CS and washing hands

[Tsutsugamushi]

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Hey guys, just took the step 2 cs recently and basically freaking out over every little thing that I forgot to do.

Quick question, in terms of cleanliness, you can either wash your hands or wear gloves right?

I think that is what i recall seeing from the video but wanted to double check, please let me know.

THanks in advance.

 

[Doctor Bagel]

This is correct. Both count equally.

 

[Tsutsugamushi]

Thanks for the reply. I have another question, in the patient note, how important is it to include a ROS?

For some of the patient notes but not all i would write 'refer to hpi' cause in my hpi i usually include most of the pertinent ROS for the case, however because i was running out of space i took out the line 'ROS: Refer to HPI' thinking that it was already in the HPI and i didn't really need to state it.

So is having that line really important, would i lose points even though i did document ROS in the HPI?

 

[Doctor Bagel]

For my ROS I wrote "all negative except as noted in HPI," which is how they did it in all the examples in FA. I'm guessing "see HPI" is fairly equivalent, even though "negative except as noted in HPI" is what you more commonly see in notes in the real world. For this test it's probably fine, but ideally you want to keep the HPI fairly focused, so putting non-pertinent ROS things in the HPI makes it less fun to read.

 

[Tsutsugamushi]

Hey guys, quick question.... if a patient is wearing his or her gown, that is a sign for you to perform a physical exam right? Because i may have forgotten to read the instructions on the sheet of paper outside the door and pretty much assumed to do a physical exam since the patient was in a gown.

Also, if a pt. was an adolescent, are you allowed to do a PE without parental consent?

 

[medicomel]

For my ROS I wrote "all negative except as noted in HPI," which is how they did it in all the examples in FA. I'm guessing "see HPI" is fairly equivalent, even though "negative except as noted in HPI" is what you more commonly see in notes in the real world. For this test it's probably fine, but ideally you want to keep the HPI fairly focused, so putting non-pertinent ROS things in the HPI makes it less fun to read.

I basically wrote my note in bulleted form:
CC:
HPI:
PMH:
PSH:
Allergies
Meds
FH
SH
PE

For my HPI, i included pertinent +'s and -'s. I did NOT list ROS in my note because I included it all in the HPI.

I saw in both example notes that the ROS was implicit and not specifically highlighted as "ROS".

Will I fail on this error? I was taught to leave it out on all my patient notes in med school, and I was basically running on autopilot after awhile. The rest of my note, dd, and workup were fine.

What do you guys think? I didn't start freaking out about this until after the exam. I'm an AMG, btw.

 

[medicomel]

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