Documents folder/clipboard that has storage, clipboard and handle. Proves useful when trying to keep a list of documents, providing a clipboard for the patient to sign consent forms and a handle to make it easier to carry. Forms that are useful on ward rounds include:
Scripts and S8s
Med charts (sucks to be those who do not use eMeds
Fluid charts
Consent forms
Outpatient imaging and pathology forms
Patient stickers
Medical certificates because often family members may want one
Business card of the boss
Overtime form
Other forms to consider: MMSE, DNR/NFR
Stethoscope
Pens (multicolour)
Start with blue in the morning, move on to green for the next round of reports and jobs, then red for the fnal round and black just for writing up the million things you need to write up.
Change the name of your auto-text to your new Term, Reg and Bosses
Update your discharge summary template
Review your preparedness with life round
Pagers
Controls
Pause button = Option
Fat power button = Enter and Home
Arrows = Arrows
Things to do:
Change to vibrate only
How to:
Turn pager off: Options and keep arrowing until it asks pager off and click right arrow
Delete all messages: options → delete all (may need to read all pages so can hold arrow key to read all pages)
Set time option → arrow until you reach set time, click option to raise time then arrow to go to the next time bracket and home key when done
Consider using text pagers in places with no reception as well
Meet/know the ward if time allows
Find out where everything is: e.g. Med charts, patient files, forms, scripts, cannula gear, printers, faxes, storerooms/equipment rooms and their codes, offices
Learn some of the common medical things related to the term e.g. common diagnoses, assessment, management, procedures
People to Know
Team supervisor as they’ll assess and sign all your forms
Director of training (e.g. DPET): they are your contacy for any issues you have
Medical admin: determines rosters, term preferences, leave and processing your pay; notify them early of anything you want to do regarding terms, leaves, rostering
Confirm with them over email for everything
Team and current/outgoing JMO
Ward Team
Know everyone’s names, get everyone’s numbers, do a WhatsApp group if needed
People involved in your desired training
Signer of overtime
Medical officer’s association
Receiving a Handover
Make sure you get proxied the list
Inpatients:
Outstanding jobs
Common reviews
Discharges have been prepped
Get all contacts for consultants and other team members (fellows, regs, srmos etc) as well as other departments (e.g. home team clinic, private room details)
Daily schedule
Start times and location of the ward round
Consultant ward round times
Clinic meeting times
Afternoon handover times
General order of the day
Jobs
Check if there are any Templates you can inherit, forms you need to keep, Bloods customarily ordered and frequency, special Investigations/Medications (standard doses) usually ordered and any other painful matters
Peri-procedural actions (e.g. ordering group and hold, coags, bowel prep for endoscopy in gastro teams)
Giving Handover
Consider handover for each patient: reason for admission, major comorbiditieis/clinical contexts if relevant, something about progress if extended admission, main current issues and plan/outstanding jobs/barriers to discharge