The Junior Medical Officer's Guide to the Hospital Universe : A Survival Manual

Te right of John Shi to be identifed as author of this work has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. Tis book contains information obtained from authentic and highly regarded sources. While all reasonable eforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. Te publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily refect the views/opinions of the publishers. Te information or guidance contained in this book is intended for use by medical, scientifc or health-care professionals and is provided strictly as a supplement to the medical or other professional's own judgement, their knowledge of the patient's medical history, relevant manufacturer's instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verifed. Te reader is strongly urged to consult the relevant national drug formulary and the drug companies' and device or material manufacturers' printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. Tis book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. 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Cover Half Title Title Copyright Dedication Contents Author Glossary 1 Introduction How to use this book Exhortation to read, and do this asap For all Doctors 2 Before the Term Things to bring Things to do People to know 3 The Term: Life Rounds What is a Life Round? An exhortation to look after yourself: Justification for the Life Round An exhortation against exhaustion Practical tips 4 The Term: IT Mindset Lists Setting up a List List maintenance Personalised List/Excel List Rounds List Handover/Multi-Patient Task List Task Manager: JMO Jobs List Emergency Department: When not in ED Journey Board Finding stuff PowerNotes Clinical Docs Continuous Docs Offsite data Other places to look Home Screen (aka Patient Summary) Viewing Investigations Radiology Ordering Investigations Principles Setting up your Favourites Folders/categories Modifications Blood rules and myths eMeds Ordering Medications/Fluids Modifying Medications/Fluids Viewing Medications/Fluids Other key functions Documenting Templating methodology Ward Rounds Other documentation Attaching external documentation/media Emergency Department Documenting External referrals Discharges Methodology The Template Major components The Plan Useful documents to attach, but painful to do so No eMR Benefits The Intranet Rosters Resources Miscellaneous Doctor View FirstNet A justification for automation, efficiency and minimising menial tasks Templates: vice or virtue? On pettiness On errors 5 The Term: Organisation On the Ward Round Off the Ward Round Logistics of the unexpected 6 The Term: Human Relations Introduction: how to help other people help you Phone contacts Numbers Ad interim Home team Who? Roles Mindset Organisation/prioritisation Learning Admin Working hours Ward staff Ward Clerk Nurses Pharmacist Allied Health Consults (Other Medical Teams) Who are you talking to: Hospital hierarchy Before the Consult: preparation Getting to the Team Making the Consult After the Consult Follow-up and future Consults: smoothing access Radiology General rules Imaging types Special services Getting them The process: for now and ever after Family Getting in touch: contacting the family NESB: contacting the patient Interacting with/reassuring the family 7 End of the Term Getting Handover Giving Handover Closing the Term 8 After Hours Staying alive: After Hours Life Rounds Organising After Hours: Jobs Clinical Reviews Deaths 9 COVID-19 General health/pressure area care Hygiene Protocol Documenting 10 Money matters Employment matters IT matters Financial matters Other areas of interest Notes 11 To conclude Index "something special, out-of-the-ordinary ... I wish I had had a manual like this one at that stage of my career. I would have found the multitude of templates and lists a godsend ... an accessible, entertaining work about ‘life in medicine’." Professor David Bennett AO, Adolescent Health Physician, Developmental Paediatrics, Sydney, Australia "As a doctor who has recently completed her internship, on reflection, there are so many things I wish I knew before starting. The author has done an exceptional job in providing a great summary of advice to assist JMOs survive their first years in the hospital which is very relevant to their day-to-day work. The writing style is relatable and makes for an easy-to-read book which is also comical at times." Dr Mitsi Blazos, Basic Physician Trainee, The Alfred Hospital, Melbourne, Australia The JMO Years... Insane Hours. Endless patients. Mountains of paperwork. Inexorable pressure. Interminable years of training. No life outside work. How will you get the job done well? How will you survive? Look no further. This is the essential guide to the real life of and in the hospital. Providing invaluable guidance throughout, with this book as your companion you will be able to clear those discharges, get those consults, survive after hours, get your work-life balance in order and, ultimately, be the doctor you really want to be. Addressing every facet of the JMO’s true role, the book enables and supports junior doctors and medical students to thrive in their new position within the hospital system, aiding the streamlined completion of administration, maximising efficiency with no compromise in accuracy, all with the final objective of ensuring the best possible outcome for patients while maintaining the health, function and happiness of the health care provider.