Oxford Handbook for the Foundation Programme (Oxford - download pdf or read online

By Stephan Sanders, James Dawson, Shreelata Datta, Simon Eccles

This can be the 1st e-book written for the UK's beginning application, which all newly certified medical professionals will input from September 2005. it is going to be the main beneficial publication a brand new physician can hold in the course of the first years after clinical college, masking either scientific subject matters and non-clinical profession info.

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Ignoring or dismissing abnormal obs or investigations, especially tachypnoea and tachycardia • ignoring your gut instinct • fluid prescriptions (eg failing to note wider history including renal/heart failure, diabetes, electrolyte imbalance) • warfarin prescriptions with INRs coming back out of hours How to cope • It is easy to get very sleep deprived during nights; this will lead to increased errors • Make sure you get adequate sleep during the day • Try and go to bed for at least 7h each day, even if you don't sleep easily you'll rest • You'll be most tired straight after the shift ends â try to sleep early.

Blood samples may be reported as haemolysed (burst cells); try taking the blood gently through a large needle. Microbiology Receives urine, stool, swabs, pus, CSF and blood cultures, antibody levels and viral titres. There is a microbiologist (medical doctor) on-call 24h a day. Blood bank Receives only the group and save/crossmatch sample, but sends out blood, fresh frozen plasma, platelets, clotting factors and salt-poor albumin amongst others (p276). G+S samples typically last about 10â 14d. If you need a blood product urgently (<24h) then phone the lab.

Expectations Seniors will expect you to know Mrs Jones' current medication dose, the details of the operation they performed yesterday (while you were chasing results) and the blood results from 5d ago. Initially this seems impossible, but with time your memory for such details will improve as you understand their relevance (emotional reaction to information = memory) and more importantly you will get a feel for what questions you will be asked. Learning You need to be proactive to learn interpretation and management skills as a house officer.

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