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
2 ππ» putrajaya, langkawi will no longer available for HO training.
.
3 ππ» 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 youβre 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 ππ» 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 youβre 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 ππ» 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 ππ» Hospital Tengku Ampuan Rahimah, Klang
ππ» Hospital Sultanah Aminah, Johor Bahru
ππ» 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 π will be extremely helpful during the critical time π«£
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 π
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 ππ» Hospital Tengku Ampuan Rahimah, Klang
ππ» Hospital Sultanah Aminah, Johor Bahru
ππ» 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 π will be extremely helpful during the critical time π«£
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 π
ππ» #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-
whatβs 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 π«
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-
whatβs 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 π«
Dr Iliana9 pinned Β«ππ» #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, discussβ¦Β»
Forwarded from Dr Iliana9
Kalau hospital pilihan saya takde dalam list bila E-HO dibuka nanti, macam mana?
Dan apa effect memilih #penangguhan semasa E-HO?
Boleh tgk video ni;
https://www.facebook.com/siti.i.mohamad/videos/1713873458623055/
Old video but all terms & tips still valid ππ», please kindly #share to your colleagues & batch mates β€οΈ
Dan apa effect memilih #penangguhan semasa E-HO?
Boleh tgk video ni;
https://www.facebook.com/siti.i.mohamad/videos/1713873458623055/
Old video but all terms & tips still valid ππ», please kindly #share to your colleagues & batch mates β€οΈ
Facebook
Iliana Mohamad
Menangani 'drama' E- HO π & effect penangguhan. Yg dah dapat hospital/dah start kerja, boleh dgr 'amanat' saya from minute 14 onwards π
Forwarded from Dr Iliana9
π₯ Hospital availability during E-HO opening last year, in case anyone want to analyse the trend;
ππ» Intake Bil 1/2022
https://t.me/driliana9/4743
ππ» Intake Bil 3/2022
https://t.me/driliana9/5108
ππ» Intake Bil 4/2022
https://t.me/driliana9/5208
ππ» Intake Bil 6/2022
https://t.me/driliana9/5313
ππ» Intake Bil 1/2022
https://t.me/driliana9/4743
ππ» Intake Bil 3/2022
https://t.me/driliana9/5108
ππ» Intake Bil 4/2022
https://t.me/driliana9/5208
ππ» Intake Bil 6/2022
https://t.me/driliana9/5313
Telegram
Dr Iliana9
Forwarded from Dr Iliana9
Repost in conjunction with E-HO opening soon;
List of Guide on Choosing your hospital π₯
βΆοΈ 5 factors to #consider when choosing your hospital for HOship training
https://t.me/driliana9/3025
βΆοΈ Banyak hospital #dekat2 dgn rumah saya, nak pilih yg mana satu?
https://t.me/driliana9/3043
βΆοΈ #Hostel/quarters availability for each Hosp π₯
https://t.me/driliana9/2816
βΆοΈ Is it advisable to do HO at #Sabah/Sarawak?
https://www.facebook.com/100000012518463/posts/5154646941212339/?d=n
βΆοΈ E-HO tips & live E-HO experience
https://t.me/driliana9/3030
βΆοΈ #New hosp for HOship, ok ke?
https://t.me/driliana9/3033
βΆοΈ 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
βΆοΈ #Penangguhan semasa E-HO;
https://t.me/driliana9/5053
List of Guide on Choosing your hospital π₯
βΆοΈ 5 factors to #consider when choosing your hospital for HOship training
https://t.me/driliana9/3025
βΆοΈ Banyak hospital #dekat2 dgn rumah saya, nak pilih yg mana satu?
https://t.me/driliana9/3043
βΆοΈ #Hostel/quarters availability for each Hosp π₯
https://t.me/driliana9/2816
βΆοΈ Is it advisable to do HO at #Sabah/Sarawak?
https://www.facebook.com/100000012518463/posts/5154646941212339/?d=n
βΆοΈ E-HO tips & live E-HO experience
https://t.me/driliana9/3030
βΆοΈ #New hosp for HOship, ok ke?
https://t.me/driliana9/3033
βΆοΈ 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
βΆοΈ #Penangguhan semasa E-HO;
https://t.me/driliana9/5053
Telegram
Dr Iliana9
5 important factors to consider in Choosing the RIGHT hospital for HOship;
1st βΆοΈ most important factor; near your family/support systemβοΈ
Why?
β less time spend to travel/commute to work, more time to rest
β family support (tolong masak, do the laundryβ¦
1st βΆοΈ most important factor; near your family/support systemβοΈ
Why?
β less time spend to travel/commute to work, more time to rest
β family support (tolong masak, do the laundryβ¦