i've spoke to one of my friend, Dr LCP. Gave me some fruitful advices, and i will like to share his kindness and knowledge. 3 basic principles: 1) Be prepared of scoldings, but try to minimize it by certain ways 2) Keep profile low 3) Documentations
HO is placed at the most bottom of the food chain. Where everyone gets a bite from you, even the nurses... No matter what, how good you are, even if you did nothing, you will get scoldings from a lot of people. There is no excuses. In short, do more make up, make your face thicker, and get all the bombardments. Be mentally strong, life just not fair "usually". Think of it, your MO suffered before too.
During on-call, before calling your MO, we need to prepare and know the case well,try to rule out possible causes, most probably they will ask u, vital signs, what you done etc. (Be prepared to answer those questions)
Keep your profile low, as in dont try to be extra hardworking, as it sets your colleagues under pressure. follow the culture of your ward. learn and adapt. Hardwork doesnt pay much. But be helpful.
Documentations is utmost important to back your ass up. Eventho you called MO help, you need to write down the time and date what you'd asked his/her help, in case he/she doesnt come down to help you. this can reduce the blaming from the MO. However, write correctly. Even the mx that the specialist ordered if u din hear clearly, ask again, let the MO or specialist scold, it is better to get scolded first, as long as you keep the patient alive. If the patient unfortunately passed away, you have more things to face, and the scoldings will be un-imaginable.
Additional advice, as a "tagger", set goals, what you want to achieve day by day. Know the common and emergency cases, common cases aid you in the clinic, emergency cases that you know aid you during on-call period. Whatever need to ask, ask these 2.
So my ultimate goal will be learning to taking blood and setting up lines efficiently first 1 - 2 days of tagging. Slowly learn. Time will change a person, no matter how bad they are, it is just the attittude.
Lim M (Damn Sleepy D)
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