Ahmed

Leaving on time is always a problem for health care professionals - more so for doctors. I have been working in the NHS for 5 years now ( 18 months as a non trainee SHO, 2 years as a core medical trainee and almost 2 years as a trainee registrar) and I always try to leave on time. I would like to share my tips with all of you to ensure you can do the same. WHY THIS IS SO IMPORTANT FOR ME I am married. We have a 3 year old daughter. Every minute spent at work is a minute less spent with her and my wife. Hence I am very particular about leaving on time. I came to this country from my home country for this very reason ( in my home country, I would be working in a government hospital from 0800 to 1500, coming home, sleeping for an hour or 2 to go back to a private clinic/hospital and work till midnight). I want to ensure I have a good quality of life to enjoy my career and job I will spend 50 to 60% of my time at. I want to ensure I am able to play with my daughter, read her a bedtime ...

This is one of my night shifts as a medical registrar responsible for ED and ED resus in a teaching hospital I am currently based in.  To protect patients identity, I have changed the ages and genders.  This was my second night shift of four nights.  I usually sleep well before nights  I sleep 3 hours even if I have slept for 8 hours the night before - when I am due for my first night shift and then sleep for 8 hours consistently after my first night shifts.  Day 2: BEFORE MY SECOND NIGHT SHIFT I left work at 0800 AM with just one patient to handover to the day registrar - a patient with high BMs, ketones and normal pH. Was admitted with abdominal pain. VBG on admission showed a high lactate hence the ED team kindly a CT abdomen which was normal. Hence he was started on the DKA pathway and admitted under care of medicine. I had clerked him in and he was stable enough to be transferred to the ward.  I got home at 0820 AM and after taking a shower, I got into...

I am going to share my on call details ( patients details have been changed to protect their identity- ie age, comorbidities, investigations).  I was the medical on call registrar responsible for ED and ED resus on a Friday.  I woke up at 0600 AM  Left for work at 0720 AM  Got to work at 0745 AM  Took a handover from the night registrar at 0800 AM and took over the bleep from him.  He mentioned one patient whom he had already clerked in ED resus- Low GCS, high CRP,WCC, pyrexial, started on IV ABx for meningitis/enecephalitis. CT head NAD. As she had a low GCS (12 to13), the registrar wanted to wait for it improve ( rather than get worse) prior to transfer to the acute unit. I went to ED and introduced myself to the ED consultant - My heart and soul is in ED and I, as a medical registrar prefer to work in ED with ED as I find it easier to manage medical patients quickly. Rather than interrogating someone on the phone, I prefer to talk to them face to face by...