Supposed entry on April 14

today, we had the clerkship orientation. welcome and inspirational talks weren't forgotten. and yes, all the drama.

feeling a bit weird, i didn'tdo much listening. although i heard dr G say that this is the time to get a feel of what we dreamt to do.. show/give grace (under pressure, hehehe). or something like that.

our batch, consisting of 389 students (as of today) was divided into 12 groups; each group has been assigned to different departments:

• Medicine (2 months)
• Pediatrics (2 months)
• Obstetrics (4 weeks)
• Gynecology (2 weeks); OB-Fabella (2 weeks)
• Surgery (2 months)
• Community Medicine (Sapang Palay)(1 month)
• Neurology-Psychiatr y (2 weeks)
• Dermatology (2 weeks)
• Ophthalmology (1 week)
• ENT – HNS (1 week)
• Legal Medicine (1 week)
• Electives (4 weeks)

We're group 7 and we're assigned to OB. I was really excited about OB since for a year, I've been wanting this as my specialty. Although mama told me to give it a thought 'cause i would have to consider if it would allow me to give time for my future family. hehe..

i know, sometimes I just don't realize I'm already 25 years old which means I would have to consider a lot of things when making decisions. Marriage and family cannot be out of the picture.. I know... Kaya I think, i would just have to go through the different rotations first before giving so much love for OB. hehe.

I texted Jaq for some tips... at grabe ha.. wala ko masabi. sabi niya: kapal ng muka at patience at lakas ng loob daw ang kelangan. hehe...
at sobrang nag-email pa talaga sha:

OB ROTATION

Preduty: OPD

Duty: Delivery room and ward

From duty: Ward and paperwork

Pre-duty

OPD

Bring:

• Stethoscope
• Sphygmomanometer
• Tape measure
• Thermometer
• OB OC-OC

§ Do prenatal checkup (follow form)

§ For new patients:

· History and PE (LMP, first signs or symptoms of pregnancy, consultations form other hospitals, danger signs, others read on, =), VS, height weight, Leopolds maneuver, fundic height and fetal heart tone with Doppler or stethoscope)

· Compute for age of gestation and expected date of delivery/confinement

· present to the resident or to the consultant

**3 teachings required

Duty

Delivery room and ward

Bring:

• White scrub suit
• Cap
• Mask
• Slippers
• Food
• Sphygmomanometer
• Pedia OC-OC
• Typewriter
• Sleeping bags/toiletries

§ Decking

§ Clerk on deck = Clerk in charge (CIC) – does the paperwork:

· Database

· 3 discharge summaries

· 3 follow up

· 1 initial summary

· plus OR technique if patient underwent CS

§ Check staff notes (green paper)

§ Labor watch

§ Labor room

§ Monitor the contractions and record

§ If patient is fully dilated, scrub-in for the delivery

§ After delivery, stay in the delivery room with the patient before transferring to the ward, monitor VS (BP, PR, RR, Temp) every 15 minutes for the first two hours (?), every 30 mins until the patient is transferred to the ward, every hour in the wards

Ward

§ Monitoring of patients

§ VS (BP, PR, RR, Temp), usually every hour

§ No need to monitor the baby

§ Check charts for orders

§ Run errands for your external alternatives who are in the delivery room

For referrals to other services

§ Know the history and PE of patient, you will be asked by the residents

From duty

Ward and Paperwork

Bring: Typewriter

§ Paper works: get the paperworks done for patients to be discharged (type the take home medications andspecial instructions and follow-up)

Other stuff:

Lots of reporting and rounds

Know your patients and your alternative’s patients

bow