Today started with the daily ward round with the Consultant where the importance of teamwork was shown again, this time between all people working in the hospital. If a patient feels that their treatment from a certain ward is inadequate, the Doctors being told about the event are obliged to apologise on behalf of the other ward to the patient, even when it is not their own fault.
I noticed the constant turn around of patients, with some leaving over night and others arriving when I am not at the hospital. This provides a lot of variation in a doctor’s career. Variation is also due to constant rotation of the medical team. It seems that every member of the team is slightly uncomfortable with the change as they are not used to the way that each other work. It takes time to learn to work cohesively as a team.
The Consultant had a way of ensuring they got all the needed information from their patients by asking questions in the same order for every patient. The conversation would begin with asking how the patient feels, then checking their observations and drugs charts and finishes with explaining the next stage of the patient’s recovery plan. The information from patients must be complete, so doctors must be organised and systematic in their approach to gaining information from their patients.
I was pleased to see that the patients with dementia were put into a separate ward that was more relaxed compared to the other wards to ensure everyone remains happy and calm. Some patients in this ward can get confused and may instinctively be violent against nurses when they may aggravate an area of the body that is sore post-op. Therefore, when the Doctor took bloods which can be painful, they made sure to have another member of staff with them to comfort the patient and prevent violent behaviour.
‘Hospital Passports’ are a very clever initiative used by care homes when sending their residents into hospital. They provide lots of information about a patient to make their stay in hospital more comfortable including likes and dislikes, current medications and conditions, and mobility. This saves the doctors a lot of time when attempting to find out background information on admission.
It is a known fact that doctors learn new concepts every day and I saw an example of this today when they were asked to stop their duties in small groups to come and see how the new needles that are going to be distributed throughout the hospital differ to those already used.
An act of kindness I saw today was the Consultant offering to move a patient to a bed with a little more natural light, after the patient made it clear that they were unhappy with the location their current bed was in.
Some science I learned was about an angiogram showing the journey of blood through blood vessels in the heart. I also learned that codeine can have some very serious side effects including dizziness.