MO Changeover

MO Changeover:

MO Changeover

As with every MO Changeover, there will be hiccups. To minimise these, please be patient and pay attention to the following slides:

As with every MO Changeover, there will be hiccups. To minimise these, please be patient and pay attention to the following slides

Initiate appropriate Lab Investigations & XRs at Triage/Resus – following our existing guidelines wrt FBC, hypocount, ECGs, Xrays:

Initiate appropriate Lab Investigations & XRs at Triage/ Resus – following our existing guidelines wrt FBC, hypocount , ECGs, Xrays

Slide 4:

ECGs 1.  ALL cases presenting with chest pain 2.  ALL cases presentling with syncope, giddiness, drowsiness 3.  ALL cases presenting with shortness of breath 4.  ALL cases if tachycardic (HR>100/min), bradycardic (<60/min), hypotensive (systolic blood pressure <100mmHg) or hypertensive (180/120 mmHg) 5.  ALL cases of drug overdose 6.  ALL cases presenting with stroke Hypocount 1.  ALL cases of altered mental state 2.  ALL cases of shortness of breath 3.  ALL DM cases 4.  ALL cases with stroke 5.  ALL cases who are septic (fever, altered mental state, hypotensive )

Urine Specimen Ask patient to collect a urine specimen for all cases of dysuria, abdominal/back pain, fever whilst waiting.   KIV send specimen if ?UTI   :

Urine Specimen Ask patient to collect a urine specimen for all cases of dysuria , abdominal/back pain, fever whilst waiting. KIV send specimen if ?UTI

All P1 and Resus cases to be seen stat   Do not triage and leave patient unattended. :

All P1 and Resus cases to be seen stat Do not triage and leave patient unattended.

When at triage, inform patient of approximate waiting time esp if it exceeds 2 hrs.:

When at triage, inform patient of approximate waiting time esp if it exceeds 2 hrs .

When triaging, please be vigilant esp regards to PMed Hx & drug allergies :

When triaging, please be vigilant esp regards to PMed Hx & drug allergies

Do Not allow MOs/locums to pick and choose their cases/decline to see cases triaged to them.  Tell them to bring it up to the senior doctor on duty if they have any problems. :

Do Not allow MOs/locums to pick and choose their cases/decline to see cases triaged to them. Tell them to bring it up to the senior doctor on duty if they have any problems.

Be patient with the MOs Anticipate problems and preempt them with your experience  Inform senior doctor on duty if you think there is a potential problem arising :

Be patient with the MOs Anticipate problems and preempt them with your experience Inform senior doctor on duty if you think there is a potential problem arising