- Joined
- Aug 13, 2015
- Messages
- 8
- Reaction score
- 4
So took my CS today.
Freakin out.
Thats what i did in all cases:
1) knocked on the door
2) COnfirm patients name
3) introduced myself and my name and hand shake
4) asked can i do anything to make you feel more comfortable
5) asked, if i can ask few questions?
6) Asked HPI using LIQOPraaa or Docfapaa
7) Summarized and asked if thats accurate and if want to add anything?
8) Asked ROS using THEN FR CS PUB SAW ID
9) Now, i would like to ask some questions about your past history. is that okay?
10) did PAM HITs Foss
11) Before asking obgyn question and before sexual hx: Said, i would like to ask some personal questions but want to assure you that they are absolutely confidential. Is that okay?
12) Asked the rest
13) Now i would like to do a quick PE. is that okay?
14) Put on gloves and while putting on gloves, i was facing directly them and asked, in the mean time, do you have any questions? then made sure they were draped
15) Did the focused PE. if cardio then PMI, carotid, JVD (45 degree angle), Inspect, palpate then ausculate.
16) If resp, then inspect, palpate (TVF, chest rise etc), then listened for entire inspiratory and expiratory cycle...
17) Before doing anything, told them what i am gonna do and if you feel pain please let me know.
18) before un tying their gown, asked them and then tied it back and thanks..
19) only exposed small area to be examined and made sure they were draped.
20) abd did: inspect, ausculate for 2-3 seconds at each spot, then purcuss and then palpate. Started away from the area of pain..
21) Done. Then said, Thank you for letting me examine you. So based on your cc and what you told me, you could have this or this and thats why and thats what i would like to do..and once the results are back, ill be in touch and we'll go from there. Qs? concerns? no. okay. So now nurse will come in and will start the process and she will give you something for your pain or cough. Just wanted to make sure their cc is being addressed while i wait for the results..and then asked any qs? and then said. okay, if you have any other questions later on, feel free to call and i will be more than happy to answer your questions..THanks, shook hands and peace out..
Now where i screwed up:
1) First case didn't close. i was just dehydrated, just nervous. So i wrote the hpi but only listed 1 ddx with supporting info and 2 ddx just the name without any history. Did the workup..
Overall, I closed all cases except the first one..6-7 cases had 3 ddx with history and PE findings (if warranted) and then the workup...2-3 cases. Just had 2 DDX with the workup..and perhaps 1-3 causes had 1 ddx with hx and or with 2ddx without history due to perhaps writing too much in PE and HPI. or just blanked out...
Really pissed about the last case...i had 1 ddx with hx etc and other 2 ddx i had written on my blue sheet but just blanked out and couldn't think to look at my sheet and bam time...did the work up tho...
So how screwed am i?
Thanks for reading!!!
Freakin out.
Thats what i did in all cases:
1) knocked on the door
2) COnfirm patients name
3) introduced myself and my name and hand shake
4) asked can i do anything to make you feel more comfortable
5) asked, if i can ask few questions?
6) Asked HPI using LIQOPraaa or Docfapaa
7) Summarized and asked if thats accurate and if want to add anything?
8) Asked ROS using THEN FR CS PUB SAW ID
9) Now, i would like to ask some questions about your past history. is that okay?
10) did PAM HITs Foss
11) Before asking obgyn question and before sexual hx: Said, i would like to ask some personal questions but want to assure you that they are absolutely confidential. Is that okay?
12) Asked the rest
13) Now i would like to do a quick PE. is that okay?
14) Put on gloves and while putting on gloves, i was facing directly them and asked, in the mean time, do you have any questions? then made sure they were draped
15) Did the focused PE. if cardio then PMI, carotid, JVD (45 degree angle), Inspect, palpate then ausculate.
16) If resp, then inspect, palpate (TVF, chest rise etc), then listened for entire inspiratory and expiratory cycle...
17) Before doing anything, told them what i am gonna do and if you feel pain please let me know.
18) before un tying their gown, asked them and then tied it back and thanks..
19) only exposed small area to be examined and made sure they were draped.
20) abd did: inspect, ausculate for 2-3 seconds at each spot, then purcuss and then palpate. Started away from the area of pain..
21) Done. Then said, Thank you for letting me examine you. So based on your cc and what you told me, you could have this or this and thats why and thats what i would like to do..and once the results are back, ill be in touch and we'll go from there. Qs? concerns? no. okay. So now nurse will come in and will start the process and she will give you something for your pain or cough. Just wanted to make sure their cc is being addressed while i wait for the results..and then asked any qs? and then said. okay, if you have any other questions later on, feel free to call and i will be more than happy to answer your questions..THanks, shook hands and peace out..
Now where i screwed up:
1) First case didn't close. i was just dehydrated, just nervous. So i wrote the hpi but only listed 1 ddx with supporting info and 2 ddx just the name without any history. Did the workup..
Overall, I closed all cases except the first one..6-7 cases had 3 ddx with history and PE findings (if warranted) and then the workup...2-3 cases. Just had 2 DDX with the workup..and perhaps 1-3 causes had 1 ddx with hx and or with 2ddx without history due to perhaps writing too much in PE and HPI. or just blanked out...
Really pissed about the last case...i had 1 ddx with hx etc and other 2 ddx i had written on my blue sheet but just blanked out and couldn't think to look at my sheet and bam time...did the work up tho...
So how screwed am i?
Thanks for reading!!!
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