPD.

I did the same mistake too. Look at those anxiety overwhelming panic face , it really convince me to start on this topic.

WHAT THE COMMON MISTAKE PRP DO IN OPD?
WHAT SHOULD'NT PRP DO IN OPD? 

WHAT SHOULD PRP DO IN OPD?

Before we start , lets us briefly know about the flow in Outpatient Pharmacy Department.Over all we have 4 important sections

SCREENING 💨FILLING💨COUNTER CHECK💨 DISPENSING

**********

<WHAT THE COMMON MISTAKE PRP DO IN OPD?>

- Filled wrong medicine, wrong amount , wrong strength 

- Forgot to document the amount of supply, signature, and date supply behind the RX prescription

- Dint record in bin card when take out SRQ item

- DD dangerous drug , not tally physical amount and amount in DD book

- Forgot to document the take and return of DD key

- Dint screen well Rx. Received those expire Rx, other facility Rx, incomplete Rx  or inappropriate regimen Rx..ect

- Forgot important point during counseling or counselling wrong technique

- Borrow counseling kits , end up lost it / forgot to return it

- Bad time management during dispensing (KPI = 30 minutes of waiting time)

- Intervent doctor / query outcome wasn't clear / appropriate

- Not familiar with VAS service , tend to deliver wrong information / registered the inappropriate service 

*********

<WHAT SHOULD'NT PRP DO IN OPD?>

- Do not ask when not understand / not get it/ or cant find medicine (act like know, actually not)

- Struggling finding medicine alone without asking others, end up it take long time for filling

(in directly it drag down the work flow, might exceed 30 minutes of waiting time) For sure , your dont wish your name/ Rx number in hand was shout loud from dispensing counter

- Bad attitude / behavior ( Not puncture , selfishness , not complete task given on time. ect

-  Unwilling of teamwork / Bad relationship with co worker

- Attire over "outstanding" ( dressed like fashionista , colorful hair )

- Ego-ism ,dint accept criticism , always find excuse for mistakes 

- Rude or impolite toward PF/ PPF / senior  

*********

<HOW TO BE A QUALIFIED PRP>

Always have 3 colours pen , 1 marker , 1 note book , staple , name cop , and  name tag, pendrive

Why you need 3 colours pen ? 

Red pen for you to entry of stock , while black or blue for out of stock either in bin card or DD book. Marker for label the amount meds in box/batch number/ expired date on envelop for loose medicine. This is very important. 

Apart of that, kindly remind to stick / mark your name on it. Its a common things your pen lost mysteriously in OPD. 

 

I bought a name tag with good quality of ....what we call the rope?? the ribbon ?? the holder ??..

Yeah ,  as you need to hang all your stationary on your neck everyday, so it doesn't broke easily. 

Bring your labcoat with you. Buy labcoat with pockets, so can keep staple, scissor ,and name cop (if neccesary). Plus , I will keep small note book and Frank Shan in my pocket.

Note book, is very important as u need to note down those importance information or tasks.

Wrote it down as future reference. Never believe your brain can memories all , must write down.!!

I tend to be so forgotful.

My preceptor always sarcastic me in funny way

 "EMY , I believe your brain was same with gold fish, memory last for 7 seconds only."

My suggestion , at least have 2 lab-coats to interchange weekly. I ever saw my friend's labcoat turned brownish yellowish. 

He whispered : I forgot when is the last time I wash my labcoat. 

My face reaction was like , ewwwww ..gross...HAHA (Actually I wasn't better, but at least I wash it monthly.)

********** 

I bought 3 books from KAMAL BOOKSTORE

<Frank Shann> is my medical bibble when come to paediatrics dose. 

<The Sarawak Handbook of Medical Emergency> is a little handbook of mine on guidelines on treatment of medical emergency case. It was quite useful for me , as we need to know why doctor start certain medication instead of other.

<The Sanford Antibiotic Guideline> wasn’t too helpful for me , as I download National Antibiotic Guideline from pharmacy official website .

Click link below to download :

National Antimicrobial Guideline 2019, 3rd Edition - Pharmacy.gov

When ever I come across antibiotic dose , indication I can always open my phone, its make everything easier.

**********

The life saving medical apps, u must have at least to check on the dose , pharmacology indication , drug interaction and so on  (These are only my recommendation which I personally more prefer)

<UPTODATE > 

I totally cant live without this app, I know I m kinda depend on this apps. When ever I meet some weird regimen or dose , I always check on my apps. Its even included study case / clinical study. I learned a lot as I like to scroll through it when bored

*I m weird * A little bit of excited when I found new things, new drugs, new regimen , enjoy of reading those knowledge.

<BLUE BOOK> 

its a very summary about indication and regimens of drug that available in Malaysia. Normally I will only use to check whether the drug available in FUKKM / indication available , decide of apply certain drug as KPK.

<NATIONAL ANTIMICROBIAL GUIDELINE> 

this not an apps but can download it and use as very good references. I have the primary antibiotic and alternative , renal dose, conversion dose.

Click link below to download :

National Antimicrobial Guideline 2019, 3rd Edition - Pharmacy.gov

<LEXICOMP / MICROMEDEX> 

These are good drug reference. I use Micromedex mostly during my ward rotation when come to check the IV compatible between drugs.

<CPG MALAYSIA>

Further, I would advise to download the all CPG from Academy of Medicine of Malaysia website. Management and treatment  as guidance in disease management, example, cardiovascular disease, diabetes DM, STEMI... and ect. I found CPG app from google store android ,not sure if available for IOS Iphone. Its quite helpful , I download all the cpg in app, easier for me to refer. As there were 2 type which is summary and also full guideline. I prefer summary , as I need a fast scan through and give good judgement to doctor/ preceptor regarding treatment management, but full reference would be a more detail reference in some specific case. 

Click the link below to download all the CPG:

CPG MALYSIA FROM ACADEMY OF MEDICINE OF MALAYSIA

Accomplished yourself with pharmacology / clinical knowledge. Keep update with latest medical information.

Bacteria and virus mutated / tolerance/ transformed, also treatment change from time to time. Its kinda impossible for us to remember everything, pharmacist dont have superpower. 

TOO MUCH TO REMEMBER

The most important is , you know where to find trust-able resource when having discussion, give the best outcome with good supporting reference.

I admitted myself wasn’t good enough , but I m still learning like you all too.

 *********

1st First rule of PRP, be puncture. 

<Punctuality can create good first impression>

Instead of come on time , prefer to come early. Not mean to be hypocrite here.When u come earlier u can actually well prepared yourself  before the war start. Another way, actually give good impression to other.

During PRP , I contributed much time in hospital, like second home for me. Still remember, I used to stay back during my OPD rotation, overtime like my routine.Whenever PPF or PF ask , my answer always 

“Because I love Hospital so much”

 I know what you guy wanna ask,"Can claim time off?"

 The answer is ,Nope u cant claimed time off !!  because its your willingness to stay over after finish work to actually complete those task given / key in counseling in PHIS..ect. 

Hopefully these tips can help you, at least reduce the percentage to get scold by your preceptor.

*At last but not the least, serve patient with good heart , learn with passionate/ humble heart, treat everyone with truthful heart, I m sure your hardwork will get pay*

Coming up next I would upload about more detail about the tips of surviving in OPD specifically for screening, filling (DD and SRQ), intervention , counselling , and dispensing.

Maybe tips/ story of how to handle those fancy patients in a "brilliant" way...ect (OPD was the rotation I was scold by patients most of the time,because I m not good in handling. So I would like to share my experience so u can take it as lesson  )

Hopefully I can upload by next week, as I realize I have just so much to share with you guys. 

Those are my personal opinions, correct me if I m wrong. Or maybe if u have any to add on kindly comment below. I will be so appreciate. ^.......^

Trading stock for Beginner : 10 TIPS

Investment is an important for every human being, can be in property , business, fixed deposit , mutual fund..etc. But I chose stocks.

 

In the upcoming years, increment of salary itself not enough to cover inflation. Most people might not realiase how inflation can bring big impact to our life , as inflation grow faster than we can imagine.  Instead to limit purchasing / spending , I choose to grow money by investing in stock. My target is return of 10 % - 15 % each year , so it give me freedom by age of 30 ++ to do.

 

 

WHY I CHOOSE TO INVEST IN STOCK?

Investing in business / property need huge modal, but nope for stock. It have no limit , you can start with how much you afford.

Unlike fixed deposit come with a stipulated lock in period, while stock actually so flexible money flow.

Its suitable for those beginner in investing.

 

Thanks to technology make everything so convenience, I can monitor my stock anytime / anywhere in fingertips.

                                                          ****************

TIPS 1 : Financial ability

Understand how much your finance limit. How much risk that you can handle.

 

TIPS 2 : Classified your stock

I classified them into short term trading , mid term trading and long term trading. Every stock have their own value and risk that your willing to cop with.

 

TIP 3 : Study

Never buy in stock without study. Buy in without trading knowledge, I called it “GAMBLE” instead of investing. Educating yourself should be the first thing come before stock investment.

 

TIP 4 : Emotion

Fluctuation stock market cause by issue or factors. Our concept was “Buy low , sell high”. Without enough understanding about the stock/ company its might cause big lose due to stress / panic sell.

“Buy high and sell low” this is the common mistake can happen on everyone. Control emotion and be patience , don’t let panic/ anxiety/ stress affect your decision.

 

TIP 5 : Good Timing

Covid 19 brought down our country economic drastically. In the same time, another new star born in chaos. “Glove stock ” bring up good new for short trader. As a short trader , keep eyes on those potential stock , enter and exit in a good timing can actually bring handsome of return.

 

TIP 6 : Target price

Greedy is devil, it trapped humans. Its a phenomena investor demanding more earn as their keep invested money in stock when rising , and unwilling to sell when dropping. As a clever investor always know your entry and exit point.

 

TIP 7 : Diverse Invest

Diverse investment , diverse risk. Instead of putting all milk in a pile , diverse in few piles actually can reduce the percentage of spillage. When risk diverse , same goes to profit. If the trade was profitable, return might diverse too.

 

TIP 8 : Risk management plan

Every stock have their own risk. We cant predict the future either avoid loss. Not every stock earn. As investor, set your own risk management you, so cut loss before drastic drop. Willingness to accept small losses rather than counting equity , make your trading better.

 

TIP 9 : LESSON

Allow me to share good lesson I learned, I re- enter gloves stock by the April. News of vaccine launched hit hard on market, drag down most of glove counter. While everyone sold their glove stock, I decide to hold it. Stubbornness , my earning profit from ( +30 % )and hit lose of (-50 % )within few weeks. I admitted this is a painful lesson I gained. By focus on trading and accepting small losses.

 

TIP 10 : NEVER ALL IN

Never “ALL IN” your money in stock market. Make sure the money for investment never your life saving money. If your lucky enough, you can be a billionaire. What a bout if the luck wasn’t by your side? These why we often saw big headline newspaper of people bankruptcy due to failure stock investment.

 

TQ

This just a small sharing of mine.

I m a new beginner struggling to explore in stock market.