Surgeons: how many residents are usually on a certain patient with you?
I watch some medical shows and I was wondering if you could point out some inaccuracies. How many scrub nurses in an OR? When residents can begin to do "solo" surgeries without the supervision of an attending? How many patients a doctor might have at one time? Communication between doctors? Personal assistants? Floating to other professions like radiology or the ER? Are you usually consulted from the ER or are you searching for patients there like in Greys Anatomy? sorry for all the question. I am 16 and curious to medical professions. Thank you! that cleared a lot of things up for me!
Medicine - 2 Answers
Random Answers, Critics, Comments, Opinions :
1 :
Medical shows are totally inaccurate. In a minor operation there would be one nurse assisting /passing instruments/ counting swabs and another as scout who gets equipment that may not be at hand. Scouts might roam between two minor OR/ OT in Australia. More nurses assist in major surgery OT. Residents in Australia are first year out of med school, so they would not be operating. In USA that probably/must be different. Doctors can have many patients - they work in a team - the consultant, a consultant trainee, a resident; so the work is shared according to level of skill. Consultants are called to ER or Radiology as need be on their consulting days. If they are not called they are doing rounds in the hospital visiting their inpatients or in the clinic seeing outpatients.
2 :
"How many scrub nurses in an OR" On nurse is scrubbed and assists the surgeon by passing instruments and other stuff. There is then one float nurse who answers the phone in the OR, gets supplies, and arranges the odds and ends needed for surgery. "When residents can begin to do "solo" surgeries without the supervision of an attending? " This is a unique thing, and for the vast majority of residents they are never allowed to perform surgeries without an attending surgeon present in the room. Some specialties, like neurosurgery and orthopedic surgery which have longer residencies, allow senior residents to do some limited operations without attending present if they are eligible to sit for the board certification exam. "How many patients a doctor might have at one time?" If you mean in the hospital, it all depends how busy their call nights are and how many operations they perform. Non-operative specialties like internal medicine, family practice, and pediatrics usually carry more patients than surgeons. That being said, the most the average surgeon would have in the hospital at an one time would probably be 10-15 (including consult patients) "Communication between doctors?" Doctors regularly consult one another on patients. This could be a surgeon asking an endocrinologist to mange a patients diabetes while they are in the hospital or an internal medicine doctor consulting a surgeon. It really all depends on the patients condition and the doctors ability to treat it. "Personal assistants" More and more doctors in all specialties are employing medical assistants and nurse practitioners to assist with patient care. "Floating to other professions like radiology or the ER?" For practicing doctors this almost never happens. For residents it is quite common. For example in many neurosurgery residencies, the residents are required to spend time in the radiology department studying neuroradiology and time in pathology studying neuropathology. "Are you usually consulted from the ER or are you searching for patients there like in Grey's Anatomy?" Almost all specialists share the same motto here: "STAY AWAY FROM THE ER, AND WHEN CALLED GET IN AND OUT!" Specialists almost never just hang in the ER, since whenever you do, the ER staff will ask you to see this patient for something or that one for something else before properly working them up themselves. This leads to the specialists spending extra time in the ER and wasting a lot of time on patients that they would not normally need ot see if the ER had done its job to start. So usually the specialists will wait to get called from the ER before going there.
Read more discussion :
Monday, May 28, 2012
Monday, May 14, 2012
What should I name my project
What should I name my project?
My friend and I are putting on a music project this summer. It will be a compilation of high school and college musicians from our high school. We will prepare solo small ensemble works and perform them at local nursing homes (as well as maybe the hospital and other local facilities). I'm hoping we can come up with something simple and catchy. Our town is also called Oswego if that helps with any names. I'm hoping for something simple, catchy, and memorable, so we can use it again in the future. The only thing I have come up with so far is "Music Meets Oswego." Perhaps "The Oswego Music Project," but that seems to bland. Any and all advice is openly accepted! Thanks!
Performing Arts - 1 Answers
Random Answers, Critics, Comments, Opinions :
1 :
What first prompted my interest in your narrative is that you began with "My friend and I . . . " which is correct, but usually forgotten by many on this board. I suggest you use your initial name of "Music Meets Oswego." It's short and to the point.]
Read more discussion :
My friend and I are putting on a music project this summer. It will be a compilation of high school and college musicians from our high school. We will prepare solo small ensemble works and perform them at local nursing homes (as well as maybe the hospital and other local facilities). I'm hoping we can come up with something simple and catchy. Our town is also called Oswego if that helps with any names. I'm hoping for something simple, catchy, and memorable, so we can use it again in the future. The only thing I have come up with so far is "Music Meets Oswego." Perhaps "The Oswego Music Project," but that seems to bland. Any and all advice is openly accepted! Thanks!
Performing Arts - 1 Answers
Random Answers, Critics, Comments, Opinions :
1 :
What first prompted my interest in your narrative is that you began with "My friend and I . . . " which is correct, but usually forgotten by many on this board. I suggest you use your initial name of "Music Meets Oswego." It's short and to the point.]
Read more discussion :
Monday, May 7, 2012
How do I use these details when composing a rap
How do I use these details when composing a rap?
Well this girl asked me to make her a rhyme here's the things about that she's texted; "Love interests;; Dont really have one at this moment. I'm diggin the ridin solo trend(:  Dreams;; I want to go into the WNBA and have a family. But if not that then i'm gonna either be a nurse so i can support my family, or if my Husband has a nice job be a sub for school  Sports!!;; Volleyball is my passion. Basketball is my sport. Softball is my life!!  Hair Color;; A very light brown almost blonde A dirty dishwater blonde. With beautiful natural highlights(: I love my hair color honestly  Eye Color; Blue as the blue sky.Sometimes a grayish blue color which i love Or sometimes a dark blue  Favorite color turquoise :D"
Rap and Hip-Hop - 1 Answers
Random Answers, Critics, Comments, Opinions :
1 :
We dont care about any of that... And we're not writing it for you..
Read more discussion :
Well this girl asked me to make her a rhyme here's the things about that she's texted; "Love interests;; Dont really have one at this moment. I'm diggin the ridin solo trend(:  Dreams;; I want to go into the WNBA and have a family. But if not that then i'm gonna either be a nurse so i can support my family, or if my Husband has a nice job be a sub for school  Sports!!;; Volleyball is my passion. Basketball is my sport. Softball is my life!!  Hair Color;; A very light brown almost blonde A dirty dishwater blonde. With beautiful natural highlights(: I love my hair color honestly  Eye Color; Blue as the blue sky.Sometimes a grayish blue color which i love Or sometimes a dark blue  Favorite color turquoise :D"
Rap and Hip-Hop - 1 Answers
Random Answers, Critics, Comments, Opinions :
1 :
We dont care about any of that... And we're not writing it for you..
Read more discussion :
Tuesday, May 1, 2012
Do I Have Reason to Be Annoyed or Is It Just the Pregnancy Hormones
Do I Have Reason to Be Annoyed or Is It Just the Pregnancy Hormones?
Ok so I am 34 weeks pregnant and work full-time as a nanny to a little girl who is just about 3 months old. Every day I drive her to her moms office around lunch time to breastfeed. We live in Portland, OR so its cold, and often quite rainy. I am only paid $700/month to watch their child full-time, the trade off is that when my son is born, he will (theoretically) be going with me to work and I will care for both infants. In the meantime though, I've just been caring for their child solo, since the day she was born (I was required to be there even when mom was on maternity leave for 6 weeks), for the same salary. I love their baby, and I like them as people, but I hate the pay and even moreso I hate their demands sometimes (when dad travels I have to be there at 3:30am...and don't get off until 3:30pm), help with laundry (which is supposed to be sorted and I just toss it in the wash but I've been lectured before for washing a cashmere sweater that she put in the laundry bin...so now I'm supposed to sort through it myself which is foul because their underwear is in there and she uses re-usable sanitary napkins...ew). Plus when I was hired it was agreed that I would do the babies laundry and toss in some of their clothes, if there was space in the washer and if their clothes had been sorted for me. But I find myself doing one load of baby laundry per week and about 3 loads of just their laundry. They won't be able to find in-their-home childcare (a nanny) and someone to take their baby each day to mom at work to breastfeed and someone to do their household chores for $700/month anywhere else. It just won't happen. That's about what infant DAYCARE costs per month here. Anyway, my problem today is that when I took the baby to her mom to nurse, her mom asked me "find" another coat to wear because her and the babies father think my coat is making the baby get a rash on her cheeks (not a bad rash, doesn't even show up everyday...it looks and seems more like a windburn to me, which due to our climate, it could be). It could also be that I don't use organic detergent like their baby is used to on her clothes. I also don't plan to start using that detergent, I like my scented Tide just fine thanks. It could also be my coat I suppose (an expensive columbia sportswear coat...not exactly a throwaway item). I do not own another coat. I did, and then I lost it and bought this one. Due to what they pay me, I cannot afford to go out and buy a new coat, that is very low on my priority list considering I can't afford to have the brakes replaced on my car right now, or heating oil for my house, because they aren't paying me well enough. And I have a baby on the way, his needs will always come before them wanting me to have a new coat. My question is: do I have reason to be annoyed that they would even ask me to get a new coat? It could just be that I'm overreacting, but I don't know. To me it seems like if clothes other than my perfectly good clothes are needed for the job for whatever reason, they should either provide it themselves, or provide me more funds to purchase a coat that would better suit their needs. And I know its a bad situation for me, but I'm working on finding a new (better paying and only part-time) job. In the meantime though, I have to deal with them. The position just isn't what I thought it would be, and its not working out. And these aren't the only issues really. Another issue is that they cosleep and babywear which is great for them, but considering she can't be with mom and dad all day long, and considering there is going to be another baby here very soon, I can't hold her all day. When I try to put her down, she screams and cries. Sometimes she's ok doing tummy or whatever for 5 minutes or so, but not longer than that, and for me to care for two babies is going to require her to be a tad more independent because I don't have enough hands to carry her all day long (nor do I want to carry her all day long) and also deal with the needs of my own child. They refuse to get her on any schedule also, and I know she's young, but its never too early to start I don't think. Even when she's asleep she only sleeps well right on top of someone, wakes up as soon as someone puts her down. Its a bad habit. She doesn't nap well during the day. They want her to sleep at night, and grumble at me when they come home and finally lay down with her and she sleeps for hours on end then won't sleep at night for them, but I can't get her to sleep without being on top of me. She screams and cries much of the day, which I'm quite worried will "rub off" on my baby...even in the womb I'm sure he can hear her. And it snowed here for a while in December and they asked me to pay a cab to take me to their house and back- the cab would have cost more than I make in a day working for them. The dad didn't have to work during this time because of the weather and mom was on maternity leave still, so it wasn't like they de
Pregnancy - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
I think you are being taken advantage of. I would sit down and tell them all this that you have told us, well, maybe not ALL of it. but tell them you do much more than any daycare would and you either need to be paid more or you will have to stop doing things like driving to the mothers work, doing the laundry, and paying for your own cab to help them out! Tell her that cab ride cost you more than you amke in a day. Tell her you can't afford a new coat because you aren't getting paid enough and have a baby on the way. If she doesn't understand or won't change her ways, then you need to high tail it out of their. It seems to me that once you have your baby, they will try to make you feel "lucky" to be bale to bring him to work with you and take advantage of you even more! Don't let this happen. Stand up for yourself, girl! I know this may seem like the only option you have open right now because of your stiuation, but you should at least try talking to both the mother and the father and come up with some kid of agreement. Even though chances are you may not find another job that will allow you to bring your baby, chances are also that they will not be able to find another nanny to do the things you do! Especially if they are refusing to raise their pay!
2 :
I think you should find another job, these people sound ridiculous, I think it's wrong for them to ask you to buy a new coat, if it's that big of a deal they should purchase one for you their self or give you the money for it. I think you're doing way to much for the pay you recieve, It sounds like this is your first child, I really think it would be overwhelming caring for two infants when you're a first time mom...... I would get a new job ASAP, you could find a lot better job, I don't know what to tell you about her sleeping habits, that is due to her schedule & what she is use to..... it sounds like she is a demanding little thing already...... Try your best to give her some things to entertain herself, I always set our son in his playpen or swing & he would play or watch a movie (curious buddies for his age) Best thing i can tell you to do, is get out of this job asap, i would give them your 2 weeks & start looking for another job, if you take another position as a nanny, make sure from day one it is written down in a contract, what your duties are, what is expected & the amount of pay, I think you should also make sure they pay for any extra expenses such as cab fair or gas to take the child somewhere, things like that should not come out of your pocket. Good Luck & Congratulations on your baby!!
3 :
they are really taking the p**s lol. you need to sit with them and tell them you need more money, you want to get there baby into a routine as it will be better for the futire, and that you are not buying a new coat! lol. i mean they are just treating you like a maid! i wouldnt put up with it. really do sit them down and talk to them, worst comes to worst leave them and get yourself a better paid job with better hours with no one to take advantage of you. plus you dont need the stress of a fussy baby when you are about to have a baby yourself, or the stress of that pair good luck with your baby aswel chick xx
4 :
W O W!! Where to begin... ok I think sounds like this is not a situation you need to continue with. You seem unhappy, and they are probably unhappy. If I were in your situation, I would turn in my notice now, and tell them that you will not be continuing as their nanny when your baby is born. That still gives them time to research to find someone new, and lets you keep looking for that new job yourself. However, you also need to consider the situation you are in. You will get to take your baby to work and you have a lot of freedom (not being tied into a cubicle or something). Unless you have another nanny position available, you'll have a hard time finding something that pays well enough to cover your bills & expenses AND pays childcare. Maybe you could try your hand at a daycare center as an assistant. They probably would let you take your child there for free at that point. Either way, you really need to sit down and logically weigh your situation out and if you decide to go, be respectful and give them some type of notice. If you decide maybe to stick it out, ask if you can talk about the situation. Maybe they would be willing to pay more if you offered to do more of the household duties (all laundry, dishes, general housekeeping). Also as the nanny, you should respect their wishes on child raising, but at the same time, you don't have to spoil their child--that's their job. Get the baby into a sleeping/playing routine, etc as if it were your own child. And after your baby is born, you may realize raising children (your's or someone else's) isn't as easy as black and white.
Read more discussion :
Ok so I am 34 weeks pregnant and work full-time as a nanny to a little girl who is just about 3 months old. Every day I drive her to her moms office around lunch time to breastfeed. We live in Portland, OR so its cold, and often quite rainy. I am only paid $700/month to watch their child full-time, the trade off is that when my son is born, he will (theoretically) be going with me to work and I will care for both infants. In the meantime though, I've just been caring for their child solo, since the day she was born (I was required to be there even when mom was on maternity leave for 6 weeks), for the same salary. I love their baby, and I like them as people, but I hate the pay and even moreso I hate their demands sometimes (when dad travels I have to be there at 3:30am...and don't get off until 3:30pm), help with laundry (which is supposed to be sorted and I just toss it in the wash but I've been lectured before for washing a cashmere sweater that she put in the laundry bin...so now I'm supposed to sort through it myself which is foul because their underwear is in there and she uses re-usable sanitary napkins...ew). Plus when I was hired it was agreed that I would do the babies laundry and toss in some of their clothes, if there was space in the washer and if their clothes had been sorted for me. But I find myself doing one load of baby laundry per week and about 3 loads of just their laundry. They won't be able to find in-their-home childcare (a nanny) and someone to take their baby each day to mom at work to breastfeed and someone to do their household chores for $700/month anywhere else. It just won't happen. That's about what infant DAYCARE costs per month here. Anyway, my problem today is that when I took the baby to her mom to nurse, her mom asked me "find" another coat to wear because her and the babies father think my coat is making the baby get a rash on her cheeks (not a bad rash, doesn't even show up everyday...it looks and seems more like a windburn to me, which due to our climate, it could be). It could also be that I don't use organic detergent like their baby is used to on her clothes. I also don't plan to start using that detergent, I like my scented Tide just fine thanks. It could also be my coat I suppose (an expensive columbia sportswear coat...not exactly a throwaway item). I do not own another coat. I did, and then I lost it and bought this one. Due to what they pay me, I cannot afford to go out and buy a new coat, that is very low on my priority list considering I can't afford to have the brakes replaced on my car right now, or heating oil for my house, because they aren't paying me well enough. And I have a baby on the way, his needs will always come before them wanting me to have a new coat. My question is: do I have reason to be annoyed that they would even ask me to get a new coat? It could just be that I'm overreacting, but I don't know. To me it seems like if clothes other than my perfectly good clothes are needed for the job for whatever reason, they should either provide it themselves, or provide me more funds to purchase a coat that would better suit their needs. And I know its a bad situation for me, but I'm working on finding a new (better paying and only part-time) job. In the meantime though, I have to deal with them. The position just isn't what I thought it would be, and its not working out. And these aren't the only issues really. Another issue is that they cosleep and babywear which is great for them, but considering she can't be with mom and dad all day long, and considering there is going to be another baby here very soon, I can't hold her all day. When I try to put her down, she screams and cries. Sometimes she's ok doing tummy or whatever for 5 minutes or so, but not longer than that, and for me to care for two babies is going to require her to be a tad more independent because I don't have enough hands to carry her all day long (nor do I want to carry her all day long) and also deal with the needs of my own child. They refuse to get her on any schedule also, and I know she's young, but its never too early to start I don't think. Even when she's asleep she only sleeps well right on top of someone, wakes up as soon as someone puts her down. Its a bad habit. She doesn't nap well during the day. They want her to sleep at night, and grumble at me when they come home and finally lay down with her and she sleeps for hours on end then won't sleep at night for them, but I can't get her to sleep without being on top of me. She screams and cries much of the day, which I'm quite worried will "rub off" on my baby...even in the womb I'm sure he can hear her. And it snowed here for a while in December and they asked me to pay a cab to take me to their house and back- the cab would have cost more than I make in a day working for them. The dad didn't have to work during this time because of the weather and mom was on maternity leave still, so it wasn't like they de
Pregnancy - 4 Answers
Random Answers, Critics, Comments, Opinions :
1 :
I think you are being taken advantage of. I would sit down and tell them all this that you have told us, well, maybe not ALL of it. but tell them you do much more than any daycare would and you either need to be paid more or you will have to stop doing things like driving to the mothers work, doing the laundry, and paying for your own cab to help them out! Tell her that cab ride cost you more than you amke in a day. Tell her you can't afford a new coat because you aren't getting paid enough and have a baby on the way. If she doesn't understand or won't change her ways, then you need to high tail it out of their. It seems to me that once you have your baby, they will try to make you feel "lucky" to be bale to bring him to work with you and take advantage of you even more! Don't let this happen. Stand up for yourself, girl! I know this may seem like the only option you have open right now because of your stiuation, but you should at least try talking to both the mother and the father and come up with some kid of agreement. Even though chances are you may not find another job that will allow you to bring your baby, chances are also that they will not be able to find another nanny to do the things you do! Especially if they are refusing to raise their pay!
2 :
I think you should find another job, these people sound ridiculous, I think it's wrong for them to ask you to buy a new coat, if it's that big of a deal they should purchase one for you their self or give you the money for it. I think you're doing way to much for the pay you recieve, It sounds like this is your first child, I really think it would be overwhelming caring for two infants when you're a first time mom...... I would get a new job ASAP, you could find a lot better job, I don't know what to tell you about her sleeping habits, that is due to her schedule & what she is use to..... it sounds like she is a demanding little thing already...... Try your best to give her some things to entertain herself, I always set our son in his playpen or swing & he would play or watch a movie (curious buddies for his age) Best thing i can tell you to do, is get out of this job asap, i would give them your 2 weeks & start looking for another job, if you take another position as a nanny, make sure from day one it is written down in a contract, what your duties are, what is expected & the amount of pay, I think you should also make sure they pay for any extra expenses such as cab fair or gas to take the child somewhere, things like that should not come out of your pocket. Good Luck & Congratulations on your baby!!
3 :
they are really taking the p**s lol. you need to sit with them and tell them you need more money, you want to get there baby into a routine as it will be better for the futire, and that you are not buying a new coat! lol. i mean they are just treating you like a maid! i wouldnt put up with it. really do sit them down and talk to them, worst comes to worst leave them and get yourself a better paid job with better hours with no one to take advantage of you. plus you dont need the stress of a fussy baby when you are about to have a baby yourself, or the stress of that pair good luck with your baby aswel chick xx
4 :
W O W!! Where to begin... ok I think sounds like this is not a situation you need to continue with. You seem unhappy, and they are probably unhappy. If I were in your situation, I would turn in my notice now, and tell them that you will not be continuing as their nanny when your baby is born. That still gives them time to research to find someone new, and lets you keep looking for that new job yourself. However, you also need to consider the situation you are in. You will get to take your baby to work and you have a lot of freedom (not being tied into a cubicle or something). Unless you have another nanny position available, you'll have a hard time finding something that pays well enough to cover your bills & expenses AND pays childcare. Maybe you could try your hand at a daycare center as an assistant. They probably would let you take your child there for free at that point. Either way, you really need to sit down and logically weigh your situation out and if you decide to go, be respectful and give them some type of notice. If you decide maybe to stick it out, ask if you can talk about the situation. Maybe they would be willing to pay more if you offered to do more of the household duties (all laundry, dishes, general housekeeping). Also as the nanny, you should respect their wishes on child raising, but at the same time, you don't have to spoil their child--that's their job. Get the baby into a sleeping/playing routine, etc as if it were your own child. And after your baby is born, you may realize raising children (your's or someone else's) isn't as easy as black and white.
Read more discussion :
Subscribe to:
Posts (Atom)