In the morning I would go up and do medical first, 17 of my beds are there..this is because all my doctors are there at around that time...
My first priority is the ward's board...it's got all the admissions and discharges for the day ..the other source is J my ward clerk..she's the ward's ears..she hears everything and knows everything..
Discharges...
I have to get all their meds ready...give them atleast a few days supply...
any problems sort out with their doctors...ie how long he wants them to be on their antibiotics....warfarin doses...prednisolone reducing dose by how much? going home on their usual meds? changing back from nebules to inhalers upon discharges? clexane injections? ....
print them a medication profile..
any drug of addiction..I have to dispense and sign out of safe for them...
any websters or dosettes I have to liase with their own pharmacy to get them to pack...any nursing homes / hostels I have to ring to find out whether they need websters or not and arrange with the pharmacy that services them...
it takes forever to get one ready...thus any discharges I know of beforehand I prepare for them in advance...stock their meds up...prepare their profile and save the profile in the computer..editing only takes 5 minutes upon discharge...any DDs I dispense and write out and leave in the pharmacy safe...any problems ironed out that morning when I catch the doctors at 830-9am..
that way on the morning of the discharge it's wham bam thank you mam and they are out of the door by 1030am...I am happy because I can start on my day...the ward is happy as they can get the rooms cleaned..the doctors are happy as they can then admit more patients...and it starts all over again....
after all the discharges are out of the way...I then go and visit each of my patients..more so visit their drug charts..see if the doctors have added anything new..that I have to supply...and why? dose increased... why?
deletion of one ..why? ..then I would go and read their history notes to see why or if not look at lab results...
my doctors are quite good...they are all consultants...that's one good thing with private hospitals...we don't have interns or fresh outs...the bad thing is you have to have your wits about you hehehe one asked me the other day if I could supply some Timentin as lab results are back and the patient is sensitive to it...so he has changed their antibiotic regimen...it's interesting to find out why doctors do the things they do...
after I have settled all my old patients I do my newbies..newbies= the ones I didn't get to see from the day before......we do a profile for each new patient...what they came in for...their past history...their meds before they came in to us..why they are on them? reconciling with their past history..their local pharmacy's details..webster packs? allergies? eye drops? herbal? patches? inhalers? creams?
then after the interview I check it against the drug chart...are they all on? or did the doctor miss a few? why? intentionally or just an oversight...any items that requires special scripts I need to ring their pharmacy up to get them to post them out to me to dispense...any concession or safety net numbers I can get from them also...if the patient is a bit iffy with strengths of tablets or inhalers I can ring up the pharmacy to confirm...
this would take me till 12pm...hopefully then I can go and do rehab...my 8 beds...rehab is easy...as they are there for a few weeks so I know my patients real well...their meds don't change that much ...most time they are taken off stuff...not put on...
by 1pm I should have seen them all and that's when I can have my lunch....from 1-2pm...
after lunch I would go back to medical...see any new ones that have arrived and are occupying the empty beds from the morning's discharges..and see them...if they haven't then I would use that time to grab drug charts of any discharges I know of to prepare med profiles and jot down any problems I can see to ask the doctors when I see them next...
at 3pm I pack my back pack and walk over the road to out patients to help out till 530pm...and that is my day...
my doctors are quite good...they are all consultants...that's one good thing with private hospitals...we don't have interns or fresh outs...the bad thing is you have to have your wits about you hehehe one asked me the other day if I could supply some Timentin as lab results are back and the patient is sensitive to it...so he has changed their antibiotic regimen...it's interesting to find out why doctors do the things they do...
after I have settled all my old patients I do my newbies..newbies= the ones I didn't get to see from the day before......we do a profile for each new patient...what they came in for...their past history...their meds before they came in to us..why they are on them? reconciling with their past history..their local pharmacy's details..webster packs? allergies? eye drops? herbal? patches? inhalers? creams?
then after the interview I check it against the drug chart...are they all on? or did the doctor miss a few? why? intentionally or just an oversight...any items that requires special scripts I need to ring their pharmacy up to get them to post them out to me to dispense...any concession or safety net numbers I can get from them also...if the patient is a bit iffy with strengths of tablets or inhalers I can ring up the pharmacy to confirm...
this would take me till 12pm...hopefully then I can go and do rehab...my 8 beds...rehab is easy...as they are there for a few weeks so I know my patients real well...their meds don't change that much ...most time they are taken off stuff...not put on...
by 1pm I should have seen them all and that's when I can have my lunch....from 1-2pm...
after lunch I would go back to medical...see any new ones that have arrived and are occupying the empty beds from the morning's discharges..and see them...if they haven't then I would use that time to grab drug charts of any discharges I know of to prepare med profiles and jot down any problems I can see to ask the doctors when I see them next...
at 3pm I pack my back pack and walk over the road to out patients to help out till 530pm...and that is my day...
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