Hospital Posting Part 1.

After 3 full weeks, I officially finished my posting yesterday. I have so much to write yet so little time to sit and do that. So here is the 1st part ’cause I’m just so excited to share my experience at the hospital to wait until I have the time to write lengthy posts. :) I’m actually posted to the Internal Medicine Department but I’ll write about IM in a different post. What i love most about the hospital is its Emergency and Trauma Department (A&E) :D

Here’s a helpful to-do/achieve-list from the guidebook prepared by the department for medical students (GUIDELINES FOR MEDICAL STUDENTS ON ELECTIVE POSTINGS IN EMERGENCY AND TRAUMA DEPARTMENT HOSPITAL PULAU PINANG).

Let’s see my score!

Not sure if it’s not obvious but well, “/” means I’ve done it. and “X” means I didn’t.

The following are the activities that you should participate in during your posting (subject to Academic Year):

1. History taking- /

2. Take vital signs- /

3. Lifting and moving of patients- / (The 1st time was nightmare! I helped Dr. Sara send a patient for X-ray but i don’t know we should stay with ’em and bring ’em back after they’re done. To make the long story short; i lost the patient! When i came back he wasn’t there. Luckily I found him after looking for him for like more than 10 minutes! Poor Dr. Sara. I’ll tell you why in a different post)

4. Assist in the transfer of patients- / (from blue zone to the observation ward)

5. Directed examination of patients- / (at secondary triage)

6. Learn how doctors assess the undifferentiated patient and get a working diagnosis.- / (sitting with doctors at blue zone & following them at green zone)

7. Observe presentation of acute psychotic patients and their initial management.- / (at PSY room at the secondary triage)

8. Learn about management of acute asthma and PEFR measurement.- / (not much)

9. Learn GCS scoring of patients.- /

10. Observe how collar and cuff, splints and cervical collars are applied.- /

11. Observe how resuscitation is done.- X (only listened to ‘scary’ real experience stories from my MA friends)

12. Observe, perform and interpret ECGs.- / (lots of useful tips from Dr Shafinaz but she’s from cardio though)

13. Urinalysis using Dipstick and random blood sugar using glucometer.- /

14. Observe IV cannulation and perform under supervision if allowed.- / (had the chance because my MA and student nurse friends are too kind)

15. Take blood samples under supervision.- /

16. Perform catheterization / Ryle’s tube insertion under direct supervision.- X (just assisted but that’s cool enough)

17. Give injections under supervision (the ampoule has to be shown to the supervisor first before injection is given).- / (ATT and Voltren injections)

18. Wound dressing under supervision.- / (a few times)

19. Observe T/S. You can be allowed to do T/S under supervision for small superficial wounds after you have observed at least 5 cases.- / (observed numerous T&S and practiced on gauze and finally did one on a real patient with supervision)

20. Learn how to read simple X-rays- / (taught by Dr. Fahmi, a doctor without nametag & Dr. Allan; one with air fluid level, one with hydronephrosis & another with pleural effusion. Dr Sheikh & a few others even taught me how to interpret ultrasounds! they’re so awesome!!)

21. If you are interested in prehospital care, you can follow ambulance runs with the permission of the Head of Department. However, you do it at your own risk.- X (nope ’cause I’ve been avoiding the HOD you see!)


Hurm, 18/21 is quite okay! :D


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