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?

Learn what you need to know in this FREE online course;

https://medicorp-class.teachable.com/courses/ho-role-in-ot-0822

👉🏻 HO role in assisting surgery; what to do before, during & after surgery?

👉🏻 common mistakes to avoid while assisting operation

👉🏻 Modified ISBAR formula to book case for operation from anaest team (with practice)

All the best 💪🏻

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 #preTAG before each surgical-based posting 👌🏻

Slides for Medicorp’s Episiotomy Repair & Suturing workshop ❤️

How's #tagging so far?

#realtime feedback after a week of tagging by HOs 3rd intake - from various hospital;
.

Swipe to see each pic & learning points in the caption🔽

Take note HO jobscope even during tagging ⚡️

Loooots of dengue cases- this is from another HO in other hosp.

That's why Medicorp choose to discuss #dengue during #Flash HO induction ⚡️

Sorry we have #high_expectation on each of you - even during #tagging in 1st posting;

Sebab HO memang tak cukup 🥹🤭

Alhamdulillah #online course Medicorp membantu 🤲🏻
.

Bagus HO ni, tengah busy tagging pun boleh commit tengok online course utk belajar 👍🏻
.

Lagi bagus enroll before start HO, boleh #study awal2 & ulang lagi tengok banyak2 kali waktu HOship 😇

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✅ Ortho 🤰 Obstetric
👶👧🏻 Neonates & Gen. Paeds

Blood C&S (culture & sensitivity) or blood taking in aseptic ie sterile technique.

This in 1 out of 10 general compulsory procedures for HOs;

that you need to be competent in doing in before you can #offtag in any posting.