night shift mac donald

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Aaron Macdonald

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Page 1: Night shift mac donald

Aaron Macdonald

Page 2: Night shift mac donald
Page 3: Night shift mac donald

Discuss every case

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NOT

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Page 6: Night shift mac donald

What if it was my grandmother

Page 7: Night shift mac donald

Calling seniors

    I          Identify yourself             S          Situation:            O         Observations             B          Background            A         Agreed Plan             R          Read Back. 

Page 8: Night shift mac donald

handover

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Page 10: Night shift mac donald

Recognizing sick patients

Page 11: Night shift mac donald

No one lab test is reassuring

Page 12: Night shift mac donald

If you document poorly people think you a bad doctor

Page 13: Night shift mac donald

Tragedy vs Stuff ups

VS

Page 14: Night shift mac donald

Discharging patientsDiscussing cases in mandatoryAdvise patient

when they should improveWhen to seek medical attentionSafety net of worrying symptomsTell them to come back if concerned

Discussing cases in mandatoryAdvise patient

when they should improveWhen to seek medical attentionSafety net of worrying symptomsTell them to come back if concerned

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Recognize your weaknessEveryone has themThey don’t disappear

Poor handwritingTyped notes

Not systematic when starting with historiesHave checklists of things not to miss

Page 17: Night shift mac donald

Being a doctor is a lot like being a learner driver

Page 18: Night shift mac donald

Ed Nights checklistDiscuss each case with colleagueWhat are your likely weaknesses on a night

shift?Be respectful and work with everyone as a

teamGet help early and be prepared to act for

your pateints

Page 19: Night shift mac donald