Real ward #experience as HO!

From #reviewing patients,

#Presenting case & documenting team discussion during rounds,

Managing ward works- referral, blood taking, preparing discharge summary 👍🏻
.

Grab the chance to experience what its like to be HO at Medicorp’s Ward #Simulation;

🤰Obstetric Ward Simulation; include PAC, Labour Room, Antenatal & Postnatal ward simulation; (19 & 20th July, Monday & Tuesday)

👶 Neonatology Ward Simulation;
23rd July, Sunday

More info here; https://medicorp.onpay.my/order/form/wardsimulationjuly

Next (probable) E-HO opening & PTM date 😇

HEART Score

"45-year-old man, chronic smoker (1 pack per day for the past 10 years), presented to Green Zone ED with sudden onset of epigastric pain, burning in nature. No palpitations or SOB. This is the first episode in life patient has this symptom."

=====

Can I safely DISCHARGE this patient for outpatient cardiac assessment OR Should I ADMIT this patient?

Calculator: https://www.mdcalc.com/calc/1752/heart-score-major-cardiac-events#evidence

Low score: 0 — 3 points
Moderate score: 4 — 6 points
High score: >6 points

=====
Example:
Patients with low scores could be discharged with
- Medications e.g. Cap Omeprazole 40 mg OD + Syr MMT 15 mL TDS for 2 weeks
- Appointment for ECG stress test within 1 - 2 weeks time
- Advise to come back to ED stat if develop chest pain / SOB / palpitations

=====
Disclaimer
- If your hospital has specific guideline for cardiac risk factors, do follow your respective hospital / department guideline

#ED
@nota_perubatan

Final Call for Episiotomy Workshop tomorrow night 🚨🚨🚨

https://medicorp.onpay.my/order/form/clinicalskill_suturingworkshop

Get a FREE suturing set worth RM129 when you register for the workshop 👍

When we follow (participate) ward round, we can learn a lot. Take part in presenting the case / documenting the entry.

The more mistakes pointed out by MO/Specialist, the more we learn. Never repeat the same mistakes the next time.

There are ways / suggestions how we should present. Let's try to talk about it next time.

=====
Present masa ward round sebab niat nak belajar ✅

Tak berani nak present masa ward round sebab takut kena marah ❌

#motivation
@nota_perubatan

https://www.facebook.com/100000032214744/posts/5715185531825797/?d=n&mibextid=ftzqsP

Very good revision on Chest Xray 👍🏻

Attending obstetrics emergencies in ward;

This is one of many cases we encountered during Medicorp’s Obstetric Ward Simulation yesterday 💪🏻

Special online CME for Medical Students & Graduates this Monday;

HOship Treasure Box🗳
.

This is not a clinical topic, but Medicorp believe it is equally important as part of preparation before HOship.

In this CME we will explore what work value that’s important to each of you- and what you can do to maximize them during HOship.

This insyaAllah will help you to enjoy working as HO & find your sense of purpose in hectic daily work later, and to prevent burn out & other mental health issue in long term.
.

Meeting link will be shared here just before the session this Monday. See you there! ❤️

See you all soon at 10 AM for HO treasure box 📦 session❤️

Medicorp is inviting you to a scheduled Zoom meeting.

Topic: HO Treasure Box
Time: Jul 25, 2022 10:00 AM Kuala Lumpur

Join Zoom Meeting
https://us02web.zoom.us/j/84722792991?pwd=Z1hJbUhQUU5mUGpyRlBWVGF1TVlOUT09

Meeting ID: 847 2279 2991
Passcode: 762907

How to do round effectively;

https://www.facebook.com/100002913161163/posts/5286014681505585/?d=n&mibextid=ftzqsP

Updated date for upcoming HO intakes;

Bil 5/2022; PTM 7-9th Sept,
Report duty to hosp 12th Sept

Bil 6/2022; PTM 5-7th Oct,
Report duty to hosp 10th Oct
.

E-HO system opening usually 4 to 3 weeks before PTM date.


Let’s prepare well for HOship with Medicorp’s program;

https://medicorp.onpay.my

Modified ISBAR formula for Booking Operation from Anaest Team 👍🏻

1️⃣ INTRODUCE yourself

(Greetings) Hi Dr
(Who) My name is Ahmad
(Where) HO surgical from ward 5e

2️⃣ State your SITUATION

(Why) I would like to notify/book ot slot
(What) Appendicitis for open appendectomy
.

3️⃣ Explain BACKGROUND history of the patient

⚠️Demographic

Patient name is X
(Age) 40yo man
(Weight) 70kg
(height) 165cm
(bmi) 26

⚠️Comorbids

- DM
(Prev meds) on insulin 20u bd
(Prev Control) HbA1c 8
(Prev Complication) no hx of DKA
(Current control) latest dscan 8, vbg not taken
(Current meds) sliding scale 10

- HPT
(Prev meds) on Amlodipine 10mg od
(Prev control) baseline BP 150/90
(Prev complication) no recent hospitalisation, NYHA 1, CCS 1
(Current control) 130/70
(Current meds) amlo served this morning
.

⚠️ HOPI; History of Presentating Illness

(History) 3 days history of abdominal pain, ass with fever, LOA etc
(Complications) dehydrated, septic looking
.

4️⃣ ASSESSMENT of the patient & ACTION that has been done by the primary team

(Diagnosis) treated as Perforated appendicitis
(Management done) resusitated with fluids, started on cefobid/flagyl

Currently, patient is;
(Vitals)
(GCS) alert
(BP) 130/60 unsupported
(HR) 70-80
(Spo2) 100% under RA
(temperature) afebrile for 24 hours since started antibiotics

(Ix)
(Fbc) twc/hb/plt
(Rp) urea/creat
(Coag) INT
(Cxr) clear, no cardiomegaly; cardiothoracic index ?
(Ecg) sinus, no LVH

(Others)
(RTK) -ve
(GSH/GXM) reported
(LM) 4pm
(Consent) ready

5️⃣ REQUEST

(Ok?) Can i send the booking form/patient?

Expecting surgical based posting (O&G, Ortho or Surgery) soon?
.

Join this LIVE online CME to prepare yourself better & learn;

✅ how to book/post case to anaest team

✅ tagging in OT

✅ HO role in assisting surgery
.

Register for FREE here;

https://medicorp.onpay.my/order/form/surgicalbasedposting

Live hosp review session for HO intake bil 5/2022.

Meeting link will be shared here 10 minutes before the session start tomorrow.

Please be on-time as we will lock the meeting once the session start at 9AM tomorrow ⚠️

In conjunction with E-HO system opening tomorrow ❤️

Sorry NO hospital review session today, I’m down with AGE 🙏🏻

Will repost all the E-HO related tips shortly here soon, hopefully they will be helpful. All the best for E-HO soon ❤️

Repost in conjunction with E-HO today;

💠💠💠💠💠💠💠💠💠

List of Guide on Choosing your hospital
(compiled by Dr Iliana@Medicorp)

▶️ 5 factors to #consider when choosing your hospital for HOship training

https://t.me/driliana9/3025


▶️ Banyak hospital #dekat2 dgn rumah saya, nak pilih yg mana satu?

https://t.me/driliana9/3043


▶️ #Hostel/quarters availability for each Hosp 🏥

https://t.me/driliana9/2816


▶️ Is it advisable to do HO at #Sabah/Sarawak?

https://www.facebook.com/100000012518463/posts/5154646941212339/?d=n


▶️ E-HO tips & live E-HO experience

https://t.me/driliana9/3030


▶️ #New hosp for HOship, ok ke?

https://t.me/driliana9/3033


▶️ I have specific #interest in certain field (surgery/O&G/psy etc), which hospital is the best for my HOship training?

https://t.me/driliana9/3038


▶️ #Penangguhan semasa E-HO;

https://t.me/driliana9/5053

🏥 Criteria to choose the #best hospital for HOship;

Part 1 https://youtu.be/aSnTaaWeE8g

Part 2 https://youtu.be/DC4BJKX1MpY



🏥🏥 Full guide on how to choose the #best hospital for HOship?

https://youtu.be/D2nHcs6dEGs

1 hour plus video, but InsyaAllah will be extremely #beneficial before E-HO 👍🏻



For those who want #review for any specific hospital, I will conduct a live Q&A session via ZOOM soon 10AM.

🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟🌟


More preHO program here; https://medicorp.onpay.my

Yesterday night shift story

MO: "Where are you working tonight?"
Me: "Here, dr."
MO: "Alhamdulillah..."

It can be anything (good / bad / no comment etc.), you can interpret by yourself. For me it's a good sign, and I like to work with that MO who never forgets to teach HOs.

- It's okay to left for few minutes e.g
toilet, but don't MIA
- Don't forget your job as HO in any department - to clerk patients, take blood, order investigations, endorse medication, give management plan (counter checked by MOs)

We like to work with responsible colleagues. Same goes to MOs, they are also happy to work with 'good' HOs
(for me 'good' means you know your responsibility as HO)

What makes you happy throughout the day? A simple good / positive word would be enough.

#motivation
@nota_perubatan