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What sort of references do you have/make that you carry in your pockets on rotation? Like a loop diuretic conversion chart? or renal dosing antibiotics? Thanks!
I just bought Tarascon Pocket Pharmacopoeia and Sanford Guide. Probably overkill, but what can I say, I don't feel prepared for rotations, so I compensated by buying stuff I will probably never use.
This will be me in about 4 months
Whatcha use that for?4) 3ml NSS flush syringe
I just bought Tarascon Pocket Pharmacopoeia and Sanford Guide. Probably overkill, but what can I say, I don't feel prepared for rotations, so I compensated by buying stuff I will probably never use.
Right lower pocket
4) 3ml NSS flush syringe
2) Calculator (i know, i'm old school, using a phone looks like you're texting)
Left lower pocket
1) Sanford Guide
2) Calculator (i know, i'm old school, using a phone looks like you're texting)
3) Precedex dosing card ripped from the booklet
Right lower pocket
1) Folded half sheets with patient work-up/rounding notes
2) Granola bars
3) Institutional dosing guideline cards/laminated sheets
4) 3ml NSS flush syringe
Breast pocket
1) Fine point 0.3 black pen
2) 0.7 point blue pen
3) Alcohol spray pen
4) iPhone
Left lower pocket
1) Sanford Guide
2) Calculator (i know, i'm old school, using a phone looks like you're texting)
3) Precedex dosing card ripped from the booklet
Right lower pocket
1) Folded half sheets with patient work-up/rounding notes
2) Granola bars
3) Institutional dosing guideline cards/laminated sheets
4) 3ml NSS flush syringe
Breast pocket
1) Fine point 0.3 black pen
2) 0.7 point blue pen
3) Alcohol spray pen
4) iPhone
Whatcha use that for?
But why?
I have these same two books in my coat. Never used them during my hospital IPPE, but maybe they'll get some wear and tear during IPPE?
I also have a white coat clipboard, but I didn't really need to use it at the time. It's a clipboard that folds in half to just the right size to fit in your coat pocket.
Left lower pocket
1) Sanford Guide
2) Calculator (i know, i'm old school, using a phone looks like you're texting)
3) Precedex dosing card ripped from the booklet
Right lower pocket
1) Folded half sheets with patient work-up/rounding notes
2) Granola bars
3) Institutional dosing guideline cards/laminated sheets
4) 3ml NSS flush syringe
Breast pocket
1) Fine point 0.3 black pen
2) 0.7 point blue pen
3) Alcohol spray pen
4) iPhone
Right lower pocket
2) Granola bars
Can somebody please answer the reason for a pharmacy student carrying a 3 mL NS syringe?
Every hospital rotation I've been on, during rounds, everyone was texting except for the pharmacy students and med students, lol.
Yup, the docs and pharmacists are texting all the time, usually to each other, sometimes to ID. Fellow and attending are usually both well dressed, everybody else in scrubs besides the pharmacist and their intern.of course, haha, and your best dressed members of the rounding team = pharmacy students. even the med students were in scrubs.
actually, take that back, the fellow was usually the best dressed (full suit). attending was usually in scrubs or jeans, med students in scrubs.
of course, haha, and your best dressed members of the rounding team = pharmacy students. even the med students were in scrubs.
actually, take that back, the fellow was usually the best dressed (full suit). attending was usually in scrubs or jeans, med students in scrubs.
We're told to wear white coats while on rotation, so that kills the suit idea. I suppose I wouldn't want to be mistaken for a physician anyway.For my Internal Med rotation, the best dressed person was either me, the ID specialist physician, or the cardiologist. ID specialist gave me some tips on where to find some great shoes and suits.
We're told to wear white coats while on rotation, so that kills the suit idea. I suppose I wouldn't want to be mistaken for a physician anyway.
Ask Sparda, I'm not the one doing it.A student wearing a suit?
What sort of references do you have/make that you carry in your pockets on rotation? Like a loop diuretic conversion chart? or renal dosing antibiotics? Thanks!
Haha, I didn't know there'd be so much interest in the 3mL NSS syringe. Here's why I carried them (in order of priority):
1) Boredom, something to play with that's not a phone.
2) Ability to squirt fellow rotating students when running into them in hallways and such.
3) Assist nursing
As for granola bars, they're the half-sized ones from costco, i'd keep maybe 2-3 in there.
other items that have come and gone from my pockets:
1) banana
2) individually wrapped spoon & fork
3) code cart type drugs (metoprolol, epi bristojet, amio vials) -- this displaced my granola bars for a
few days and I was not happy, so i gave the little bag back to my preceptor.
4) energy drink -- inside pocket lower right or left, but i'd drink this before rounds so i don't think this counts.
of course, haha, and your best dressed members of the rounding team = pharmacy students. even the med students were in scrubs.
actually, take that back, the fellow was usually the best dressed (full suit). attending was usually in scrubs or jeans, med students in scrubs.
Jesus christ, what rotation was this on, surgery ? I have two different surgery rotations and already am buckling down for 14 hour days ( heh, fondly keep remembering Sparda's thread and comments about wishfull adherence to 40 hr work week on rotations - def not at this academic institution
and def not on surgery ) but even that sounds like quite intense. How do you even fit all that stuff in there ? Sounds like a work out to just carry all that stuff, those pockets are not that big.
lol @ the flush questions...obviously you've never had to do anything at a code situation. in the context of also holding preceptors bag of amio vials and bristojets it makes sense.
and being able to get on UpToDate.
naloxone was a popular item out of my goodie bag ::
and uptodate is the bees knees, hands down best reference tool for quick and dirty knowledge of a topic.
Jesus christ, what rotation was this on, surgery ? I have two different surgery rotations and already am buckling down for 14 hour days ( heh, fondly keep remembering Sparda's thread and comments about wishfull adherence to 40 hr work week on rotations - def not at this academic institution
and def not on surgery ) but even that sounds like quite intense. How do you even fit all that stuff in there ? Sounds like a work out to just carry all that stuff, those pockets are not that big.
Yeah, that 40 hour a week ain't happening on Internal Med or surgery rotations. IMO, Internal Med/Surgery/ID/Critical Care rotations should be increased in hourly requirements to like 60 hours a week. But at the same time, they should decrease the community pharmacy rotation hourly requirements to like 20 hours a week, same for the managed care rotations, and whatnot.
On most of my non clinical rotations, I'd only have stuff to do for a couple hours at the beginning of the day, and then spend the rest of the day on my laptop browsing VWVortex and SDN or taking Naplex review exams, which is exactly what I'm doing right now on my Public Health rotation.
Yeah, that 40 hour a week ain't happening on Internal Med or surgery rotations. IMO, Internal Med/Surgery/ID/Critical Care rotations should be increased in hourly requirements to like 60 hours a week. But at the same time, they should decrease the community pharmacy rotation hourly requirements to like 20 hours a week, same for the managed care rotations, and whatnot.
On most of my non clinical rotations, I'd only have stuff to do for a couple hours at the beginning of the day, and then spend the rest of the day on my laptop browsing VWVortex and SDN or taking Naplex review exams, which is exactly what I'm doing right now on my Public Health rotation.
just remember that it's written by docs for docs and you need to really research the topic yourself when you get a chance.
I wasn't allowed to use it as a P4 or at my PGY1.
It sounds like you have a lot of bs non acute rotations then ? How many acute ones do you have ? How many community and can you select which ones ? I have one community and I ranked an HIV pharmacy that also compounds highest since Both areas can use some improvemeny fot me.
if you spend more than 40 hours a week at a site, you're probably doing it wrong (not counting homework like working on slide decks, searching for studies, etc). just as a baseline, i did my IM, MICU, SICU, and pain & palliative care at top tier academic medical centers, and my day usually went like this:
7:45-8: prerounding
8 to 12: AM rounds
12-12:30: shoving food in my face
12:30 - 4: discuss pts/topics or presentation time or look up stuff
idk, maybe you guys are doing med rec/discharge counseling or going on call with the team like a med student? what else are you doing that i didn't? i guess if you're working on projects maybe but i can do that stuff at home.
finally, can someone explain these so called "surgery rounds"...dont they round at 6AM and then go to the OR? do they actually value pharmacy input? details plz!
Ahh, my internal med rotation. I was following about 30 patients at a time.
Pre-Rounding: 7AM-9AM
Breakfast: 9AM-930AM
Rounds: 930AM-12PM
Lunch: 12PM-1PM
Lecture: 1PM-2PM (directed at the medical residents, preceptor wanted us to attend)
2PM-7PM: Continue following patients, projects, med rec/discharge counseling.
I almost always was on the floor with the medical residents and medical students. I only ever stepped foot in the pharmacy occasionally during the day just to check in with preceptor.
Sounds like infernal med (bad pun?).
How do you get thru 30 patients in 2 hours though? Especially on a Monday when there's probably lots of new ones? And to a poster above, how do you get thru all your patients in 15 mins? Right now I'm doing ID and it takes me about an hour to do my 5 patients, esp. since I have to go on the floors and find the charts (at least this place has CPOE), and for internal med i had to spend like 45 mins on 4 patients, since I had to look up disease states and dosing at the same time since I usually met with my preceptor right afterward to discuss the patients, and she wanted me to know them forwards and backwards (she completed a PGY2 in internal med).
Ahh, my internal med rotation. I was following about 30 patients at a time.
Pre-Rounding: 7AM-9AM
Breakfast: 9AM-930AM
Rounds: 930AM-12PM
Lunch: 12PM-1PM
Lecture: 1PM-2PM (directed at the medical residents, preceptor wanted us to attend)
2PM-7PM: Continue following patients, projects, med rec/discharge counseling.
I almost always was on the floor with the medical residents and medical students. I only ever stepped foot in the pharmacy occasionally during the day just to check in with preceptor.
Don't you go to Touro (NY) College?
From what I heard, students rarely get rounding experiences... What hospital is this?
"Following" 30 patients? Are you telling me you're working up/following up on progress of 30 patients as a student? Or are there 30 patients on your census. Those are two different stories.
I'm really interested in how Touro College's rotations are. Don't get me wrong, I do not look down on Touro being a new school on the block, but I've heard even some students complain that their not learning enough. And from what I saw on my I.D. rotation with a handful of Touro students....they never had experience with rounds...