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#dailyprompt1959 — Public Fediverse posts

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  1. The Theoretical Doctor @[email protected] ·

    Lazy Days As A Medical Officer

    Click here for more articles & daily dose.

    Do lazy days make you feel rested or unproductive?

    While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

    Do you feel the same way?

    Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

    I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

    That’s counter productive as rest days are meant to make you feel… rested, right?

    Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

    To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

    I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

    I really need to be more productive during my off days.

    Even me writing this just sounds too depressing.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1943 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1954 #dailyprompt1956 #dailyprompt1959 #doctor #doctorSLife #hospital #hospitalUmumSarawak #housemanship #kuching #lazy #lazyDays #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgical #writing

    #article #blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829
  2. The Theoretical Doctor @[email protected] ·

    Lazy Days As A Medical Officer

    Click here for more articles & daily dose.

    Do lazy days make you feel rested or unproductive?

    While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

    Do you feel the same way?

    Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

    I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

    That’s counter productive as rest days are meant to make you feel… rested, right?

    Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

    To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

    I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

    I really need to be more productive during my off days.

    Even me writing this just sounds too depressing.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1943 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1954 #dailyprompt1956 #dailyprompt1959 #doctor #doctorSLife #hospital #hospitalUmumSarawak #housemanship #kuching #lazy #lazyDays #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgical #writing

    #article #blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829
  3. The Theoretical Doctor @[email protected] ·

    Lazy Days As A Medical Officer

    Click here for more articles & daily dose.

    Do lazy days make you feel rested or unproductive?

    While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

    Do you feel the same way?

    Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

    I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

    That’s counter productive as rest days are meant to make you feel… rested, right?

    Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

    To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

    I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

    I really need to be more productive during my off days.

    Even me writing this just sounds too depressing.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1943 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1954 #dailyprompt1956 #dailyprompt1959 #doctor #doctorSLife #hospital #hospitalUmumSarawak #housemanship #kuching #lazy #lazyDays #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgical #writing

    #article #blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829
  4. The Theoretical Doctor @[email protected] ·

    Lazy Days As A Medical Officer

    Click here for more articles & daily dose.

    Do lazy days make you feel rested or unproductive?

    While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

    Do you feel the same way?

    Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

    I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

    That’s counter productive as rest days are meant to make you feel… rested, right?

    Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

    To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

    I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

    I really need to be more productive during my off days.

    Even me writing this just sounds too depressing.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1943 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1954 #dailyprompt1956 #dailyprompt1959 #doctor #doctorSLife #hospital #hospitalUmumSarawak #housemanship #kuching #lazy #lazyDays #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgical #writing

    #writing #surgical #sarawakgeneralhospital #sarawak #plastics #plasticsurgery
  5. The Theoretical Doctor @[email protected] ·

    Lazy Days As A Medical Officer

    Click here for more articles & daily dose.

    Do lazy days make you feel rested or unproductive?

    While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.

    Do you feel the same way?

    Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.

    I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.

    That’s counter productive as rest days are meant to make you feel… rested, right?

    Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.

    To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.

    I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.

    I really need to be more productive during my off days.

    Even me writing this just sounds too depressing.

    Click here for more articles & daily dose.

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1943 #dailyprompt1945 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1949 #dailyprompt1950 #dailyprompt1952 #dailyprompt1954 #dailyprompt1956 #dailyprompt1959 #doctor #doctorSLife #hospital #hospitalUmumSarawak #housemanship #kuching #lazy #lazyDays #medical #medicalOfficer #Medicine #plasticAndReconstructiveSurgery #plasticSurgery #plastics #sarawak #sarawakGeneralHospital #surgical #writing

    #article #blog #blogging #dailyprompt #dailyprompt1823 #dailyprompt1829
  6. The Theoretical Doctor @[email protected] ·

    My First Day Of Locum And As A Medical Officer

    Related Posts:

    A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.

    – Wikipedia.

    The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.

    At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.

    While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.

    Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.

    In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.

    My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.

    The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.

    For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.

    However, I was extremely scared.

    Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.

    For a first experience, it was a good one despite it being rather terrifying for me.

    But, we all have to start somewhere and build our confidence, don’t we?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #article #articles #blog #blogging #clinic #cliniclife
  7. The Theoretical Doctor @[email protected] ·

    My First Day Of Locum And As A Medical Officer

    Related Posts:

    A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.

    – Wikipedia.

    The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.

    At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.

    While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.

    Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.

    In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.

    My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.

    The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.

    For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.

    However, I was extremely scared.

    Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.

    For a first experience, it was a good one despite it being rather terrifying for me.

    But, we all have to start somewhere and build our confidence, don’t we?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #article #articles #blog #blogging #clinic #cliniclife
  8. The Theoretical Doctor @[email protected] ·

    My First Day Of Locum And As A Medical Officer

    Related Posts:

    A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.

    – Wikipedia.

    The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.

    At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.

    While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.

    Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.

    In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.

    My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.

    The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.

    For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.

    However, I was extremely scared.

    Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.

    For a first experience, it was a good one despite it being rather terrifying for me.

    But, we all have to start somewhere and build our confidence, don’t we?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #article #articles #blog #blogging #clinic #cliniclife
  9. The Theoretical Doctor @[email protected] ·

    My First Day Of Locum And As A Medical Officer

    Related Posts:

    A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.

    – Wikipedia.

    The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.

    At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.

    While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.

    Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.

    In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.

    My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.

    The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.

    For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.

    However, I was extremely scared.

    Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.

    For a first experience, it was a good one despite it being rather terrifying for me.

    But, we all have to start somewhere and build our confidence, don’t we?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #writing #medicine #medicalofficer #medical #malaysia #locuming
  10. The Theoretical Doctor @[email protected] ·

    My First Day Of Locum And As A Medical Officer

    Related Posts:

    A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.

    – Wikipedia.

    The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.

    At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.

    While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.

    Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.

    In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.

    My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.

    The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.

    For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.

    However, I was extremely scared.

    Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.

    For a first experience, it was a good one despite it being rather terrifying for me.

    But, we all have to start somewhere and build our confidence, don’t we?

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #clinic #clinicLife #dailyprompt #dailyprompt1804 #dailyprompt1828 #dailyprompt1833 #dailyprompt1839 #dailyprompt1843 #dailyprompt1853 #dailyprompt1855 #dailyprompt1861 #dailyprompt1862 #dailyprompt1942 #dailyprompt1946 #dailyprompt1947 #dailyprompt1948 #dailyprompt1951 #dailyprompt1953 #dailyprompt1959 #doctor #hospital #hospitalLife #houseOfficer #housemanship #johorBahru #locum #locumTenens #locuming #Malaysia #medical #medicalOfficer #Medicine #writing

    #article #articles #blog #blogging #clinic #cliniclife
  11. The Theoretical Doctor @[email protected] ·

    Jobs That I’ve Had

    Click here for more articles & daily dose.

    What jobs have you had?

    Teacher

    Photo by Tima Miroshnichenko on Pexels.com

    My first job that I’ve ever had was as a Teacher.

    I had just completed my STPM which is a form of pre-university course in Malaysia, equivalent to that of the UK A-Levels and I was waiting for my results.

    At that time, I was on a holiday with my parents and was perusing through Facebook when I came across an advertisement on a job offer at a nearby language centre, looking for an English Language teacher.

    Without any expectations, I applied for it. At least, I’d have some exposure and regularity prior to entering Medical School in September that year.

    Shortly after I returned home, I received a call and an email responding to my application. I went for the interview session and was soon called back and offered a job to which I accepted.

    Barista

    Photo by Barcelona Albertus on Pexels.com

    My second job, I was a barista at a coffee shop as well as worked at the cash register of a store, both at the same time during my first and second year of medical school after which I stopped and subsequently used to work as a waitress for an F&B company. That was my third job. My second and third jobs were jobs mainly to earn extra cash after classes amidst my free time.

    Looking back, I probably should’ve just focused on my writing.

    Junior Doctor

    Photo by RF._.studio _ on Pexels.com

    My fourth and current job is working as a junior doctor at Sarawak General Hospital. I still am one since I started practicing in 2023 and is currently going through my sixth and final rotation (at the time of writing this article) before finally receiving my full APC or license to practice independently both in government or private sector.

    Am I ready for it? Certainly not.

    However, somehow I haven’t quit and I kept pushing through. I don’t know how or why and before I knew it, 2 years has flown by.

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  12. The Theoretical Doctor @[email protected] ·

    Jobs That I’ve Had

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    What jobs have you had?

    Teacher

    Photo by Tima Miroshnichenko on Pexels.com

    My first job that I’ve ever had was as a Teacher.

    I had just completed my STPM which is a form of pre-university course in Malaysia, equivalent to that of the UK A-Levels and I was waiting for my results.

    At that time, I was on a holiday with my parents and was perusing through Facebook when I came across an advertisement on a job offer at a nearby language centre, looking for an English Language teacher.

    Without any expectations, I applied for it. At least, I’d have some exposure and regularity prior to entering Medical School in September that year.

    Shortly after I returned home, I received a call and an email responding to my application. I went for the interview session and was soon called back and offered a job to which I accepted.

    Barista

    Photo by Barcelona Albertus on Pexels.com

    My second job, I was a barista at a coffee shop as well as worked at the cash register of a store, both at the same time during my first and second year of medical school after which I stopped and subsequently used to work as a waitress for an F&B company. That was my third job. My second and third jobs were jobs mainly to earn extra cash after classes amidst my free time.

    Looking back, I probably should’ve just focused on my writing.

    Junior Doctor

    Photo by RF._.studio _ on Pexels.com

    My fourth and current job is working as a junior doctor at Sarawak General Hospital. I still am one since I started practicing in 2023 and is currently going through my sixth and final rotation (at the time of writing this article) before finally receiving my full APC or license to practice independently both in government or private sector.

    Am I ready for it? Certainly not.

    However, somehow I haven’t quit and I kept pushing through. I don’t know how or why and before I knew it, 2 years has flown by.

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  13. The Theoretical Doctor @[email protected] ·

    Surviving The Night Shift As A House Officer In Medical 3 | Housemanship Diaries

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    The Medical 3 Ward of Hospital Umum Sarawak or “Sarawak General Hospital” is located on the 9th floor of the main building.

    Thankfully, being allocated as the Night House Officer, we only had to take care of one ward, unlike being allocated in Medical 4 / Medical 5 / Infectious Disease Ward or being in the Perimedical Team whereby we were always on the go.

    The Medical 3 Ward consists of three teams, which are General Medicine, Respiratory and Neuromedical.

    During the daytime, we have allocated House Officers for each team. However, during the night shift, we are in charge of the whole ward.

    The jobscope of the night shift House Officer in this ward is the same as in other wards and postings which are transferring in of new patients, attending to acute issues and most importantly, coming mornings.

    If you have read my previous article on Surviving The Night Shift In The Medical Posting In General, I mentioned that in this posting, upon my arrival to the ward for my night shift, I would begin taking my coming mornings.

    The same goes for Medical 3. However, unlike the night shift in Perimedical, I do not take my arterial blood gases with my coming mornings.

    I begin from the Respiratory cubicles which is located at the back of the ward and then move to the front cubicles before finally continuing at subacute and acute cubicles which are the beds located in the middle of the ward, in front of the nursing counter.

    If I were late for my coming mornings, then I would proceed with taking the arterial blood gases together. But if I finished early, I would take the blood gases much later.

    By 5:30am – 6am, I would start running my blood gases and paste them in the casenotes of the patients. Around 6am – 7am is when the morning team starts arriving to trace the bloods as well as begin their morning reviews.

    Thus, I wait to be summoned for my bloodtaking or certests.

    Finally, at 9am, I return home from my shift.

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  14. The Theoretical Doctor @[email protected] ·

    Surviving The Night Shift As A House Officer In Medical 3 | Housemanship Diaries

    Related Posts:

    The Medical 3 Ward of Hospital Umum Sarawak or “Sarawak General Hospital” is located on the 9th floor of the main building.

    Thankfully, being allocated as the Night House Officer, we only had to take care of one ward, unlike being allocated in Medical 4 / Medical 5 / Infectious Disease Ward or being in the Perimedical Team whereby we were always on the go.

    The Medical 3 Ward consists of three teams, which are General Medicine, Respiratory and Neuromedical.

    During the daytime, we have allocated House Officers for each team. However, during the night shift, we are in charge of the whole ward.

    The jobscope of the night shift House Officer in this ward is the same as in other wards and postings which are transferring in of new patients, attending to acute issues and most importantly, coming mornings.

    If you have read my previous article on Surviving The Night Shift In The Medical Posting In General, I mentioned that in this posting, upon my arrival to the ward for my night shift, I would begin taking my coming mornings.

    The same goes for Medical 3. However, unlike the night shift in Perimedical, I do not take my arterial blood gases with my coming mornings.

    I begin from the Respiratory cubicles which is located at the back of the ward and then move to the front cubicles before finally continuing at subacute and acute cubicles which are the beds located in the middle of the ward, in front of the nursing counter.

    If I were late for my coming mornings, then I would proceed with taking the arterial blood gases together. But if I finished early, I would take the blood gases much later.

    By 5:30am – 6am, I would start running my blood gases and paste them in the casenotes of the patients. Around 6am – 7am is when the morning team starts arriving to trace the bloods as well as begin their morning reviews.

    Thus, I wait to be summoned for my bloodtaking or certests.

    Finally, at 9am, I return home from my shift.

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  15. The Theoretical Doctor @[email protected] ·

    Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries

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    The shift that I have always dreaded but enjoyed the most were the night shifts. I dreaded it because I knew that I would be alone most of the time and afraid that I would not be able to cope with the adrenaline rush or anxiety or the craziness that might ensue. However, I enjoyed it because that meant that I will be able to sleep in prior to going for my shift and the following day at 7am, the morning team will start arriving and I am not alone anymore.

    The Medical posting in general is a “heavy” posting because of the patient load. Almost all of the patients are so-called “Medical” patients once Surgical, Orthopaedic, Psychiatric or other causes have been ruled out, and it could stem from something as simple as electrolyte imbalance to myocardial infarction or stroke.

    Thus, imagine the amount of coming mornings.

    Prior to entering this posting, I’ve always enquired and listened to my fellow colleagues’ input and experiences. Most of them would say that “In the Medical posting, the rule of thumb for surviving the night shift is to start taking the bloods as soon as you arrive for the night shift”.

    True enough. That is something I have practiced since and even in other postings as you do not know just when something may happen and next thing you know, the sun is rising and your coming mornings are late and the morning team have arrived and the bloods are still pending or not in the system or yet to be taken and the medical officers and specialists have arrived.

    Sadly, when there is a delay in the blood investigations, there is a delay in management.

    Thus, it is a tachycardic moment for me. Prior to entering my shift, I would screen through the coming morning list and upon arriving, I would usually prep my trolley, ensure my coming mornings are divided and arranged according to their cubicles, ensure enough syringes and needles are set aside as well as the alcohol swabs and cotton swabs.

    Then, I will begin taking my coming mornings, usually working my way from the back of the ward then towards the front cubicle, subacute cubicle and finally, ending with the acute cubicle.

    Usually in between, something will occur, maybe a patient newly admitted into ward or a patient will suddenly be hypotensive or hypertensive or hypoglycaemic or starts throwing up or wants to have a small talk.

    Normally, I would not mind entertaining them. However, if I’m still due to complete my coming mornings, I would proceed to complete it and I usually will not rest until I do. At least I’ll be rest assured that should anything occur in between, I would not have to worry about the completion of my coming mornings.

    The night shifts can be rather unpredictable as one minute it can seem rather quiet and calm at first and hectic the next. At times, it can get overwhelming as well.

    However, have faith and know that help is always nearby and start taking your bloods as early as possible.

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  16. The Theoretical Doctor @[email protected] ·

    Surviving The Night Shift In The Medical Posting In General | Housemanship Diaries

    Related Posts:

    The shift that I have always dreaded but enjoyed the most were the night shifts. I dreaded it because I knew that I would be alone most of the time and afraid that I would not be able to cope with the adrenaline rush or anxiety or the craziness that might ensue. However, I enjoyed it because that meant that I will be able to sleep in prior to going for my shift and the following day at 7am, the morning team will start arriving and I am not alone anymore.

    The Medical posting in general is a “heavy” posting because of the patient load. Almost all of the patients are so-called “Medical” patients once Surgical, Orthopaedic, Psychiatric or other causes have been ruled out, and it could stem from something as simple as electrolyte imbalance to myocardial infarction or stroke.

    Thus, imagine the amount of coming mornings.

    Prior to entering this posting, I’ve always enquired and listened to my fellow colleagues’ input and experiences. Most of them would say that “In the Medical posting, the rule of thumb for surviving the night shift is to start taking the bloods as soon as you arrive for the night shift”.

    True enough. That is something I have practiced since and even in other postings as you do not know just when something may happen and next thing you know, the sun is rising and your coming mornings are late and the morning team have arrived and the bloods are still pending or not in the system or yet to be taken and the medical officers and specialists have arrived.

    Sadly, when there is a delay in the blood investigations, there is a delay in management.

    Thus, it is a tachycardic moment for me. Prior to entering my shift, I would screen through the coming morning list and upon arriving, I would usually prep my trolley, ensure my coming mornings are divided and arranged according to their cubicles, ensure enough syringes and needles are set aside as well as the alcohol swabs and cotton swabs.

    Then, I will begin taking my coming mornings, usually working my way from the back of the ward then towards the front cubicle, subacute cubicle and finally, ending with the acute cubicle.

    Usually in between, something will occur, maybe a patient newly admitted into ward or a patient will suddenly be hypotensive or hypertensive or hypoglycaemic or starts throwing up or wants to have a small talk.

    Normally, I would not mind entertaining them. However, if I’m still due to complete my coming mornings, I would proceed to complete it and I usually will not rest until I do. At least I’ll be rest assured that should anything occur in between, I would not have to worry about the completion of my coming mornings.

    The night shifts can be rather unpredictable as one minute it can seem rather quiet and calm at first and hectic the next. At times, it can get overwhelming as well.

    However, have faith and know that help is always nearby and start taking your bloods as early as possible.

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  17. The Theoretical Doctor @[email protected] ·

    Laughing – A Way To Destress

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    What makes you laugh?

    Laughing – A form of de-stressing activity. To which some may find “distressing”?

    Or perhaps I’m just a little unbalanced.

    Photo by ROMAN ODINTSOV on Pexels.com

    However, back to the prompt, I would laugh at almost anything actually.

    Many would ask me on why do I laugh so easily or on almost anything. Honestly, I have no proper answer for it. Perhaps, the easily justifiable answer would be that it has become a form of my default reaction towards answering people. 

    Firstly, it softens my expression, thus making myself seem more approachable (or so I think). Sadly, that also means that sometimes people would not take me seriously. Next, it lightens the situation and prevents a tensed situation from escalating. However, it may also flip the other way around which may further escalate the situation instead as me laughing may deem that I do not take them seriously.

    Sometimes, when I am being thrown an insult, I do react by first laughing about it, as a shield for myself and preventing myself from being hurt or at least giving myself some time before digesting the issues. 

    Then, there are times, when I am lost in my own world, which is most of the time, I would suddenly remember something funny or find something amusing and start laughing to myself. At times, it may escalate into a hearty laughter to which some might find distressing.

    Nevertheless, after a good laugh, I would usually feel better, as they say, it releases endorphins, a “feel good” hormone and thus, “laughter is the best medicine”.

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  18. The Theoretical Doctor @[email protected] ·

    Iced Tea & Cold Brew Coffee

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    What is your favorite drink?

    As the title entails, it is Iced Tea and Cold Coffee.

    1. Iced Tea

    Photo by Barbara Webb on Pexels.com

    I fell in love with tea, green tea, black tea and oolong tea in particular when I was 14 years old.

    At that time, I was looking into drinks to aid my weight loss and I came across green tea and oolong tea being suitable drinks in facilitating weight loss when consumed without sugar.

    Thus, I brewed my first proper sugarless green tea and fell in love with the taste. Ever since then, I started drinking it on a regular basis and it has pretty much replaced water for me.

    Did it aid with weight loss?

    Perhaps in the beginning, eventually, I continued drinking it because I enjoyed the taste be it warm or cold.

    As I started working, I would usually prepare cold brew green tea in order for me to bring to work the following day.

    Photo by Charlotte May on Pexels.com

    Why cold?

    The environment that I’m working in can get rather warm and considering I am a person who perspires easily, the temperature of the tea eases me and provides immediate rejuvenation.

    Even after a long day at work, nothing refreshes me more than a cold brew green tea served in mason jar and a straw.

    2. Cold Coffee

    Photo by Marta Dzedyshko on Pexels.com

    I am a HUGE fan of coffee, black sugarless coffee in particular.

    My love for coffee began since I was in primary school, which I think is a bad thing since children are not supposed to consume coffee.

    Back then, my mother would used to prepare coffee for my father and milo for me prior to my father sending me off to school and heading to work.

    Me and my father would then switch drinks after he has drank half of his drink.

    Then, when I turned 14 years old, I started pulling an all nighter or getting up at midnight just to study.

    Eventually, I developed immunity towards coffee and is able to fall asleep even after consuming it. Thus, I merely consume it out of addiction and routine.

    As I started working, as mentioned in my explanation for cold tea, the environment is rather warm for me to be consuming hot coffee. Hence, I would prepare my mason jars of coffee the night prior and transfer it into my flask the following day.

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  19. The Theoretical Doctor @[email protected] ·

    My Teenage Years

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    Describe a phase in life that was difficult to say goodbye to.

    Upon reading this prompt, I was reminded of my high school days. The first year of high school was very tough for me in terms of adjusting to a new school, cultures and subjects.

    I went from a comfortable place to a different one without any guidance nor advice and I went from being a senior to a freshie all over again, which I did not like.

    In addition to that, I had a very bad temper and used to talk back to my seniors which did not aid in my reputation. Well, that was the first year, things started getting better the following year onwards and my grades picked up. I have accustomed myself to the flow.

    It was during my teenage years that I met my good friends whom I still keep contact to this day albeit not meeting much.

    Looking back, I enjoyed my routine and studying very much. Waking up early was the hardest part of the day, which surprisingly isn’t one for me now, I have transitioned into an early riser.

    This is followed by shower, preparing my breakfast and lunch for school, which mostly just includes me grabbing bread or biscuits and stuffing it in my bag and wait for my parents to send me off to school, which is usually my dad. He would send me off prior going to work.

    I was truly blessed to have experience that.

    In school, it was about attending classes, completing homework or assignments, gossiping with my friends or attending extra-curricular activities. However, the place I truly enjoyed spending my time was in the library. Thus, if I were to bunk class, I would lock myself inside the library and just study or read. The perks of being a librarian. Thankfully, my teacher-in-charge of the library always had my back if I were to be questioned regarding my whereabouts.

    After school, my mother would be the one who usually picks me up from school and most of the time, we would eat outside. Occasionally, she does cook at home and as I am writing this reflection, I truly miss these simple heartwarming dishes.

    This is then followed by me showering, completing my homework, studying, chilling, going out with my mom and getting ready for tuition or extra classes which are usually in the evenings or on alternate days.

    Life was simple and predictable. I remembered attending multiple tuition classes during the week, mainly because I was bored being at home as I was not allowed to simply go out with my friends as I pleased. Thus, I looked forward to those evenings.

    Holidays and weekends were the things I looked forward to as well and I enjoyed recuperating or simply helping my parents out with their chores, watching movies or TV shows, studying with music, writing and playing video games.

    Surprisingly, what aid me in studying back in high school was due to video games. Perhaps it was the way I “destress” and it drives my mind.

    I was not allowed to work during the holidays as my parents feared that once I get the taste of my own earnings, studying will no longer be a priority. However, my pocket money wasn’t great either. But I still got by and occasionally, my dad would slip in some money without my mom knowing just so I could enjoy a nice meal across the road with my friend.

    The stress back then were focused on exams and completing homework. Occasionally, life dramas do get in the way, all part and parcel of being a “teenager”, having crushes, jealousy and bullying.

    However, for the most part, I enjoyed my teenage years and looking back, I wouldn’t change a thing except to be more disciplined in my studying and to learn more.

    Those years flew by rather quickly. Before I knew it, I was a senior and the stress of choosing a major or course and the university applications kicked in. Over the years, I’ve accumulated multiple fond memories with my friends as well which were a mixed of beautiful ones, silly and extremely foolish ones, which we do look back and laugh about during our meet-ups.

    If you are reading this, I hope that you did enjoy your teenage years as much as I did too. If you are a teenager, do not fill your time with just studying, immerse yourself in extracurricular activities as well and discover new habits. It is the season of discovering yourself, and hopefully in years to come when you do look back and ponder, it will be filled with sweet memories as well.

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  20. The Theoretical Doctor @[email protected] ·

    Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward

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    The Peri Medical House Officer Team takes care of:

    1. The Emergency Department
      • Green zone
      • Yellow zone
      • Yellow respiratory zone
      • Green-Yellow zone
      • Asthma Bay
      • Red Zone I
      • Red Zone II
      • Decon
      • CSSD
      • EDOU
    2. Main Building
    3. Side Building
    4. Infectious Disease Ward
    5. SDC (Surgical Daycare)

    In this article, I will be sharing my experiences as a Perimedical House Officer covering main building, side building, SDC as well as the Infectious Disease (ID) ward.

    As I previously mentioned in my previous article, the work begins from 7am till 6pm (short days), 7am till 10pm (long days) and 8am till 9am (night shifts).

    Covering this part of the hospital meant taking care of “stranded patients” which are medical patients who are lodging in other department wards as there are no space or beds available in the main medical wards. Usually, patients like these are somewhat stable enough to be left on their own without constant supervision. Those that do require, are usually left in the Emergency Department or transferred straight to medical wards.

    The Main Building

    Taking care of the Main Building meant that one would have to cover:

    On some days, there would not be any perimedical patients in certain wards. Thus, there are days that we do not have to go to these wards. On bad days, there are perimedical patients on every floor and the patient count will be extremely high.

    During my time serving in the main building, I was blessed enough to have a partner. Thus, despite the high volume of patients, it felt manageable.

    Upon my arrival, I usually begin from the highest floor and work my way down. Thus, I begin from the 7th floor by checking with the TL or Team Leader to identify new cases and update the list followed by tracing the blood investigations.

    This is to ensure that the patients are not missed during rounds.

    I proceed with doing this in the wards of every floor till I am done prior to beginning my morning reviews.

    Usually by then, the Medical Officers have arrived and are proceeding with their morning reviews.

    Sometimes, we join in and sometimes, we are asked to review the other patients and on our own until the specialist arrives.

    Upon the specialist’s arrival, we would all meet up at one place to begin out rounds.

    Rounds in perimedical is similar to that in the ward. The only difference is that rounds are once daily and the patients are all around the place.

    In between, there would be new transfer ins, attending to acute issues of which the nurses from other wards would call or inform the House Officers from other departments.

    After that, it is followed by preparation of the coming morning bloods. The wards and bed numbers are labelled on top of the forms and kept in the ETD for the night House Officers to take.

    The Side Building

    The Side Building is less hectic than main building and that meant we had to cover:

    As usual, upon my arrival, I would begin at the topmost floor and check for any new patients as well as to trace the bloods.

    After all of it is done, I begin my review in the ICU Extension 2 Ward. The ICU Extension 2 ward consists of unstable, intubated patients of various departments.

    Usually by the time I begin my morning review, the specialist would have just arrived and we begin our rounds.

    After the ICU Extension 2 is followed by Neurosurgical Ward since they are located at the same place, then Neurosurgical HDU.

    Upon completion of morning rounds is followed by carrying out the active joblists, discharges and requesting for radiological scans.

    Similar to Main Building, the coming morning bloods are prepped and kept at the Emergency Department for the night house officers to collect.

    SDC – Surgical Day Care

    SDC is the Surgical Day Care as per the name. Usually patients who are admitted here come in on the day of the procedure itself and is discharged in the evening.

    However, when the wards are fully occupied and the Emergency Department is overflowing with stranded patients, the SDC converts temporarily to host the stranded patients.

    At max, the patient load is only two cubicles full and the patients being admitted there are usually relatively stable.

    Similar to main building and side building, I begin my day with tracing the bloods, x-rays or any relevant radiologist reports before beginning my review and rounds with the medical officer and specialists.

    The Infectious Disease Ward

    The Infectious Disease Ward or “ID Ward” is located in a building separate from the main or side building.

    Previously, it used to be the House Officer’s Accommodation. However, it was subsequently converted into a ward.

    The ward consists of two floors with each floor containing 6 isolation rooms for each floor. Upon entering the ward itself, one has to change into the hospital scrubs and prior entering the ward isolation rooms, one has to don apron, shower cap and gloves, the standard PPE.

    The casenotes are not allowed to be brought in, thus all reviews are written outside.

    What do I do if I were stationed to at the Infectious Disease Ward?

    The house officer allocated to the ID ward are those from the Peri Pool, meaning our shift is from 7am till 6pm for short days.

    Thus, upon my arrival, I would change into the hospital scrubs. Then, I would proceed to trace the bloods. The bloods sent from the ID ward are usually late. Thus. It would either be pending in the system or yet to be in the system.

    Next, I will begin my reviews, first to the newly transferred in patients followed by the rest while awaiting the medical officer.

    There is a whiteboard consisting of the names of the patients in the isolation rooms. Usually in the morning prior to entering the isolation rooms, we would have a short round and presentation with the ID consultant with the whiteboard.

    Thus, during my time there, I would constantly update and personalise it according to my style which would be easier for me during my presentation with the ward consultant.

    After that, we will all proceed to the isolation room. As House Officers, we are the scribe and assistants of the medical officers. Since, we are not allowed to bring the casenotes into the isolation room, thus we will type everything inside our phone and transfer it onto paper after our grand rounds with the patients.

    Rounds at the Infectious Disease Ward is only once daily.

    After the completion of rounds, just like any ward is the completion of active joblist.

    Personally, I enjoyed my time in the Infectious Disease Ward a lot, mainly because I was given the autonomy to customise the board as I liked, present to the consultant myself and was asked multiple questions during rounds and having discussions which I find rather stimulating and enjoyable.

    On top of that, I even had time to return home for a quick lunch every time I was stationed at this ward.

    In the afternoon, some patients on high oxygen support may need arterial blood gases (ABGs) at certain time. If not, it is the preparation of coming morning bloods and transfer ins of any new patients.

    Being in charge of the other places is considerably less hectic than being allocated in the Yellow Zone which can get rather crazy at times as there is massive movement of patients constantly. It actually feels like as if I am at KL Sentral during peak hours.

    However, do not fear if you are allocated into the Peri Medical Pool. The workload can get extremely hectic and it can be rather messy. But, always try your best to learn as much as you can during your period serving there and to enjoy your journey.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1813 #dailyprompt1823 #dailyprompt1826 #dailyprompt1828 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1952 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1956 #dailyprompt1957 #dailyprompt1959 #dailyprompt1962 #dailyprompt1963 #dailyprompt1971 #dailyprompt1976 #dailyprompt1977 #dailyprompt1978 #dailyprompt1979 #doctor #emergency #emergencyDeparment #healthcare #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #Medicine #periMedical #sarawak #sarawakGeneralHospital #write #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1813
  21. The Theoretical Doctor @[email protected] ·

    Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward

    Related Posts:

    The Peri Medical House Officer Team takes care of:

    1. The Emergency Department
      • Green zone
      • Yellow zone
      • Yellow respiratory zone
      • Green-Yellow zone
      • Asthma Bay
      • Red Zone I
      • Red Zone II
      • Decon
      • CSSD
      • EDOU
    2. Main Building
    3. Side Building
    4. Infectious Disease Ward
    5. SDC (Surgical Daycare)

    In this article, I will be sharing my experiences as a Perimedical House Officer covering main building, side building, SDC as well as the Infectious Disease (ID) ward.

    As I previously mentioned in my previous article, the work begins from 7am till 6pm (short days), 7am till 10pm (long days) and 8am till 9am (night shifts).

    Covering this part of the hospital meant taking care of “stranded patients” which are medical patients who are lodging in other department wards as there are no space or beds available in the main medical wards. Usually, patients like these are somewhat stable enough to be left on their own without constant supervision. Those that do require, are usually left in the Emergency Department or transferred straight to medical wards.

    The Main Building

    Taking care of the Main Building meant that one would have to cover:

    On some days, there would not be any perimedical patients in certain wards. Thus, there are days that we do not have to go to these wards. On bad days, there are perimedical patients on every floor and the patient count will be extremely high.

    During my time serving in the main building, I was blessed enough to have a partner. Thus, despite the high volume of patients, it felt manageable.

    Upon my arrival, I usually begin from the highest floor and work my way down. Thus, I begin from the 7th floor by checking with the TL or Team Leader to identify new cases and update the list followed by tracing the blood investigations.

    This is to ensure that the patients are not missed during rounds.

    I proceed with doing this in the wards of every floor till I am done prior to beginning my morning reviews.

    Usually by then, the Medical Officers have arrived and are proceeding with their morning reviews.

    Sometimes, we join in and sometimes, we are asked to review the other patients and on our own until the specialist arrives.

    Upon the specialist’s arrival, we would all meet up at one place to begin out rounds.

    Rounds in perimedical is similar to that in the ward. The only difference is that rounds are once daily and the patients are all around the place.

    In between, there would be new transfer ins, attending to acute issues of which the nurses from other wards would call or inform the House Officers from other departments.

    After that, it is followed by preparation of the coming morning bloods. The wards and bed numbers are labelled on top of the forms and kept in the ETD for the night House Officers to take.

    The Side Building

    The Side Building is less hectic than main building and that meant we had to cover:

    As usual, upon my arrival, I would begin at the topmost floor and check for any new patients as well as to trace the bloods.

    After all of it is done, I begin my review in the ICU Extension 2 Ward. The ICU Extension 2 ward consists of unstable, intubated patients of various departments.

    Usually by the time I begin my morning review, the specialist would have just arrived and we begin our rounds.

    After the ICU Extension 2 is followed by Neurosurgical Ward since they are located at the same place, then Neurosurgical HDU.

    Upon completion of morning rounds is followed by carrying out the active joblists, discharges and requesting for radiological scans.

    Similar to Main Building, the coming morning bloods are prepped and kept at the Emergency Department for the night house officers to collect.

    SDC – Surgical Day Care

    SDC is the Surgical Day Care as per the name. Usually patients who are admitted here come in on the day of the procedure itself and is discharged in the evening.

    However, when the wards are fully occupied and the Emergency Department is overflowing with stranded patients, the SDC converts temporarily to host the stranded patients.

    At max, the patient load is only two cubicles full and the patients being admitted there are usually relatively stable.

    Similar to main building and side building, I begin my day with tracing the bloods, x-rays or any relevant radiologist reports before beginning my review and rounds with the medical officer and specialists.

    The Infectious Disease Ward

    The Infectious Disease Ward or “ID Ward” is located in a building separate from the main or side building.

    Previously, it used to be the House Officer’s Accommodation. However, it was subsequently converted into a ward.

    The ward consists of two floors with each floor containing 6 isolation rooms for each floor. Upon entering the ward itself, one has to change into the hospital scrubs and prior entering the ward isolation rooms, one has to don apron, shower cap and gloves, the standard PPE.

    The casenotes are not allowed to be brought in, thus all reviews are written outside.

    What do I do if I were stationed to at the Infectious Disease Ward?

    The house officer allocated to the ID ward are those from the Peri Pool, meaning our shift is from 7am till 6pm for short days.

    Thus, upon my arrival, I would change into the hospital scrubs. Then, I would proceed to trace the bloods. The bloods sent from the ID ward are usually late. Thus. It would either be pending in the system or yet to be in the system.

    Next, I will begin my reviews, first to the newly transferred in patients followed by the rest while awaiting the medical officer.

    There is a whiteboard consisting of the names of the patients in the isolation rooms. Usually in the morning prior to entering the isolation rooms, we would have a short round and presentation with the ID consultant with the whiteboard.

    Thus, during my time there, I would constantly update and personalise it according to my style which would be easier for me during my presentation with the ward consultant.

    After that, we will all proceed to the isolation room. As House Officers, we are the scribe and assistants of the medical officers. Since, we are not allowed to bring the casenotes into the isolation room, thus we will type everything inside our phone and transfer it onto paper after our grand rounds with the patients.

    Rounds at the Infectious Disease Ward is only once daily.

    After the completion of rounds, just like any ward is the completion of active joblist.

    Personally, I enjoyed my time in the Infectious Disease Ward a lot, mainly because I was given the autonomy to customise the board as I liked, present to the consultant myself and was asked multiple questions during rounds and having discussions which I find rather stimulating and enjoyable.

    On top of that, I even had time to return home for a quick lunch every time I was stationed at this ward.

    In the afternoon, some patients on high oxygen support may need arterial blood gases (ABGs) at certain time. If not, it is the preparation of coming morning bloods and transfer ins of any new patients.

    Being in charge of the other places is considerably less hectic than being allocated in the Yellow Zone which can get rather crazy at times as there is massive movement of patients constantly. It actually feels like as if I am at KL Sentral during peak hours.

    However, do not fear if you are allocated into the Peri Medical Pool. The workload can get extremely hectic and it can be rather messy. But, always try your best to learn as much as you can during your period serving there and to enjoy your journey.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1813 #dailyprompt1823 #dailyprompt1826 #dailyprompt1828 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1952 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1956 #dailyprompt1957 #dailyprompt1959 #dailyprompt1962 #dailyprompt1963 #dailyprompt1971 #dailyprompt1976 #dailyprompt1977 #dailyprompt1978 #dailyprompt1979 #doctor #emergency #emergencyDeparment #healthcare #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #Medicine #periMedical #sarawak #sarawakGeneralHospital #write #writing

    #writing #write #sarawakgeneralhospital #sarawak #perimedical #medicine
  22. The Theoretical Doctor @[email protected] ·

    Part 2 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | Main Building, Side Building, Infectious Disease Ward

    Related Posts:

    The Peri Medical House Officer Team takes care of:

    1. The Emergency Department
      • Green zone
      • Yellow zone
      • Yellow respiratory zone
      • Green-Yellow zone
      • Asthma Bay
      • Red Zone I
      • Red Zone II
      • Decon
      • CSSD
      • EDOU
    2. Main Building
    3. Side Building
    4. Infectious Disease Ward
    5. SDC (Surgical Daycare)

    In this article, I will be sharing my experiences as a Perimedical House Officer covering main building, side building, SDC as well as the Infectious Disease (ID) ward.

    As I previously mentioned in my previous article, the work begins from 7am till 6pm (short days), 7am till 10pm (long days) and 8am till 9am (night shifts).

    Covering this part of the hospital meant taking care of “stranded patients” which are medical patients who are lodging in other department wards as there are no space or beds available in the main medical wards. Usually, patients like these are somewhat stable enough to be left on their own without constant supervision. Those that do require, are usually left in the Emergency Department or transferred straight to medical wards.

    The Main Building

    Taking care of the Main Building meant that one would have to cover:

    On some days, there would not be any perimedical patients in certain wards. Thus, there are days that we do not have to go to these wards. On bad days, there are perimedical patients on every floor and the patient count will be extremely high.

    During my time serving in the main building, I was blessed enough to have a partner. Thus, despite the high volume of patients, it felt manageable.

    Upon my arrival, I usually begin from the highest floor and work my way down. Thus, I begin from the 7th floor by checking with the TL or Team Leader to identify new cases and update the list followed by tracing the blood investigations.

    This is to ensure that the patients are not missed during rounds.

    I proceed with doing this in the wards of every floor till I am done prior to beginning my morning reviews.

    Usually by then, the Medical Officers have arrived and are proceeding with their morning reviews.

    Sometimes, we join in and sometimes, we are asked to review the other patients and on our own until the specialist arrives.

    Upon the specialist’s arrival, we would all meet up at one place to begin out rounds.

    Rounds in perimedical is similar to that in the ward. The only difference is that rounds are once daily and the patients are all around the place.

    In between, there would be new transfer ins, attending to acute issues of which the nurses from other wards would call or inform the House Officers from other departments.

    After that, it is followed by preparation of the coming morning bloods. The wards and bed numbers are labelled on top of the forms and kept in the ETD for the night House Officers to take.

    The Side Building

    The Side Building is less hectic than main building and that meant we had to cover:

    As usual, upon my arrival, I would begin at the topmost floor and check for any new patients as well as to trace the bloods.

    After all of it is done, I begin my review in the ICU Extension 2 Ward. The ICU Extension 2 ward consists of unstable, intubated patients of various departments.

    Usually by the time I begin my morning review, the specialist would have just arrived and we begin our rounds.

    After the ICU Extension 2 is followed by Neurosurgical Ward since they are located at the same place, then Neurosurgical HDU.

    Upon completion of morning rounds is followed by carrying out the active joblists, discharges and requesting for radiological scans.

    Similar to Main Building, the coming morning bloods are prepped and kept at the Emergency Department for the night house officers to collect.

    SDC – Surgical Day Care

    SDC is the Surgical Day Care as per the name. Usually patients who are admitted here come in on the day of the procedure itself and is discharged in the evening.

    However, when the wards are fully occupied and the Emergency Department is overflowing with stranded patients, the SDC converts temporarily to host the stranded patients.

    At max, the patient load is only two cubicles full and the patients being admitted there are usually relatively stable.

    Similar to main building and side building, I begin my day with tracing the bloods, x-rays or any relevant radiologist reports before beginning my review and rounds with the medical officer and specialists.

    The Infectious Disease Ward

    The Infectious Disease Ward or “ID Ward” is located in a building separate from the main or side building.

    Previously, it used to be the House Officer’s Accommodation. However, it was subsequently converted into a ward.

    The ward consists of two floors with each floor containing 6 isolation rooms for each floor. Upon entering the ward itself, one has to change into the hospital scrubs and prior entering the ward isolation rooms, one has to don apron, shower cap and gloves, the standard PPE.

    The casenotes are not allowed to be brought in, thus all reviews are written outside.

    What do I do if I were stationed to at the Infectious Disease Ward?

    The house officer allocated to the ID ward are those from the Peri Pool, meaning our shift is from 7am till 6pm for short days.

    Thus, upon my arrival, I would change into the hospital scrubs. Then, I would proceed to trace the bloods. The bloods sent from the ID ward are usually late. Thus. It would either be pending in the system or yet to be in the system.

    Next, I will begin my reviews, first to the newly transferred in patients followed by the rest while awaiting the medical officer.

    There is a whiteboard consisting of the names of the patients in the isolation rooms. Usually in the morning prior to entering the isolation rooms, we would have a short round and presentation with the ID consultant with the whiteboard.

    Thus, during my time there, I would constantly update and personalise it according to my style which would be easier for me during my presentation with the ward consultant.

    After that, we will all proceed to the isolation room. As House Officers, we are the scribe and assistants of the medical officers. Since, we are not allowed to bring the casenotes into the isolation room, thus we will type everything inside our phone and transfer it onto paper after our grand rounds with the patients.

    Rounds at the Infectious Disease Ward is only once daily.

    After the completion of rounds, just like any ward is the completion of active joblist.

    Personally, I enjoyed my time in the Infectious Disease Ward a lot, mainly because I was given the autonomy to customise the board as I liked, present to the consultant myself and was asked multiple questions during rounds and having discussions which I find rather stimulating and enjoyable.

    On top of that, I even had time to return home for a quick lunch every time I was stationed at this ward.

    In the afternoon, some patients on high oxygen support may need arterial blood gases (ABGs) at certain time. If not, it is the preparation of coming morning bloods and transfer ins of any new patients.

    Being in charge of the other places is considerably less hectic than being allocated in the Yellow Zone which can get rather crazy at times as there is massive movement of patients constantly. It actually feels like as if I am at KL Sentral during peak hours.

    However, do not fear if you are allocated into the Peri Medical Pool. The workload can get extremely hectic and it can be rather messy. But, always try your best to learn as much as you can during your period serving there and to enjoy your journey.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #dailyprompt #dailyprompt1813 #dailyprompt1823 #dailyprompt1826 #dailyprompt1828 #dailyprompt1949 #dailyprompt1950 #dailyprompt1951 #dailyprompt1952 #dailyprompt1953 #dailyprompt1954 #dailyprompt1955 #dailyprompt1956 #dailyprompt1957 #dailyprompt1959 #dailyprompt1962 #dailyprompt1963 #dailyprompt1971 #dailyprompt1976 #dailyprompt1977 #dailyprompt1978 #dailyprompt1979 #doctor #emergency #emergencyDeparment #healthcare #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #Medicine #periMedical #sarawak #sarawakGeneralHospital #write #writing

    #article #articles #blog #blogging #dailyprompt #dailyprompt1813
  23. The Theoretical Doctor @[email protected] ·

    Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department

    Related Posts:

    Upon entering the Medical Posting, I was stationed into the “Peri-Medical Pool”. My “birthplace”, so-called.

    Prior to entering the Medical Posting, many of my colleagues commented that the Peri-Medical pool is probably one of the worst place to enter considering that it is rather hectic, busy and messy, not to mention the joblist is never ending.

    The working shift for a Medical House Officer is as such:

    • Short Day (SD): 7am till 6pm
    • Long Day (LD): 7am till 10pm
    • Night Shift (ON): 8pm till 9am

    The Emergency Department in Hospital Umum Sarawak is rather huge and consists of:

    • Green Zone
    • EDAU
    • CSSD
    • Yellow Zone
    • Yellow Respi Zone
    • Green Yellow Zone
    • Red Zone I
    • Res Zone II
    • Decon

    Usually a House Officer is allocated to take care of more than one zones.

    For example:

    • Green Zone / EDAY / CSSD
    • Yellow Zone / Green Yellow Zone
    • Red Zone I / Red Zone II / Yellow Respi Zone

    When the amount of manpower is high, the job gets done quickly and keeping track of the patients is easier.

    However, in days where we are stretched thin it is rather difficult.

    The Day Shift

    Photo by Laura James on Pexels.com

    Since I entered the Peri Medical Pool on my Day 1 of tagging in the Medical Posting, my working hours were from 7am till 10pm every day till I offtagged.

    I begin my day by first tracing the casenotes of the patients in the zone I am allocated to, snap pictures of the chest x-rays, any relevant radiological reports as well as to trace their bloods.

    If bloods were not taken or not in the system, we would then proceed to “summon” the post-night team for help with their bloods.

    After all the patients have been traced and the Google Lists have been updated (this is to aid us during our rounds as well as following up on their location later, to ensure that they are not being missed), then I would proceed with my morning reviews.

    The morning reviews are just as usual as any morning ward reviews, rounds with the Medical Officer and Specialists and finally carrying out any active joblists.

    Since we are in the emergency department, there is usually no afternoon reviews. It depends on the medical officer. Most of the time, rounds are just once daily.

    After we are done with our morning joblists, we have to actively screen through the patients in our allocated zones as there is constant movement of the patients in both in and out of the emergency department.

    Thus, this means assisting the current on-call team for the day with any STAT bloods or STAT radiological requests as well as updating their progress.

    On most days, it is manageable despite the chaos. However, on days where we are lacking in manpower, the difficulty sets in.

    The Night Shift

    Photo by Photo By: Kaboompics.com on Pexels.com

    The night shift begins at 8pm till 9am the following day or until we are done with our “summons”.

    I was blessed enough to have gone through perimedical with a partner. Thus, there were two House Officers allocated for the night shift.

    As night House Officers in Peri-Medical. We are expected to continue screening through all the casenotes for any new joblist or patients in all the zones in the Emergency Department as well as to assist in any procedures, take STAT bloods or request STAT radiological procedures.

    In addition to that, we also have to cover the main building and the side building. This means, if there are any medical patients lodging in non-medical wards, we are in charge of them as well. Most of the time, it is just new transfer ins, sometimes, it is attending to any acute issues.

    This is then followed by taking the “coming mornings” or bloods of the stranded patients in the Emergency Department of the lodging patients.

    The amount of patients in the Medical Department is extremely high and thus, the medical patients can be stranded up to days in the Emergency Department which can even last till they are being discharged.

    Thus, this ensures that the patients are being continued on their treatment irregardless of their location within the hospital.

    The night shift as a perimedical house officer can get rather hectic if there are back-to-back influx of new patients in the Emergency Department, tons of coming mornings as well as acute issues in the ward.

    In the morning, the “summoned” list can get rather extensive and chaotic as well and can be rather endless.

    Hence, on top of the constant walking about the whole hospital, it can get rather tiring. But like I said, it is doable and manageable.

    In fact, I enjoyed life as a perimedical house officer a lot.

    If you are due to join Peri-Medical, fret not. Keep yourselves equipped with necessary forms and just work quick and as fast as you can.

    On some days, one might get lost in the sea of chaos. However, stay strong and know that help is always within reach and that you are not alone.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #bloggingAsADoctor #dailyblog #dailyprompt #dailyprompt1804 #dailyprompt1813 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1841 #dailyprompt1844 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1860 #dailyprompt1959 #dailyprompt1962 #dailyprompt1971 #doctor #emergencyDepartment #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #medicalOfficer #Medicine #periMedical #sarawak #sarawakGeneralHospital #writing

    #article #articles #blog #blogging #bloggingasadoctor #dailyblog
  24. The Theoretical Doctor @[email protected] ·

    Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department

    Related Posts:

    Upon entering the Medical Posting, I was stationed into the “Peri-Medical Pool”. My “birthplace”, so-called.

    Prior to entering the Medical Posting, many of my colleagues commented that the Peri-Medical pool is probably one of the worst place to enter considering that it is rather hectic, busy and messy, not to mention the joblist is never ending.

    The working shift for a Medical House Officer is as such:

    • Short Day (SD): 7am till 6pm
    • Long Day (LD): 7am till 10pm
    • Night Shift (ON): 8pm till 9am

    The Emergency Department in Hospital Umum Sarawak is rather huge and consists of:

    • Green Zone
    • EDAU
    • CSSD
    • Yellow Zone
    • Yellow Respi Zone
    • Green Yellow Zone
    • Red Zone I
    • Res Zone II
    • Decon

    Usually a House Officer is allocated to take care of more than one zones.

    For example:

    • Green Zone / EDAY / CSSD
    • Yellow Zone / Green Yellow Zone
    • Red Zone I / Red Zone II / Yellow Respi Zone

    When the amount of manpower is high, the job gets done quickly and keeping track of the patients is easier.

    However, in days where we are stretched thin it is rather difficult.

    The Day Shift

    Photo by Laura James on Pexels.com

    Since I entered the Peri Medical Pool on my Day 1 of tagging in the Medical Posting, my working hours were from 7am till 10pm every day till I offtagged.

    I begin my day by first tracing the casenotes of the patients in the zone I am allocated to, snap pictures of the chest x-rays, any relevant radiological reports as well as to trace their bloods.

    If bloods were not taken or not in the system, we would then proceed to “summon” the post-night team for help with their bloods.

    After all the patients have been traced and the Google Lists have been updated (this is to aid us during our rounds as well as following up on their location later, to ensure that they are not being missed), then I would proceed with my morning reviews.

    The morning reviews are just as usual as any morning ward reviews, rounds with the Medical Officer and Specialists and finally carrying out any active joblists.

    Since we are in the emergency department, there is usually no afternoon reviews. It depends on the medical officer. Most of the time, rounds are just once daily.

    After we are done with our morning joblists, we have to actively screen through the patients in our allocated zones as there is constant movement of the patients in both in and out of the emergency department.

    Thus, this means assisting the current on-call team for the day with any STAT bloods or STAT radiological requests as well as updating their progress.

    On most days, it is manageable despite the chaos. However, on days where we are lacking in manpower, the difficulty sets in.

    The Night Shift

    Photo by Photo By: Kaboompics.com on Pexels.com

    The night shift begins at 8pm till 9am the following day or until we are done with our “summons”.

    I was blessed enough to have gone through perimedical with a partner. Thus, there were two House Officers allocated for the night shift.

    As night House Officers in Peri-Medical. We are expected to continue screening through all the casenotes for any new joblist or patients in all the zones in the Emergency Department as well as to assist in any procedures, take STAT bloods or request STAT radiological procedures.

    In addition to that, we also have to cover the main building and the side building. This means, if there are any medical patients lodging in non-medical wards, we are in charge of them as well. Most of the time, it is just new transfer ins, sometimes, it is attending to any acute issues.

    This is then followed by taking the “coming mornings” or bloods of the stranded patients in the Emergency Department of the lodging patients.

    The amount of patients in the Medical Department is extremely high and thus, the medical patients can be stranded up to days in the Emergency Department which can even last till they are being discharged.

    Thus, this ensures that the patients are being continued on their treatment irregardless of their location within the hospital.

    The night shift as a perimedical house officer can get rather hectic if there are back-to-back influx of new patients in the Emergency Department, tons of coming mornings as well as acute issues in the ward.

    In the morning, the “summoned” list can get rather extensive and chaotic as well and can be rather endless.

    Hence, on top of the constant walking about the whole hospital, it can get rather tiring. But like I said, it is doable and manageable.

    In fact, I enjoyed life as a perimedical house officer a lot.

    If you are due to join Peri-Medical, fret not. Keep yourselves equipped with necessary forms and just work quick and as fast as you can.

    On some days, one might get lost in the sea of chaos. However, stay strong and know that help is always within reach and that you are not alone.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #bloggingAsADoctor #dailyblog #dailyprompt #dailyprompt1804 #dailyprompt1813 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1841 #dailyprompt1844 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1860 #dailyprompt1959 #dailyprompt1962 #dailyprompt1971 #doctor #emergencyDepartment #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #medicalOfficer #Medicine #periMedical #sarawak #sarawakGeneralHospital #writing

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  25. The Theoretical Doctor @[email protected] ·

    Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department

    Related Posts:

    Upon entering the Medical Posting, I was stationed into the “Peri-Medical Pool”. My “birthplace”, so-called.

    Prior to entering the Medical Posting, many of my colleagues commented that the Peri-Medical pool is probably one of the worst place to enter considering that it is rather hectic, busy and messy, not to mention the joblist is never ending.

    The working shift for a Medical House Officer is as such:

    • Short Day (SD): 7am till 6pm
    • Long Day (LD): 7am till 10pm
    • Night Shift (ON): 8pm till 9am

    The Emergency Department in Hospital Umum Sarawak is rather huge and consists of:

    • Green Zone
    • EDAU
    • CSSD
    • Yellow Zone
    • Yellow Respi Zone
    • Green Yellow Zone
    • Red Zone I
    • Res Zone II
    • Decon

    Usually a House Officer is allocated to take care of more than one zones.

    For example:

    • Green Zone / EDAY / CSSD
    • Yellow Zone / Green Yellow Zone
    • Red Zone I / Red Zone II / Yellow Respi Zone

    When the amount of manpower is high, the job gets done quickly and keeping track of the patients is easier.

    However, in days where we are stretched thin it is rather difficult.

    The Day Shift

    Photo by Laura James on Pexels.com

    Since I entered the Peri Medical Pool on my Day 1 of tagging in the Medical Posting, my working hours were from 7am till 10pm every day till I offtagged.

    I begin my day by first tracing the casenotes of the patients in the zone I am allocated to, snap pictures of the chest x-rays, any relevant radiological reports as well as to trace their bloods.

    If bloods were not taken or not in the system, we would then proceed to “summon” the post-night team for help with their bloods.

    After all the patients have been traced and the Google Lists have been updated (this is to aid us during our rounds as well as following up on their location later, to ensure that they are not being missed), then I would proceed with my morning reviews.

    The morning reviews are just as usual as any morning ward reviews, rounds with the Medical Officer and Specialists and finally carrying out any active joblists.

    Since we are in the emergency department, there is usually no afternoon reviews. It depends on the medical officer. Most of the time, rounds are just once daily.

    After we are done with our morning joblists, we have to actively screen through the patients in our allocated zones as there is constant movement of the patients in both in and out of the emergency department.

    Thus, this means assisting the current on-call team for the day with any STAT bloods or STAT radiological requests as well as updating their progress.

    On most days, it is manageable despite the chaos. However, on days where we are lacking in manpower, the difficulty sets in.

    The Night Shift

    Photo by Photo By: Kaboompics.com on Pexels.com

    The night shift begins at 8pm till 9am the following day or until we are done with our “summons”.

    I was blessed enough to have gone through perimedical with a partner. Thus, there were two House Officers allocated for the night shift.

    As night House Officers in Peri-Medical. We are expected to continue screening through all the casenotes for any new joblist or patients in all the zones in the Emergency Department as well as to assist in any procedures, take STAT bloods or request STAT radiological procedures.

    In addition to that, we also have to cover the main building and the side building. This means, if there are any medical patients lodging in non-medical wards, we are in charge of them as well. Most of the time, it is just new transfer ins, sometimes, it is attending to any acute issues.

    This is then followed by taking the “coming mornings” or bloods of the stranded patients in the Emergency Department of the lodging patients.

    The amount of patients in the Medical Department is extremely high and thus, the medical patients can be stranded up to days in the Emergency Department which can even last till they are being discharged.

    Thus, this ensures that the patients are being continued on their treatment irregardless of their location within the hospital.

    The night shift as a perimedical house officer can get rather hectic if there are back-to-back influx of new patients in the Emergency Department, tons of coming mornings as well as acute issues in the ward.

    In the morning, the “summoned” list can get rather extensive and chaotic as well and can be rather endless.

    Hence, on top of the constant walking about the whole hospital, it can get rather tiring. But like I said, it is doable and manageable.

    In fact, I enjoyed life as a perimedical house officer a lot.

    If you are due to join Peri-Medical, fret not. Keep yourselves equipped with necessary forms and just work quick and as fast as you can.

    On some days, one might get lost in the sea of chaos. However, stay strong and know that help is always within reach and that you are not alone.

    Related Posts:

    YouTube | Instagram | Pinterest | Facebook | Spotify

    About Me | Privacy Policy | Contact Me

    #article #Articles #Blog #blogging #bloggingAsADoctor #dailyblog #dailyprompt #dailyprompt1804 #dailyprompt1813 #dailyprompt1834 #dailyprompt1836 #dailyprompt1838 #dailyprompt1841 #dailyprompt1844 #dailyprompt1853 #dailyprompt1855 #dailyprompt1857 #dailyprompt1858 #dailyprompt1860 #dailyprompt1959 #dailyprompt1962 #dailyprompt1971 #doctor #emergencyDepartment #hospital #hospitalUmumSarawak #houseOfficer #housemanship #kuching #medical #medicalOfficer #Medicine #periMedical #sarawak #sarawakGeneralHospital #writing

    #article #articles #blog #blogging #bloggingasadoctor #dailyblog
  26. Inside the Red Head's Head @[email protected] ·
    Daily writing prompt Do you remember your favorite book from childhood? View all responses

    They aren’t even trying anymore.

    You want my answer to today’s question? Read yesterday’s answer. Same thing. Two days in a row of pandering to the religious right by asking a question that will fish for the bible as a response. Yippee.

    Alas, Babylon
    Hot Rod
    1984
    Brave New World

    See a trend? I do too. Both in my answer and in the question. I wonder how they will fish for the bible tomorrow. Someone at Jetpack or WordPress.com must be trying to rig a bet or something.

    https://robertjames1971.blog/2024/06/04/again-already/

    #dailyprompt #dailyprompt1959

    #dailyprompt #dailyprompt1959
  27. Inside the Red Head's Head @[email protected] ·
    Daily writing prompt Do you remember your favorite book from childhood? View all responses

    They aren’t even trying anymore.

    You want my answer to today’s question? Read yesterday’s answer. Same thing. Two days in a row of pandering to the religious right by asking a question that will fish for the bible as a response. Yippee.

    Alas, Babylon
    Hot Rod
    1984
    Brave New World

    See a trend? I do too. Both in my answer and in the question. I wonder how they will fish for the bible tomorrow. Someone at Jetpack or WordPress.com must be trying to rig a bet or something.

    https://robertjames1971.blog/2024/06/04/again-already/

    #dailyprompt #dailyprompt1959

    #dailyprompt #dailyprompt1959
  28. Inside the Red Head's Head @[email protected] ·
    Daily writing prompt Do you remember your favorite book from childhood? View all responses

    They aren’t even trying anymore.

    You want my answer to today’s question? Read yesterday’s answer. Same thing. Two days in a row of pandering to the religious right by asking a question that will fish for the bible as a response. Yippee.

    Alas, Babylon
    Hot Rod
    1984
    Brave New World

    See a trend? I do too. Both in my answer and in the question. I wonder how they will fish for the bible tomorrow. Someone at Jetpack or WordPress.com must be trying to rig a bet or something.

    https://robertjames1971.blog/2024/06/04/again-already/

    #dailyprompt #dailyprompt1959

    #dailyprompt #dailyprompt1959
  29. Inside the Red Head's Head @[email protected] ·
    Daily writing prompt Do you remember your favorite book from childhood? View all responses

    They aren’t even trying anymore.

    You want my answer to today’s question? Read yesterday’s answer. Same thing. Two days in a row of pandering to the religious right by asking a question that will fish for the bible as a response. Yippee.

    Alas, Babylon
    Hot Rod
    1984
    Brave New World

    See a trend? I do too. Both in my answer and in the question. I wonder how they will fish for the bible tomorrow. Someone at Jetpack or WordPress.com must be trying to rig a bet or something.

    https://robertjames1971.blog/2024/06/04/again-already/

    #dailyprompt #dailyprompt1959

    #dailyprompt1959 #dailyprompt
  30. Inside the Red Head's Head @[email protected] ·
    Daily writing prompt Do you remember your favorite book from childhood? View all responses

    They aren’t even trying anymore.

    You want my answer to today’s question? Read yesterday’s answer. Same thing. Two days in a row of pandering to the religious right by asking a question that will fish for the bible as a response. Yippee.

    Alas, Babylon
    Hot Rod
    1984
    Brave New World

    See a trend? I do too. Both in my answer and in the question. I wonder how they will fish for the bible tomorrow. Someone at Jetpack or WordPress.com must be trying to rig a bet or something.

    https://robertjames1971.blog/2024/06/04/again-already/

    #dailyprompt #dailyprompt1959

    #dailyprompt #dailyprompt1959