Zahra's blog

Common A&E cases: Useful to read on these before you start your A&E job ·          Chest pain> ACS, Pulmonary embolism, Aortic dissection, pericarditis, Lower respiratory tract infection, musculoskeletal pain. ·          Palpitations> Arrhythmias (SVT, Fast/slow AFib, Atrial flutter, heart blocks) ·          Shortness of Breath (SOB)> Acute exacerbation of asthma, COPD, PE, Pneumothorax, CCF, pulmonary edema, acute heart failure. ·          Head injury> ·          CVA/TIA ·          Collapse> syncope, postural hypotension etc. ·          Back pain> mechanical, cauda equina, cord compression. ·          Overdose> paracetamol, antidepressants, heroin, cocaine. ·          Acute alcohol intoxication/ Alcohol withdrawal/ Alcohol dependence. ·          Sepsis> variable causes. ·          DKA/ Hyperglycaemia. ·          Abdominal pain> appendicitis, cholecystitis, diverticulitis, bowel obstruction, gastritis, duodenal/gastric perfora

A&E DEPARTMENT: Is divided into 3 sections mainly. 1)Majors 2) Minors 3)Resus We are asked to work anywhere by a consultant. Typical Shifts in My Trust: All of 8 hours except night shifts which are of 11 hours. Examples: 8am-4pm, 11am-7pm, 1pm-9pm, 3pm-11pm, 5pm-1am, 6pm-2am, and 9pm-8am. How does a typical day start? Handover only occur for 8 o’clock shift. Night team actually hand over patients to you some of which are already admitted or deemed Medically Fit For Discharge (MFFD). In all other shifts, you do not have to take handover. You just have to go to the reception, pick the patient in the order of their time of booking/arrival. Some consultants want to give you patients themselves whilst others expect you to pick patients according to their booking time. What to do when you have picked a patient: Either your patient will be in the cubicle already or in the waiting room. If in the cubicle, you just go and see the patient. If not, call the patient into o

MAINTAINING PORTFOLIO: In my non-training Job: I maintained paper based portfolio and used the same for all of the interviews I attended. I also appeared in CMT interview in 2017 and passed it. I started maintaining my portfolio properly since Dec, 16 since I did not know much about that before. I have uploaded the documents in my blog that I used for my paper based portfolio. (CBD, DOPS, Mini CEX and reflections template). E-log book : -please maintain that right from the start of your job. It is very easy to maintain and gives you an edge if you intend to do surgical training. No charges apply to register an account. link is https://www.elogbook.org/ In my O&G Training job: I was given access to an electronic portfolio that I maintained according to RCOG matrix competencies. I have printed the RCOG training matrix and pasted it on my cupboard and tick the competencies as I go along that particular year of training. O&G portfolio is not extensive but you do ne

  Case-Based Discussion Na m e: Cl inical setting – A &E □   O u t p ati e nts D e pt □    In - P atie n t □        Acute Ad m iss i o n □ C l inical probl e m c a t e g ory – Pain □ Ai r w a y / B reat h ing □   C V S/circulation □ Ne u ro □ G a stro □ Other □ Foc u s o f cl i nical e nco u nt e r - M edical Record K ee ping □                     C l inical assessment □ M ana g e m e nt □                      Pr o f essi o nal i sm □ Co m ple x ity o f C ase – Low □ A v era g e □ H i gh □ Assessors P osition – Co n sult a nt □ SpR □ GP □       P l e a se t i c k the a p propri a te b o x B e l o w e x p e ctati o ns B orderl i ne M e e ts e x p e ctati o ns A b o v e a v era g e U n a b l e t o com m e n t M e d i cal R ec o rd K e e p i ng Cli n i cal ass e ssme n t

Clini c al E v aluation Exe r ci s e Na m e : Cl inical setting – A &E □   O u t p ati e nts D e pt □    In - P atie n t □        Acute Ad m iss i o n □ C l inical probl e m c a t e g ory – Pain □ Ai r w a y / B reat h ing □   C V S/circulation □ Ne u ro □ G a stro □ Other □ Assessors P osition – Co n sult a nt □ SpR □ GP □ P l e a se t i c k the a p propri a te b o x B e l o w e x p e ctati o n s B orderl i n e M e e ts e x p e ctati o n s A b o v e a v erag e U n a b l e to com m en t Hi story t a k i n g E x ami n ati o n s k ill s C om m u n i cati o n s k ill s Cli n i cal Ju d g ement P r o f ess i o n a li sm

Obser v ation of Skil l s A ssessment (DOPS) Na m e: Proce d ure: Cl inical setting – A &E □ Ad m iss i o n □ O u t p ati e nts D e pt □    In - P atie n t □ Acute Assessors P osition – Co n sult a nt □ SpR □ GP □ Nu m b er o f ti m es p roc e dure p e r f or m ed   - Pl e ase t i c k t h e a p p r o pri a t e box B el o w exp e ct- at i o ns B order li n e M e ets exp e c ta t i o n s A b o v e exp e c ta t i o n s Una b l e t o c o m m e n t De m o n s trat e s u n d e r s t a n d i ng of i n d i c atio n s r e l e v a n t a n a t o m y & t e c h n i q ue of pro c e d ure Obt a i ns i n f or m ed co n s e n t De m o n s trat e s a p prop r i a t e prepara t i o n p re-pro ce d u re A p p r o pri a te a n a l g e si a o r s a f e