Category: Common Jobs

Surviving Ward Rounds

It takes time to get used to the ward round. Particularly, when patients are being seen so fast it seems impossible to document properly. The most important tip is to ask your colleagues currently doing the job to explain how it works and any tips they have. FY1s also frequently contribute these explanations & tips

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Discharge Planning

It is important for junior doctors to understand what the discharge planning process involves so you can have an active role in multidisciplinary team meetings. This article focuses on discharging home with an appropriate package of care but discharge planning also involves discharging to different types of homes (which is discussed in another article). Introduction

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Dealing with difficult colleagues

This is a tricky area to cover as it can be challenging to us both personally and professionally when things don’t go well with a colleague, particularly when we know that this might impact patient care and/or our own mental health. The longer these negative interactions go on, the more likely they are to significantly

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Pre & Post Operative Care

As a junior doctor, you will frequently look after patients prior to and after their operation. You may be asked to clerk patients who are admitted to hospital the night before their operations. Here are some things to consider during your clerking & whilst you’re considering pre & post-operative issues. Pre-Operative Clerking Before you see

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Sharps Injuries

Sharps injuries happen when you least expect them. You can’t always prevent them but you can do a lot to reduce the risk. It might be the patient is delirious and moved their arm, or you missed the sharps bin when trying to put the ABG needle into it, and it falls into your hand;

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Dealing with a complaint

Everyone will receive a complaint – this is inevitable. Usually, these are informal, “I’m unhappy with the care delivered” from a relative or the patient. In this article, I’ll focus on themes contained in Good Medical Practice guidance & Duty of Candour from the GMC, advice from MDU (dealing with your first complaint & how to respond) and MPS. Make

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Self-discharge

Frequently patients wish to self-discharge from hospitals. This article pertains to adult patients only (18y+) and these patients can be broadly split into three groups: Those that lack capacity as defined by the Mental Capacity Act (MCA) with a ‘disease of mind or brain’. These patients may be in for their mental health disorder or

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On Call Tips

FY1s are usually most apprehensive about being on call, but it is also the shift you will usually learn the most. Predominantly as an FY1 you will be doing ward cover shifts and so that is what we will focus on below, with templates to improve your documentation. A brief overview of the types of on

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Clerking Patients: A few tips

Here we assume you know the basics, and instead we focus on the common pitfalls with tips on how to be safe & well reasoned. Not all FY1s have the opportunity to clerk patients but the underlying principles are of great value if you’re doing an FY1-led ward round. Be thorough The expectation is that you

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Breaking Bad News

As a junior doctor, you will have face situations where you have to convey potentially distressing information, whether it is explaining a diagnosis or blood results to a patient or giving difficult news to relatives. Breaking bad news well is an essential communication skill which can strengthen the relationship between a patient and a doctor

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