Wanna know wat r we writing?
Wat those alphabet stands for?
Come....
Read the magic words with me......
Hints....
1. K/C/O
- known case of
2. NKMI
- no known medical illness
(if u write illegal short form..u'll be fine RM10-50 for each time u write in certain department, eg O&G, ortho)
Mini tiny tips for beginners HO in msia
Monday, 31 October 2011
Sunday, 30 October 2011
Freshair supply
What do we need when u lack of O2?
Wat kind of oxygen therapy provide/ availability in hosp?
How do we monitor and adjust accordingly
what kind of O2 supply do we hv in hosp?? Do u know that ??
But..do u know how many litres of oxygen we can deliver in each of those things???
Y shud we know ?
Please surf internet and study la ya....
Wat kind of oxygen therapy provide/ availability in hosp?
How do we monitor and adjust accordingly
what kind of O2 supply do we hv in hosp?? Do u know that ??
- nasal prong oxygen (NPO2) : 1-3L/min
- facemask oxygen (FMO2) : 8-10L/min
- venturi mask (VMO2) : it depends on wat colour..
- high flow mask (HFMO2) : 15L/min
- oxygen box (for babies) : 3L/min
But..do u know how many litres of oxygen we can deliver in each of those things???
Y shud we know ?
Please surf internet and study la ya....
Monday, 24 October 2011
Kindergarten
When did u learn ur ABC from?
What basic u hv taught to know more things and knowledge?
When u have knowledge, wat u shud know abt this world?
But before u enter to a Hospital....wat u shud know as a HO?
Ppl said at least basic things u shud know...
Wat and how BASIC is basic..
When i started my 1st day HO life....i didn't know wat shud i do and wat shud i know..
No 1 guiding me..im jz like a humpty dumpty standing in the ward...
I wanna ask ... but no 1 is free to talk to u..
If ur not locally grad...then u might b end up like me...
Thank God...i still hv a pair of clear eyes and minds...
So...jz in case ur like me...best solution is to OBSERVE working environment n get to know wat is the basic things u need to know then learn to do and practice your skills!!!
1. type of needles
2. types of branulla
3. IVD (intravenous drip) set
4. types of solutions
Y do we need to know al these things?
Cz its the most basic things, simple and important.
Do u hv a chance to practice line setting in russ? Jz like those locals student in msia?
No chance = No skills = No experience
Line is so important, cz when a pt (patient) cm in....tats the most simple service u need to give.
Do u wish to be poke >5 times by the same doctor? or u jz get angry n just ask a senior staff nurse to do it?
What if a pt with low BP? U need for fluid resuscitation before the pt reli collapse in front of u!!!
These is the least min u suppose to know.
Always ask the staff nurses n watch them how they do...cz if they know how to do n wat abt u?
And the suffering part is when u started to oncal or when ur working alone drg shift time..u'll be bugging in every second by staff nurses to do simple things....
Blood taking and line setting are the most simple things n yet it can be difficult things to learn as well. Practicing is to sharpen your skills and to speed up working performance.
Peripheral IV devices
cannulae inserted into a small peripheral vein for therapeutic purposes such as administration of medications, fluids and/or blood products.
Peripherally Inserted Central Catheter devices (PICC or 'long-line')
inserted into basilic, cephalic, or brachial veins and enter the superior vena cava or into a large vein. A chest XRAY is taken to ensure that it is positioned correctly. They are used to deliver medications, fluids, intravenous nutrition, and/or blood products.
Central Venous Access Devices (CVAD)
catheters that provide vascular access and that terminate in one of the great vessels of the thorax or abdomen. They are used to deliver medications, fluids, intravenous nutrition, and/or blood products. In addition, they may be sued for some diagnostic purposes (eg: blood sampling, central venous pressures)
COMMON COMPLICATIONS
- infection
- thrombophlebitis
- infiltration/ extravasation
All these complications started with redness, swelling, drip might starts leaking out, painful then might turned into necrosis. Then later on u might need a plastic surgery to repair it. Especially for babies, small kids. Same as those stroke/ coma ppl..cz they unable to talk n tell u...So u need to open up ur eyes n observe!!
What basic u hv taught to know more things and knowledge?
When u have knowledge, wat u shud know abt this world?
But before u enter to a Hospital....wat u shud know as a HO?
Ppl said at least basic things u shud know...
Wat and how BASIC is basic..
When i started my 1st day HO life....i didn't know wat shud i do and wat shud i know..
No 1 guiding me..im jz like a humpty dumpty standing in the ward...
I wanna ask ... but no 1 is free to talk to u..
If ur not locally grad...then u might b end up like me...
Thank God...i still hv a pair of clear eyes and minds...
So...jz in case ur like me...best solution is to OBSERVE working environment n get to know wat is the basic things u need to know then learn to do and practice your skills!!!
1. type of needles
2. types of branulla
3. IVD (intravenous drip) set
4. types of solutions
Y do we need to know al these things?
Cz its the most basic things, simple and important.
Do u hv a chance to practice line setting in russ? Jz like those locals student in msia?
No chance = No skills = No experience
Line is so important, cz when a pt (patient) cm in....tats the most simple service u need to give.
Do u wish to be poke >5 times by the same doctor? or u jz get angry n just ask a senior staff nurse to do it?
What if a pt with low BP? U need for fluid resuscitation before the pt reli collapse in front of u!!!
These is the least min u suppose to know.
Always ask the staff nurses n watch them how they do...cz if they know how to do n wat abt u?
And the suffering part is when u started to oncal or when ur working alone drg shift time..u'll be bugging in every second by staff nurses to do simple things....
Blood taking and line setting are the most simple things n yet it can be difficult things to learn as well. Practicing is to sharpen your skills and to speed up working performance.
Peripheral IV devices
cannulae inserted into a small peripheral vein for therapeutic purposes such as administration of medications, fluids and/or blood products.
Peripherally Inserted Central Catheter devices (PICC or 'long-line')
inserted into basilic, cephalic, or brachial veins and enter the superior vena cava or into a large vein. A chest XRAY is taken to ensure that it is positioned correctly. They are used to deliver medications, fluids, intravenous nutrition, and/or blood products.
Central Venous Access Devices (CVAD)
catheters that provide vascular access and that terminate in one of the great vessels of the thorax or abdomen. They are used to deliver medications, fluids, intravenous nutrition, and/or blood products. In addition, they may be sued for some diagnostic purposes (eg: blood sampling, central venous pressures)
COMMON COMPLICATIONS
- infection
- thrombophlebitis
- infiltration/ extravasation
All these complications started with redness, swelling, drip might starts leaking out, painful then might turned into necrosis. Then later on u might need a plastic surgery to repair it. Especially for babies, small kids. Same as those stroke/ coma ppl..cz they unable to talk n tell u...So u need to open up ur eyes n observe!!
Thursday, 20 October 2011
GUIDELINES
To all my dear friends,
I'm sure every1 us very worry abt how to survive and to be a good DOCTOR. Especially those grad frm Russia which actually still dunno the actual life of HO.
Had heard alot stories from ur seniors? Lots question to ask? Do u really worry?
Dun get panic...ill try my best to help u out and share my FANTASTIC EXPERIENCE....
But pls dun expect i can go too detail...cz its too wide range to tell.
Hope this can be helpful...
I'm sure every1 us very worry abt how to survive and to be a good DOCTOR. Especially those grad frm Russia which actually still dunno the actual life of HO.
Had heard alot stories from ur seniors? Lots question to ask? Do u really worry?
Dun get panic...ill try my best to help u out and share my FANTASTIC EXPERIENCE....
But pls dun expect i can go too detail...cz its too wide range to tell.
Hope this can be helpful...
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