Rearview Mirror: Mods are too busy to shut us down

[Hard24Get]

---

Members do not see this ad.

 

[EM2BE]

almost made the snipe

 

[EM2BE]

Because I took my 3 hour nap, I am paying for it and having to study intensely and pretty late. Otherwise I would stay and chat.

 

[Hard24Get]

Because I took my 3 hour nap, I am paying for it and having to study intensely and pretty late. Otherwise I would stay and chat.

aw man! 😡

 

[Hard24Get]

almost made the snipe

 

[EM2BE]

aw man! 😡

Sorry. I have been a slacker all week. Exams on Mondays kill me because I can't sleep the night before, then I pay for it until I get some sleep either during the week or the weekend after.

 

[EM2BE]

Any ideas on how to formulate a well-organized soap note without memorizing someone else's?

 

[Hard24Get]

Sorry. I have been a slacker all week. Exams on Mondays kill me because I can't sleep the night before, then I pay for it until I get some sleep either during the week or the weekend after.

you gotta become a sleep ***** like me 😉

 

[Hard24Get]

Any ideas on how to formulate a well-organized soap note without memorizing someone else's?

I always do:

overnight events if any (no one likes to be surprised halfway through when you say they had to undergo 3 rounds of cpr )

Subjective - how the patient feels
objective - vitals, I/O, physical exam changes, pertinent labs
assessment - summary sentence with "now improving with" or "complicated by"
plan - by problem list for medicine, including prophylaxis and dispo

write it down the first few times before presenting, then it will become second nature

 

[EM2BE]

you gotta become a sleep ***** like me 😉

I think I have since then. Crashed Monday night. Crashed Tuesday night. Attempted to work last night, still unsuccessful. Need to talk to the bf, but he's been busy. Stupid surgeons aren't giving him a break, so I have to suffer.

 

[EM2BE]

I always do:

overnight events if any (no one likes to be surprised halfway through when you say they had to undergo 3 rounds of cpr )

Subjective - how the patient feels
objective - vitals, I/O, physical exam changes, pertinent labs
assessment - summary sentence with "now improving with" or "complicated by"
plan - by problem list for medicine, including prophylaxis and dispo

write it down the first few times before presenting, then it will become second nature

Hmmmm...I have that part. Just the details they said were really not in the order they wanted them. Most of them were there, just not in the order that made sense to them. Probably didn't help when they were reviewing the video (these were mock pt interviews) and when I sat down to summarize things, I started asking the questions I forgot earlier. I guess they don't like the randomness and ADD when you interview and write up the soap note.

 

[EM2BE]

I guess for the next one, I will memorize their example, and only alter it if something is abnormal.

 

[Hard24Get]

Hmmmm...I have that part. Just the details they said were really not in the order they wanted them. Most of them were there, just not in the order that made sense to them. Probably didn't help when they were reviewing the video (these were mock pt interviews) and when I sat down to summarize things, I started asking the questions I forgot earlier. I guess they don't like the randomness and ADD when you interview and write up the soap note.

what details? Like the physical exam and vitals order? 😕

 

[EM2BE]

Okay, I guess I'll quit procrastinating and go back and study now. I was just a little disappointed with the interview/soap note thing because I thought I had it almost down, then it got rejected. Oh well, might as well get used to it.

 

[EM2BE]

what details? Like the physical exam and vitals order? 😕

Ya. like normocephalic, atraumatic, PERRLA, and stuff like that.

 

[Hard24Get]

Ya. like normocephalic, atraumatic, PERRLA, and stuff like that.

oh, ok - that should be in the Bates order (the regular physical exam order in the H&P)

Have fun studying!

 

[EM2BE]

oh, ok - that should be in the Bates order (the regular physical exam order in the H&P)

Have fun studying!

I guess I just like to be regularly irregular when it comes to that. Not a good thing. Making some cappuccino...mmmm...need some warmth right now. And the caffeine won't hurt either. Thanks!

 

[EM2BE]

Don't get too bored in here... chumbo should be around soon, or rose possibly.

 

[Hard24Get]

I guess I just like to be regularly irregular when it comes to that. Not a good thing. Making some cappuccino...mmmm...need some warmth right now. And the caffeine won't hurt either. Thanks!

won't matter in EM, there will only be a few pertinent findings to present, anyway

 

[Hard24Get]

Don't get too bored in here... chumbo should be around soon, or rose possibly.

feeling guilty???? 😉

 

[chumbojumbo]

wuts up people?

 

[chumbojumbo]

i am hear!

 

[chumbojumbo]

i miss u guys!

 

[chumbojumbo]

im looking for comfort rite now

 

[chumbojumbo]

i think i am in the wrong place

 

[chumbojumbo]

i dont think i have gotten 1 single new page in this thread

 

[chumbojumbo]

W-e-a-k

 

[chumbojumbo]

and whats the deal with these programs huh? cant an IMG get an interview these days

 

[chumbojumbo]

whatever, as long as its all good in the hood, i should shut up

 

[Hard24Get]

i am hear!

hmph, just when I was coming to comfort you! 😡 Going to bed, then 😴

 

[Powdermonkey]

Hello? ....................... *hello*..... stupid echo....

 

[Powdermonkey]

What another slow ass night. We are probably going to get our asses handed to us tomorrow for it... The ER gods are sleeping and will become angry for our complacency

 

[Powdermonkey]

Or something like that. Kinda glad it was slow tonight though because we only had two techs.... stupid budget cuts...

 

[Powdermonkey]

At least the other tech working with me tonight was cool. She pretty hot too, too bad she has a boyfriend...who works there now too...

 

[Powdermonkey]

Oh, and I had much more dialogue with the cute little xray girl i'm trying to get lucky with 😀

 

[Powdermonkey]

Told her that all they have to do is push buttons. Hehe, she didn't like that. But she quickly saw I was joking, so she played along with it all night.

 

[Powdermonkey]

Still trying to get her to come out with me at some point. Maybe I'll get lucky this weekend and she will... I dunno.

 

[Powdermonkey]

Man I dont want to study for anatomy. test tomorrow morning. blech. And its on gay chemistry and metabolism. Stuff I've learned like a gajillion times in each science class I've ever been in. I just hate having to regurjitate all the basics. I'm past that already... lets learn muscles and bones already.

 

[Powdermonkey]

So I guess its good cause the test wont be too terribly hard. Each different class just goes into detail on different things.

 

[Powdermonkey]

So gay.

 

[Powdermonkey]

On a happier note, I finally got a secondary from UT Memphis today, and sent that biatch back in as quick as I could! They didn't have any essays on it, and they only send it out to screened applicants, so I'm guessing that is a good sign for an interview. What say you guys and gals?

 

[Powdermonkey]

 

[EM2BE]

feeling guilty???? 😉

yes...guilt struck me hard.

Now I am drugged into staying awake. Stupid pseudo ephedrine...Going to be up for a few more hours now. Guess I should actually study.

 

[Powdermonkey]

Yeah, thats where I am... Dont really want to study, but I need to.

 

[Powdermonkey]

Plus its so much more fun to it up here at sdn

 

[Powdermonkey]

but alas, anatomy test in the morning must be studied for...

 

[Powdermonkey]

I hate school. 🙂

 

[Powdermonkey]

I cant believe this page was left so close to completion by EM2BE.

 

[Powdermonkey]

Snipey, snipey... where are you????

 

[Powdermonkey]

Hope this picture I found for page 10 isnt too big...