Thursday, October 5, 2017

What Residency Looks Like VI: W-w-w-white out!


In the Pediatric Intensive Care Unit (PICU, pronounced "pick you"), these are the tools of my trade as a resident:

  • A stethoscope and alcohol wipes with which to clean it between patients, although this was really only useful for consults in the emergency room, as each patient in the PICU has their own disposable yellow plastic stethoscope. Nobody cleans it between users.
  • Water bottle: hydration, hydration, hydration!
  • Keyboard = germ-infested portal to the electronic medical record. Since I started working in the hospital (and came down with gastroenteritis in my first month), I will not eat without washing my hands with soap and water. I touch as little of my food with my hands as possible, going to far as to eat snack mix with a spoon and my sandwich or chips out of the bag "like a horse" (according to my coworkers).
  • "Pickle phone" aka short-range wireless phone so I can always be reached no matter where I am in the hospital or unit (including, you know, ... the loo).
  • Rounding sheets onto which to copy overnight events, vital signs, ventilator settings, laboratory and imaging results, fluid balance, medications, consults to call, consultants' recommendations, something resembling a treatment plan, and a to-do list marked by open squares that I shade in like a bowling score card depending on how close to done the task is.
  • Pen, pencil, and white out for fixing mistakes before copying the sheet for the attending and for whiting out today's details so the sheet can be copied and used for several days if the basic information does not change. The resident's personal bottle of white out may be disappearing from the PICU, as the unit transitions to a computerized rounding sheet that requires three clicks and then *poof*. Or rather *print*. No more two hours scribing information that is often out of date by the time it is presented on rounds. Unfortunately, it's still in beta, and I have no more scheduled PICU rotations for the rest of residency.

If you also find tools and technology interesting, check out this post about bathrooms, this one on toadstools, or this one about everyday things in Germany.


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