Must know #normal values for HOs;

🔼 [FBC - Full Blood Count 🩸 ]

WBC - white blood cell
Hb - Hemoglobin
HCT - haematocrit
PLT - platelet

🔽 [RP - renal profile]
Aka [BUSE - blood urea serum electrolytes]

Urea, Creat, Na+, K+

🔽 [LFT - liver function test]

Alb - albumin
Bil - bilirubin
ALP - alkaline phosphatase
ALT - alanine transaminase

Kenapa HO kena #hafal normal value?

Cause the reference range is only available in the computer system & if you get the printed copy as above.

But as a HO, we will usually copy the result into flow chart or patient BHT - so when you review case/ie see the BHT alone - you won’t know whether the result is normal or NOT, unless you remember the normal value ie the reference range ⚠️
.

Ini list lab values yg HO wajib tahu sebelum start #tagging dalam wad 🔼

Shortlist of common disease & #emergencies you need to as HO;


👉🏻 All posting (esp medicine, surgical & ortho)

- hypertensive urgency & emergency
- hyper & hypoglycaemia
- hyper & hypokalaemia
- fluid resuscitation in unstable/patient with shock


💉💊 medicine; AEBA (asthma), COPD, dengue, ACS


✂️ surgery; acute abdomen (appendicitis, choledocholithiasis, PGU),  sepsis, UGIB, LGIB


🦴🦴 ortho; open fracture, DFU, fat embolism, compartment sindrom


🤰 O&G; intarpartum management & complications (1st, 2nd & 3rd phase of labour), GDM, PIH


👧🏻👦🏻 gen paeds; AEBA, dengue, AGE, febrile fit


👶👶🏼 neonatology; NNJ, neonatal sepsis, IDM & hypoglycaemia, respiratory distress in newborn


#Reference; 📚any book you already have, yang penting baca 😂

Nota Perubatan
MedTweetMY is pleased to host a webinar on July 06, 2024, from 8:30 PM to 9:30 PM, covering the topic “Shedding light of Neonatal Jaundice: Understanding and Management Strategies”

We are honoured to have an expert speaker: Dr. Saidatul Saadah, a general paediatrician from Hospital Sultan Idris Shah, Serdang.

She will be discussing the latest guidelines and current best practices in the management of neonatal jaundice.

Please register via the link below to secure your seat.

https://zoom.us/webinar/register/WN_efpfpQc3QsWPn7GzV77hdA

#MedTweetMY
#event
https://t.me/nota_perubatan/1494

Clinical year students?

Baru graduates?

Dah nak start HO?

Expecting next HO intake?
.

Dah #daftar utk #free ⚡️ Flash HO Induction next Tuesday?

https://t.me/driliana9/6395

Another #free LIVE session tonight.

This session is actually meant for those who just started HO & will tagging soon;

Ie HO intake bil 2 & 3/2024.
.

Our Zoom class can accommodate up to 500 pax - so in case we are not full tonight;

I will share the meeting link here just before we start at 9PM later 🌟

So stay tuned here if you wish to join tonight ✅

Highlights for LIVE session tonight.

Download pandemic version of HO logbook here; https://t.me/+zt4DsADauzdhZjE1

Semalam waktu #live class on HO assessment, ada yg tanya apa #requirement for #offtag?

- maksudnya apa yg kena buat supaya kita boleh OFF tagging di setiap department?
.

Biasanya setiap posting akan ada tagging log/ form /OFF tag sheet macam ni;

Contoh Off tag assessment list in #Medical posting.
.

New HO perlu tahu apa nak buat bila attend patient with:

SOB, chest pain, hyper/hypotension,
hypo/hyperkalaemia, hypo/hyperglycaemia


Ini semua common ward emergencies yg HO perlu attend, #assess, #manage & inform MO according.

(Termasuk interprete ECG & ABG, calculate potassium correction etc)⚠️

So list atas ni bukan OFF TAG requirement di #Medical posting saja, tapi biasanya di #Surgical & #Ortho juga. Sebab di semua ward selalu ada case2 emergencies macam ni

That’s why Medicorp has prepared online modules on all these important topics,

Speakers are Internal Medicine & Emergency Medicine MO & #specialist 👨‍⚕️👩‍⚕️
.

We have case discussion on each topics & cover what HO need to do in each situation 😎
.

Register here & start learning all this for only RM 39 🌟
.

Let’s save your patients & save yourself from unnecessary stress during tagging later 🫠

Ini pula contoh Tagging #Log/sheet di #Surgical.

Sebelum offtag, setiap HO perlu;

1️⃣ know how to #clerk, formulate #plan od management & #present common cases in the dept
.

2️⃣ know HO responsilibity at different subunit od the dept;

OT, minor OT/daycare, OGDS & colonoscopy room, ERCP suite -
includes how to prepare patient eg bowel prep
.

3️⃣ tag in different surgical #ward & assist in other subunit as per 2️⃣

4️⃣ Able to perform all these #independently;

- blood 🩸 taking
- sterile blood culture

- prescribe & dilute #antibiotics
- administer #chemotherapy

- CBD (continuous bladder drainage) ie urinary #catheterisation

- IV line insertion
- #ABG including Allen test

(All above procedures are covered in Medicorp’s Clinical Skills #Workshop💪🏻 - join here if you wish to practice)

- wound dressing & desloughing

- assist emergency scope & OT

So before start tagging in each dept, please make sure you;

✅ ask this tagging log/sheet from senior HOs.

Jadi boleh study siap2 sebelum start tagging - nnt busy & sangat penat biasa tak sempat nak study 🫠
.

✅ PRE-TAG with senior HOs before your actual tagging start so you can #familiarize yourself to the ward & practice basic task as HO

So nnt bila masuk ward untuk tagging dah #independent to do all these basic procedures & task ✅

Gynae protocol for HTF,

but applicable for other Hospital too as the principle of management is the same ✅

A very good read before starting HOship soon 😎

Nota Perubatan
Anyone thinking of going for private practice as GP?

Factors to be considered (just some advices compiled from seniors):
1) How much is the salary? How is the salary increment? How is the incentives per procedure / scan? Additional benefits? Profit sharing with owners for sales generated?
-Let's say RM 8,000 per month is being offered, it looks like a good deal. After tax, SOCSO, EPF, how much is left?

2) How many hours of working per week? Patient's load per day?
- Does that fulfil your dream of work-life balance?
- 45 hours a week would be acceptable

3) What is your long term goal? To become a specialist in a particular field? To be a successful doctor-entrepreneur? To become a resident in private clinic with fixed salary ± incentives?

4) How many days and types of leave offered (compared to government sector)? Is it easy to apply for leaves or replacement when you are taking leave? Maternity leave available?

5) Job security? Contract period? How is the exit clause (if you plan to resign in that clinic later on)?

6) Career progression

7) Additional skills and qualifications / professional certificate / credentials / experience e.g. antenatal and gynae scan, circumcision, business / sales skills, communication skills etc.

8) Sales target to achieve each month? Revenue is an important part in private clinic, without sales the clinic would not have income.

9) Completed Khidmat Wajib?

10) Bond with scholarship?

11) Have you had experience working as locum doctor before? It gives you exposure whether you are suitable to work in private clinic and you will also get to know whether that clinic is suitable for you to work there for long term.

12) Competition (now and in the future like 10 years ahead)

13) Training / course provided? (course is not cheap)

14) Ask around, how is the employer. Work with employers who are responsible, considerate and take care of their employees.

Sometimes certain things look easy and attractive. In reality, nothing is easy without great effort.

#miscellaneous
@nota_perubatan
https://t.me/nota_perubatan/1497

🗓. 🗓. 🗓. 🗓. 🗓. 🗓. 🗓

Macam mana ya jadual kerja HO? 🤔
.

👉🏻 🗓 waktu TAGGING;

Punch in 7am, punch out 10pm, tapi biasanya kena datang lebih awal & balik lebih lambat beberapa jam sebab kita tak mahir lagi buat kerja-kerja wad.

Cuti (off day) sehari seminggu, tak boleh pilih off hari apa.
.

⚠️ Tapi ada juga department tagging straight 1-2 minggu tanpa off day. Bersedialah ya, tagging memang tough 😣