FIRST DAY ELECTIVE POSTING AT "OBSTETRIC AND GYNAECOLOGY"
My target to achieve during this posting are:
1)clerk cases
2)study the Ong clerking form
3)Join morning ward round
4)Learn to apply and read CTG
5)Familirize common abbreviation for Ong cases
6)know common cases
7)observe VD & LSCS
8)know how to document post and pre op review
9) observe common procedure as CBD, PV etc
10) Do or observe physical examination
11)Join USM students' classes
1) Went to ONG department to meet secretary ONG department. Want to meet HOD Ong but he didnt present at his office at that time.
2)Followed Nurse in charge for orientation. She explained to us about the ONG ward.
-Room for labor.
-Room for premature cases
-Room for HDU (high risk cases)
-Room for pre eclampsia
-Room for epidural
-Labour room (Cs) must wear scrub, shoes, and different scarf)
-Ante natal clinic at ground floor
-Antenatal & postnatal ward. (3 ward)
*we can help nurses to detect BP and call the husband.
3) Join MEDICAL Ho teaching with fellow HOs and one specialist
-They presented about communication skills that involve consultations, breaking bad news, communication while clerking, cultural sensitivity.
-Specialist, Dr Abu added the informations about:
A ho must master 3 languages :
*BI to communicate with colleagues, consultant, registrar
*BM (community language :dialect: to talk with patients
Must always introduce ourself before examine or do procedure to patients
Practice RAPPORT when clerking the patient
Learn when clerking, try not to write while clerking.
Paternalism : Inform choice
: Decision making
: explain to patient what he need to know and deserve to know
: doctor act as agent to deliver the information
My partner whatspp status about what Dr Abu said during HO teaching ;)
first day:
-observe dr do vaginal examination before delivery to detect the opening of OS (how many cm)
-observe nurse perfomed CTG
-observe and assist Dr do episiotomy
-observe MO do CBD before labor to fasten delivery because full bladder that compress the uterus will lengthen the delivery process.
-A pt asked me for a small bottle to fill her 'air selusuh' (she claimed it) but doctor didnt give her permission to drink that because fluid can make the pt to choke and enter the lung.
5) Study how to clerk ONG cses and study common abbreviations.
Post operation review
Template ong clerking page 1
Template ONG clerking page 2
Memory of 1st day ONG elective attachment
**ops today baru dapat nametag after one week here hehe.
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