By Stephan Sanders, James Dawson, Shreelata Datta, Simon Eccles
This can be the 1st publication written for the UK's starting place application, which all newly certified medical professionals will input from September 2005. it is going to be the main priceless ebook a brand new physician can hold through the first years after scientific institution, masking either medical themes and non-clinical occupation info.
Read Online or Download Oxford Handbook for the Foundation Programme (Oxford Handbooks S.) PDF
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It can be invaluable for discussing/referring a patient whilst away from the ward. See p17. These must be kept confidential and disposed of securely. Job lists During the ward round make a note of all the jobs that need doing on a separate piece of paper. At the end of the round these jobs can be allocated amongst the team members. Serial results Instead of simply writing blood results in the notes try writing them on serial results sheets (with a column for each day's results). This makes patterns easier to spot and saves time.
You can speed up your cannula visits by keeping a supply of equipment in a box (lunch boxes are surprisingly suitable and come in a range of attractive designs). Try to fill them with equipment from storerooms instead of clinical areas. Some doctors use pouches attached to their belts. 7 What to carry Essentials Pens These are the most essential piece of equipment. Always carry a backup and bear in mind that you need a biro for writing on blood bottles; all writing must be in black (allows photocopying).
X-ray radiation should also be avoided, though the pelvis and lower abdomen can be shielded. Pregnant women have different normal values for some blood results รข discuss with the laboratory or O+G. Patients on regular steroids (>10d) are more prone to infections due to relative immunocompromise (p256), but also have suppression of their adrenocortical axis. Sudden withdrawal of (cortico)steroids in such patients can trigger an Addisonian-like crisis. Steroid therapy must be maintained or withdrawn slowly.
