4th ππ» the dreaded neurological examinations π (if indicated)
Sorry 2nd picture not so clear, plz zoom in ππ»
Sorry 2nd picture not so clear, plz zoom in ππ»
Forwarded from Dr Iliana9
πππππππ
Hello Dr, can you explain more about #pass_over, I dont really understand the concept? π§
πΌ A very good question from participant of #Online PreHO course πππ
β Pass over means you communicate #concisely with your colleague about patients under your care.
β It can be done via WA, call, or when both parties are available in the ward - like what is usually done by nurses.
β Usually during pass over, we'll update to our colleague about patients' latest #progress & pending management plan (investigation result to trace, pending referral/procedure/operation etc).
β Passing over is a good practice as it will help you to #understand & remember the case better.
It is also critically important to ensure #continuation of patientsβ care.
Most MO & specialist practice oassing over the ustable patients to their oncall colleagues.
β Usually we'll pass over abouts patients under our care. So you need to know which ward & cubicle you'll be incharge of for the next shift before you can do the pass over ππ»
This is eg of passing over via WA (Medical Dept, general male ward) π½π½π½π½π½
Hello Dr, can you explain more about #pass_over, I dont really understand the concept? π§
πΌ A very good question from participant of #Online PreHO course πππ
β Pass over means you communicate #concisely with your colleague about patients under your care.
β It can be done via WA, call, or when both parties are available in the ward - like what is usually done by nurses.
β Usually during pass over, we'll update to our colleague about patients' latest #progress & pending management plan (investigation result to trace, pending referral/procedure/operation etc).
β Passing over is a good practice as it will help you to #understand & remember the case better.
It is also critically important to ensure #continuation of patientsβ care.
Most MO & specialist practice oassing over the ustable patients to their oncall colleagues.
β Usually we'll pass over abouts patients under our care. So you need to know which ward & cubicle you'll be incharge of for the next shift before you can do the pass over ππ»
This is eg of passing over via WA (Medical Dept, general male ward) π½π½π½π½π½
Forwarded from Dr Iliana9
Hi Jamie, Iβm passing over all the patients in subacute ward as I will be working ON (night shift) tomorrow
.
Bed 7; En. XXX,
πΌ Resolving APO secondary to non compliance to ROF, with underlying CCF, 3VD, HPT, Obesity with OSA
Issue; difficult venous access (take care of the branula ok π), awaiting for Cardio to review on Monday. KIV discharge if otherwise well, need to take ENT TCA
.
Bed 9; En XXX,
πΌ DF with warning signs (vomiting) in critical phase.
Issue; monitor Sx & oral intake, ensure I/O +ve balance. KIV t/o dengue ward once more stable
.
Bed 10; En XXX,
πΌ CAP to complete 3/7 IV Augmentin CM. Discharge if no active complaint, no TCA
.
Bed 11; En XXX,
πΌ CKD, undecided for RRT.
Issue; difficult blood taking, make sure daily blood samples not hemolysed. KIV transfuse 1 pint WB if Hb < 8 (today 8.5)
.
Bed 12; En XXX,
πΌ RVD +ve with IE
Issue; difficult venous access (take care of the branula ok π)
Due repeat 2/52ly blood cultures CM (aerobic, anaerobic, fungal, mycobacteria) good luck π€£ Blood form ready in BHT β€οΈ
Dont fill up the empty beds ya XOXO
[biasanya lagi pendek kalau pass over via WA, ni saya type proper sket so that you all can understand all the cases]
[for my previous hosp, medical subacute cubicles usually have 12-18 beds π , ni saya bg contoh sikit je lah]
Any unfamiliar abbreviations? Ask in comment k π
.
Bed 7; En. XXX,
πΌ Resolving APO secondary to non compliance to ROF, with underlying CCF, 3VD, HPT, Obesity with OSA
Issue; difficult venous access (take care of the branula ok π), awaiting for Cardio to review on Monday. KIV discharge if otherwise well, need to take ENT TCA
.
Bed 9; En XXX,
πΌ DF with warning signs (vomiting) in critical phase.
Issue; monitor Sx & oral intake, ensure I/O +ve balance. KIV t/o dengue ward once more stable
.
Bed 10; En XXX,
πΌ CAP to complete 3/7 IV Augmentin CM. Discharge if no active complaint, no TCA
.
Bed 11; En XXX,
πΌ CKD, undecided for RRT.
Issue; difficult blood taking, make sure daily blood samples not hemolysed. KIV transfuse 1 pint WB if Hb < 8 (today 8.5)
.
Bed 12; En XXX,
πΌ RVD +ve with IE
Issue; difficult venous access (take care of the branula ok π)
Due repeat 2/52ly blood cultures CM (aerobic, anaerobic, fungal, mycobacteria) good luck π€£ Blood form ready in BHT β€οΈ
Dont fill up the empty beds ya XOXO
[biasanya lagi pendek kalau pass over via WA, ni saya type proper sket so that you all can understand all the cases]
[for my previous hosp, medical subacute cubicles usually have 12-18 beds π , ni saya bg contoh sikit je lah]
Any unfamiliar abbreviations? Ask in comment k π
Must have #book/references for medical graduates & HOs
β‘οΈAmpang HO guide for all dept. Download for FREE here; https://t.me/nota_perubatan/164
β‘οΈstate/hosp #O&G protocol. Download here & print for revision; https://t.me/driliana9/4156
β‘οΈ#Ortho; Melaka orthopaedic HO guide & Xray guide. Bolah order dua buku ni dekat https://t.me/themedicalbooksPS
β‘οΈPaeds πΆπ¦π»
-malaysian #paediatric protocol 4th edition
-Aliaβs NNJ & TFI (total fluid index) workbook
β‘οΈJB manual of #surgery
β‘οΈ #medical;
-sarawak handbook
-CPG made easy for HOs
.
I highly #recommend medical students (during your clinical years) to get these books too, especially those who graduated outside Malaysia ππ»
.
All books are available at β€οΈMedicorp store (unless other links are provided-as mentioned above)
Order your books here; https://www.medicorp.store/
β‘οΈAmpang HO guide for all dept. Download for FREE here; https://t.me/nota_perubatan/164
β‘οΈstate/hosp #O&G protocol. Download here & print for revision; https://t.me/driliana9/4156
β‘οΈ#Ortho; Melaka orthopaedic HO guide & Xray guide. Bolah order dua buku ni dekat https://t.me/themedicalbooksPS
β‘οΈPaeds πΆπ¦π»
-malaysian #paediatric protocol 4th edition
-Aliaβs NNJ & TFI (total fluid index) workbook
β‘οΈJB manual of #surgery
β‘οΈ #medical;
-sarawak handbook
-CPG made easy for HOs
.
I highly #recommend medical students (during your clinical years) to get these books too, especially those who graduated outside Malaysia ππ»
.
All books are available at β€οΈMedicorp store (unless other links are provided-as mentioned above)
Order your books here; https://www.medicorp.store/
Beli kerusi mahal-mahal pun peserta prefer duduk atas lantai jugak ya π
Rajin betul buat study group dia orang niπ semoga terus kekal rajin & #bersemangat bila masuk kerja HO nanti.
.
It won't be easy, but if you #prepare yourself well, at least half of the battle is won insyaAllah.
.
Especially kalau ada #teamwork macam ni, kerja banyak mana pun dekat ward it will be tolerable.
Baru half day kenal, masing-masing dah boleh bekerja sama;
- member buat procedure, yg lain chaperone/assist
- kalau ada barang/steps yg kawan terlupa, yg lain ingatkan π
.
Yes thereβs endless list of things that we need to #improve in our healthcare system, but I believe change should always start from the people.
Each small effort counts,
& every doctor matters π
#leadingthechange
Rajin betul buat study group dia orang niπ semoga terus kekal rajin & #bersemangat bila masuk kerja HO nanti.
.
It won't be easy, but if you #prepare yourself well, at least half of the battle is won insyaAllah.
.
Especially kalau ada #teamwork macam ni, kerja banyak mana pun dekat ward it will be tolerable.
Baru half day kenal, masing-masing dah boleh bekerja sama;
- member buat procedure, yg lain chaperone/assist
- kalau ada barang/steps yg kawan terlupa, yg lain ingatkan π
.
Yes thereβs endless list of things that we need to #improve in our healthcare system, but I believe change should always start from the people.
Each small effort counts,
& every doctor matters π
#leadingthechange
In this FREE course, I explained in great detail the modified ISBAR to book/post case/operation to Anaest team.
Thereβs a few practice on #booking operation with Anaest specialist, Dr Shamil as well ππ»
.
Good revision on ISBAR formula that we have learnt before at Flash & Advance HO π
.
All these modules are very #important for your surgical based posting;
β Obs & Gynae
β Orthopaedic
β Surgery
Please go through the modules now, & revise again later during your pre-TAG before each surgical-based posting ππ»
Enrol for the program for FREE here;
https://medicorp-class.teachable.com
Thereβs a few practice on #booking operation with Anaest specialist, Dr Shamil as well ππ»
.
Good revision on ISBAR formula that we have learnt before at Flash & Advance HO π
.
All these modules are very #important for your surgical based posting;
β Obs & Gynae
β Orthopaedic
β Surgery
Please go through the modules now, & revise again later during your pre-TAG before each surgical-based posting ππ»
Enrol for the program for FREE here;
https://medicorp-class.teachable.com
Teachable
Homepage
One of my happy place - medical #bookstore π€©
InsyaAllah some of Medicorpβs books will be available on physical bookstores soon π
InsyaAllah some of Medicorpβs books will be available on physical bookstores soon π
π¨ E-HO quick guide;
ππ» 1st intake of the year is usually the largest intake.
So usually most (but not necessarily ALL hosp) will be #available during E-HO,
But it also means the system will #crash much faster (as more people trying to log in at the same time).
Honestly, I couldnβt remember any intake yg E-HO system tak crash π€
But I really hope KKM have taken necessary measure to improve the system after recent issue with e-pharmacy
ππ» 1st intake of the year is usually the largest intake.
So usually most (but not necessarily ALL hosp) will be #available during E-HO,
But it also means the system will #crash much faster (as more people trying to log in at the same time).
Honestly, I couldnβt remember any intake yg E-HO system tak crash π€
But I really hope KKM have taken necessary measure to improve the system after recent issue with e-pharmacy