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However, as an F1, you may well know the patient best and therefore you may be best placed to refer the patient. She is otherwise in good health and is responding well to chemotherapy. Often one of the scariest things you can do as you will most likely be speaking to a more senior colleague in an unfamiliar speciality.
I have often written about how an ECG interpreted as "normal" by a conventional algorithm may well be manifesting OMI, or even long QT or hyperkalemia. link] Or use the QR code: 10 Cases: Case 1 Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? 2 cases at once! You can use it an unlimited amount.
Creation of an accurate database of emergency physicians living and working within a state, as well as a network of each states’ EM groups and ED medical directors would help chapter leaders disseminate relevant information, strengthen advocacy efforts, and plan regional solutions summits to focus on unique challenges.
If a patient emails a request for their records, it is considered sufficient documentation for the practice to provide those records once the practice confirms the email address belongs to the patient. For example, if the patient’s email is not on file, call to confirm the request and email address and document the call in the patient’s file.
You should always follow your local practice guidelines and recommendations as well as adhere to approved medications in your facility. Document what you gave and why, as well as the impact. If a patient has a PRN on their med list do that! Route of administration If the patient is cooperative, offer oral medications first.
Good Medical Practice is the GMC’s core guidance document (a new version is out this year) and there are supporting documents covering important areas like consent , confidentiality , prescribing and treating children. Take care to document these discussions in the records. Most employers will have a chaperones policy too.
It’s stressful for the ED clinical staff as well. Boarding of Mentally Ill Patients in Emergency Departments: American Psychiatric Association Resource Document. This has a downstream effect. As capacity and resources decrease in the ED, that leads to longer wait times, higher rates of left-without-being-seen patients. 10.1542/peds.2022-057383
We’ve partnered with Doctors Paycheck to provide a comprehensive webinar on Understanding Resident Doctors’ Pay. They’re also offering our audience an exclusive code for 20% off their calculators at the end of this article – the calculators are well worth checking out because it makes spotting errors really easy!
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