QuickBeat Forum - Recent Posts

How to save money for the institution

quickbeatuser — Thu, 28 Sep 2023 06:07:47 +0000

Request for investigations at the correct time as well as provide the correct intervention
1. Prevention is better than cure.
Follow up your investigations (don't just request and repeat)
Don't order a a full panel of bloods if you want something specific eg Hb instead of FBC
Use evidence based clinical decision making guidelines and appropriate use criteria for tests
- For instance, do you really need that antibiotic if you know that it won't work? The duration you prescribe medication for etc.
Follow admission criteria or protocols for particular conditions - this will avoid unnecessary admissions.
Do not order blood products for transfusion after hours if it is not necessary
Consultant ward rounds as much as possible to get better understanding of the case and to shorten patient stay by correctly managing the patient.
Train clinics and other peripheral institutions correct management of simple cases and referral criteria to higher care.
Appropriate waste disposal
Avoid polypharmacy and unnecessary medications, think of cases where patients are given PPIs for "ulcers".
Viewing of laboratory results online or viewing imaging studies on the system instead of printing unnecessarily. However, this refers mainly to "reprinting" since some of these investigations need to be in the patient's file. However, I am sure you get the idea.

quickbeatuser — Thu, 28 Sep 2023 06:03:59 +0000

Who must be phoned immediately in the event of an outbreak
Malaria (especially if applying in areas where Malaria is common e.g Limpopo)
Community Orientated Primary Care
Post Partum Hemorrhage
Shoulder Dystocia
Eclampsia and other obstetric complications
Paediatric emergencies
Approach to Drug Resistant TB
Palliative care
HIV and complications case
Non-Clinical
1. Where do you see yourself in 5 years
2. Types of prevention and examples
3. Batho Pele Principles

quickbeatuser — Wed, 27 Sep 2023 20:44:49 +0000

Head injury and CT rules esp paeds
Nexus and Canadian C-spine rules
Approach to polytrauma patient
Pulmonary oedema
Paeds trauma
Paeds limping child
Status epilepticus
Approach to decreased LOC
Approach to Aggressive patient in the ED
Procedural sedation
Approach to acute asthma attack
Approach to poisoning/overdose, especially organophosphate, iron overload, TCA overdose, Paracetamol overdose
Approach to snake bites
Approach to a polytrauma patient, acute abdomen (especially for the trauma unit)
Approach to delirium
Approach to hypertension emergencies
Approach to DKA/Hypoglycemia
Approach to a paediatric patient with acute gastroenteritis or respiratory distress.
Approach to Chest pains, Myocardial Infarction
Approach to a Stroke
Approach to bradycardia
Approach to first onset syncope
Non-Clinical
1. Batho Pele Principles
2. Conflict Management
  1. What would you do if the consultant is refusing to accept or consult with your patient?
3. How to reduce cots, remember not to ask costly unnecessary bloods or investigations?
4. How to save time/costs in an Emergency Department?

quickbeatuser — Wed, 27 Sep 2023 19:07:26 +0000

Know common anaesthetic emergencies
- high spinal etc
Obstetric anaesthesia
Airway management
Non-Clinical
- Conflict management
- Where do you see yourself in 5 years
- Batho Pele Principles
Blood conservation
Anaphylaxis recognition & management (including communication with patient)
Sepsis recognition & management
Obstetrics collapse in general & post spinal
Approach to Local Anaesthetic System Toxicity (LAST) and its management?
Pulmonary Embolism
Know spinal/regional anaesthesia well.
Non-Clinical
1. Conflict Resolution (you vs surgeon)
2. Theft of drug by other colleague

quickbeatuser — Wed, 27 Sep 2023 19:02:51 +0000

ER Consulting

Trauma case
Medical case
Know your common ECG emergencies/presentations (STEMI etc)
Personal questions (strengths, weaknesses, goals, qualifications, interests)
How to perform CPR
Rapid Sequence Induction/Intubation
Acute Coronary Syndrome
Causes of pericardial effusion
Approach to child with fever
Approach to fractures (elderly patient with a fracture)
Approach to a polytrauma patient
Approach to chest pain
Contraindications to Nitrates and thrombolytics
Approach to seizures
Approach to overdose patient
Approach to an aggressive patient
Non-Clinical
1. What to do if the specialist refuses to accept the transfer of the patient
2. Conflict resolution

Resources

Book the AMLS course from Prof. W Koeck - prepares you for common medical emergencies.

quickbeatuser — Wed, 27 Sep 2023 18:43:20 +0000

Abdominal compartment syndrome
Status epilepticus Management
Lower Respiratory tract infection management
- In the case above, the patient was being ventilated, in septic shock with signs of hypoxia.
How to select a patient for ICU when there is only one bed available.

quickbeatuser — Wed, 27 Sep 2023 18:37:12 +0000

What do you know about quality control? (IQC/EQC)
Who are the clients of the NHLS?
How would you handle conflict e.g. if a colleague does something you do not agree with? have you had to deal with it in the past
What type of organization is the NHLS? Public/Private
Who is our governing body? (CLSI/ISO)
Did you apply elsewhere?
Will you move here from .....?
What is the main focus of chemistry? (Endocrine)
Have you done any research/ written articles?
What do you think we work with a lot (almost an epidemic)? Diabetes
What topics do you find interesting e.g. possible research topic
How do we help clinics? (POCT)
As a registrar you will have to teach the students. Do you have any experience lecturing?
How would you deal with a difficult consultant? e.g who complains that you reported wrongly or made a mistake- apologize, get details. ask someone, follow-up and call back.
What qualities do you think a good chemical pathologist has?

Others:

quickbeatuser — Wed, 27 Sep 2023 18:28:53 +0000

quickbeatuser — Tue, 26 Sep 2023 06:01:16 +0000

quickbeatuser — Tue, 26 Sep 2023 05:57:07 +0000