Things I’ve learned so far in 6 months of being a doctor:
1) Rude/racist/unpleasant people are still rude/racist/unpleasant when they are in hospital. Being sick doesn’t stop that.
2) It’s not about knowing everything… it’s about knowing who will know and how to find out!
7) In my rvs, encourage older patients to get up, dressed and moving - doesn’t necessarily require PT. When family/visitors present or being updated, ask them to help with this.
8) Include TEP/advanced care plan discussion/ Preferred place of care in the discharge summaries
Really enjoyed the @GeriSoc Agenda’s advice on how we can all help manage winter pressures. Here are 8 take home messages I got and will strive to do as an resident doctor on Geriatrics:
1) Think H@H
2) Include 4AT and CFS routinely on clerking documents
6) Remind others that pts with frailty should not be in the corridor/boarded even if they have a low NEWS due to high risk of falls, delirium and pressure area damage.
In a ward where more patients are MFFD than not (most wards atm) shouldn’t there be more discharge coordinators/pathway sisters/social workers than doctors? Might be a better way to encourage flow. Just an idea 🤔
Today we’re launching #ChooseGeriatrics – our new campaign which celebrates the variety and rewards of working in older people’s healthcare. Find out more and how to get involved! 👇
https://t.co/GYOUEN8FmR
“Asking patients if they take any time critical medication, and when their next dose is due, should be one of the questions every clinician asks. This simple enquiry becomes increasingly pertinent given the backdrop of the extreme long A&E stays more and more people are having to endure."
@RCEMpresident Dr Adrian Boyle responds to a report by the Health Services Safety Investigations Body on the administration of time critical medication in the Emergency Department.
Read RCEM's full response here - https://t.co/UvOI0635CX
This talk showed me how useful POCUS can be in every area of practice. It is such a shame that in my deanery for IMT a course on this won’t be funded and I won’t get days off for it so would have to do it on my off days. It could really improve patient outcomes and practice!
After working on this very hard over last few weeks, a weight dropped from my shoulder as I delivered my talk on my passion topic POCUS tday at RCP med+24 Alhamdulillah. Can only be grateful to my family, RCP, SAM, UHL and east Midlands deanery for the immense platform of support
@raiyan_latif POCUS also preventing that wait for days for an USS leg to see if it’s a DVT or cellulitis, on both anticoagulant and abx, to find you didn’t need the abx in the first place and you’re contributing towards antibiotic resistance…
After working on this very hard over last few weeks, a weight dropped from my shoulder as I delivered my talk on my passion topic POCUS tday at RCP med+24 Alhamdulillah. Can only be grateful to my family, RCP, SAM, UHL and east Midlands deanery for the immense platform of support
@raiyan_latif Logged into Twitter after not being on it for ages to tweet you just to say this was an incredibly inspiring talk! I want to learn POCUS ASAP as it seems to be so useful in all areas of medicine (and even surgery!!) thank you!