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Aaron Macdonald
Night shift mac donald
Discuss every case
NOT
Night shift mac donald
What if it was my grandmother
Calling seniors
            I          Identify yourself         
       S          Situation:
            O         Observations 
            B          Background
            A         Agreed Plan 
            R          Read Back. 
handover
Night shift mac donald
Recognizing sick patients
No one lab test is reassuring
If you document poorly people
think you a bad doctor
Tragedy vs Stuff ups
VS
Discharging patients
Discussing cases in mandatory
Advise patient
when they should improve
When to seek medical attention
Safety net of worrying symptoms
Tell them to come back if concerned
Discussing cases in mandatory
Advise patient
when they should improve
When to seek medical attention
Safety net of worrying symptoms
Tell them to come back if concerned
Night shift mac donald
Recognize your weakness
Everyone has them
They don’t disappear
Poor handwriting
Typed notes
Not systematic when starting with histories
Have checklists of things not to miss
Being a doctor is a lot like being a
learner driver
Ed Nights checklist
Discuss each case with colleague
What are your likely weaknesses on a night shift?
Be respectful and work with everyone as a team
Get help early and be prepared to act for your
pateints
Night shift mac donald

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Night shift mac donald