Ahmed

 Everyone makes mistakes. And as healthcare professionals we make mistakes as well.  Some mistakes are small, some mistakes are serious. Some serious mistakes are a system error rather than an individual doctors mistake. I am going to explain all mistakes from a low intensity to the worst case scenarios in this blog post.  DATIX  This system is to identify any preventable errors in the work place.  The person who has identified such issues has to fill in a form online and then submit it.  Datixes can range from : 1. Fall on the ward - the nurses usually fill it  2. Drug error - any one can do it. Usually the pharmacists are good at doing this.  3. Patient care - an inappropriate CPR  4. Bullying - some trusts have this option as well. MYTHS ABOUT DATIXES A Datix is against an individual.  Datixes are done to identify the root cause behind an incident. This does not mean that the person behind this is you and that the person filling this ...

  As a medical registrar on call, we get referrals from different specialties all the time.  I am going to go through a few bleeps I get when I am on call.  I am going to share some tips in general: 1. Never mock the other person down the phone.  2. Write down whatever they are saying- summarize the case quickly at the end to ensure you have the relevant information.   3. If they are worried, see the patient ASAP  4. Give urgent management advice on the phone - like request them to do an ABG, etc  5. Understand their limitations. They may not have the same medical experience as you do.  6. Be kind and helpful.                                      FROM ED RESUS  These are the most unwell patients in the hospital and need our input as medical registrars ASAP They have been assessed by the ED team and have had basic management however our input is...

Working on AMU can be a daunting experience for many. However with proper support and guidance, it is an excellent place to work, learn and make friends.  I loved working on AMU so much as a SHO that I decided to apply for specialty training and I am the nutter who enjoys working here as a ST4 trainee registrar.  This post is about what Acute medicine is all about and what is expected of you as a junior doctor on AMU.                            THE ADMISSION PROCESS IN THE NHS  Patients are admitted via the following routes: EMERGENCY DEPARTMENT  These patients can walk in/ come via ambulance and are assessed and managed by the emergency department team. This is a group of clinicians ( ranging from FY1 to consultants, ACPs, physician associates and nurses) who run the department  Once they have been assessed by the ED team, they will either be discharged or be referred to specialties like...

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...