26 Nov 2012

Teaching

One thing that is taught from the junior clinical clerkship is we have to ask some vitally important questions in almost every encountering with the patients so that we will not make fatal mistakes. What I must stress is it is almost every situation, we have to do it.

For example, we have to ask the name of the patient before we do any procedure. To tell you the truth, sometimes the patient that is lying on the bed is not the one you really want to meet. Sometimes, they leave their own places and replaced. So if you mistakenly did a "Cross and Match" to these patients who are supposed to receive blood products, troubles are coming.

And other one is, seemingly important but frequently ignored, asking whether the patient had any known drug allergy. A short form in our medical record for the absence of which would be NKDA, which looks like a famous brand name. It is vital to the patients as well as the doctors because, first, doctors can prescribe some commonly used drug with ease. Second, if this label is made, any subsequent drug adverse reaction should not be blamed to the doctors.

So doing these sort of simple things are important and not to be missed. Whether you meet some new people, remember to ask them if they are honest and good.

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