3rd 👉🏻 per abdomen examination (if indicated)

📋📂📋📂📋📂📋

Hello Dr, can you explain more about #pass_over, I dont really understand the concept? 🧐

🔼 A very good question from participant of #Online PreHO course 🌟🌟🌟

✅ Pass over means you communicate #concisely with your colleague about patients under your care.

✅ It can be done via WA, call, or when both parties are available in the ward - like what is usually done by nurses.

✅ 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).

✅ 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 patients’ care.

Most MO & specialist practice oassing over the ustable patients to their oncall colleagues.

✅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 👌🏻

This is eg of passing over via WA (Medical Dept, general male ward) 🔽🔽🔽🔽🔽

Hi Jamie, I’m passing over all the patients in subacute ward as I will be working ON (night shift) tomorrow
.

Bed 7; En. XXX,
🔼 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 😭), awaiting for Cardio to review on Monday. KIV discharge if otherwise well, need to take ENT TCA
.

Bed 9; En XXX,
🔼 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,
🔼 CAP to complete 3/7 IV Augmentin CM. Discharge if no active complaint, no TCA
.

Bed 11; En XXX,
🔼 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,
🔼 RVD +ve with IE

Issue; difficult venous access (take care of the branula ok 😭)

Due repeat 2/52ly blood cultures CM (aerobic, anaerobic, fungal, mycobacteria) good luck 🤣 Blood form ready in BHT ❤️

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 😅, ni saya bg contoh sikit je lah]

Any unfamiliar abbreviations? Ask in comment k 😉

Tuesday & Thursday is Medicorp’s postage day 🤩

Tq everyone who has made your purchase with us ❤️❤️❤️

Must have #book/references for medical graduates & HOs

⚡️Ampang HO guide for all dept. Download for FREE here; https://t.me/nota_perubatan/164

⚡️state/hosp #O&G protocol. Download here & print for revision; https://t.me/driliana9/4156

⚡️#Ortho; Melaka orthopaedic HO guide & Xray guide. Bolah order dua buku ni dekat https://t.me/themedicalbooksPS

⚡️Paeds 👶👦🏻
-malaysian #paediatric protocol 4th edition
-Alia’s NNJ & TFI (total fluid index) workbook

⚡️JB manual of #surgery

⚡️ #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 👍🏻
.

All books are available at ❤️Medicorp store (unless other links are provided-as mentioned above)

Order your books here; https://www.medicorp.store/

Why our profession is so noble 😇

Beli kerusi mahal-mahal pun peserta prefer duduk atas lantai jugak ya 😆

Rajin betul buat study group dia orang ni👍 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 👍
.

Yes there’s 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 😇

#leadingthechange

V/E 5 cm everyone 😆

Alhamdulillah, enthusiastic crowd today ❤️

Question; Dr saya nak tanya apa tugas HO dalam #OT (operation theatre)? Contohnya, apa yg HO boleh buat utk assist #LSCS?
.

Answer; To understand HO role in OT, find this FREE course on Medicorp’s Teachable website;

In this FREE course, I explained in great detail the modified ISBAR to book/post case/operation to Anaest team.

There’s a few practice on #booking operation with Anaest specialist, Dr Shamil as well 👍🏻
.

Good revision on ISBAR formula that we have learnt before at Flash & Advance HO 😇
.

All these modules are very #important for your surgical based posting;

✅ Obs & Gynae
✅ Orthopaedic
✅ Surgery

Please go through the modules now, & revise again later during your pre-TAG before each surgical-based posting 👌🏻

Enrol for the program for FREE here;

https://medicorp-class.teachable.com

One of my happy place - medical #bookstore 🤩

InsyaAllah some of Medicorp’s books will be available on physical bookstores soon 😎

E-HO tomorrow, all the best guys ❤️💪🏻💪🏻💪🏻

🚨 E-HO quick guide;

👉🏻 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 couldn’t remember any intake yg E-HO system tak crash 🤭


But I really hope KKM have taken necessary measure to improve the system after recent issue with e-pharmacy

2 👉🏻 putrajaya, langkawi will no longer available for HO training.
.

3 👉🏻 we are expecting #more hosp will be available for HO training eg hosp lahad datu.

& hopefully hosp which are newly open for HOship will be #available as well tomorrow (banting, shah alam, keningau, kuala lipis, bintulu, tanah merah, kemaman)
.

If you’re aiming for above hosp, please make sure you have lots other hospital as #back-up choices - as these new hosp usually have lesser #vacancies (compare to larger tertiary hosp),

And because lots of people are aiming for these hosp too (ramai berebut, so akan cepat habis)

3 👉🏻 strong internet #connection is a must, so does a helping hand & eyes to help you #detect your hosp on the list during e-HO opening tomorrow.


List down at least 3-5 choices of hosp based on your #priority,
& get to know #full_name of the hosp of your choice;

Eg 👉🏻 Hospital Tengku Ampuan Rahimah, Klang

👉🏻 Hospital Sultanah Aminah, Johor Bahru

👉🏻 Hospital Tuanku Najihah, Kuala Pilah

These are how the hospital names will #appear on the system tomorrow (let your friend & family know these names too- kadang2 kita nervous sgt, tak perasan, so extra pair of 👀 will be extremely helpful during the critical time 🫣


So bring your BFF/spouse/family member to #help you,

& support you through whatever unprecedented #drama that might happen during & after the e-HO tomorrow 🙃

👉🏻 #swapping was NO longer possible since Intake bil 4 last year.


And if you have chosen your hosp via e-HO & wish to #defer AFTER that - it means automatic 4 months (NOT 2 months), and you will need to choose your hosp again after 4 months.


So, discuss with your spouse & family, set your #priority right tonight-

what’s more important?

A #particular hosp for training,

OR to start working #ASAP, regardless of the hosp choice?


This will help you to decide what to do tomorrow, in case your hosp of choice is not available during the E-HO opening 😫