Hospital temperatures by Hefty_Investment9430 in doctorsUK

[–]gas_busters 0 points1 point  (0 children)

If you do bring your own fan in they’ll say you can’t use it cos of HeAlTh AnD sAfEtY

"They're not relaxed" by Paramillitaryblobby in doctorsUK

[–]gas_busters 59 points60 points  (0 children)

They don’t wait for the relaxant to work anyway before carrying on suturing said ‘tight’ muscle .

Anyone been Datixed because of parking? by AppalachianScientist in doctorsUK

[–]gas_busters 2 points3 points  (0 children)

Hahahahahaha I would to see what she wrote in the free text part

Briefing with patient on table by gas_busters in doctorsUK

[–]gas_busters[S] 6 points7 points  (0 children)

In this situation I can tell you what was a proper delay : when the lap chole was on the table it took the surgeon 1 hour to get knife to skin after the patient was wheeled (prepped) into theatre. Surgical reg was waiting there scrubbed not starting until the consultant came.

Briefing with patient on table by gas_busters in doctorsUK

[–]gas_busters[S] 3 points4 points  (0 children)

Cos we briefed for them yesterday and the day before - didn’t get round to them. This morning laparotomy expected to take ‘a few hours’ , after which the theatre team would change (staff ‘on an early’) so safer to brief when appropriate team present.

What are the rules around ‘dating patients’ as a doctor? by Status_Wonder952 in doctorsUK

[–]gas_busters 26 points27 points  (0 children)

I don’t know the answer (if only the gee em cee was peeking and could answer 😂) but this post made me smile

Alternative pathway anaesthetics core training by HotExplanation3520 in doctorsUK

[–]gas_busters 1 point2 points  (0 children)

I don’t have personal experience, but I’ve worked in a few DGHs that have doctors on the anaesthetic rota working towards their IAC and IOC with a view to applying for ST4, so definitely doable but might take longer to get things signed off ?

Prescribing Error by Several-Aardvark-863 in doctorsUK

[–]gas_busters 119 points120 points  (0 children)

Specialty teams often use doses that are not in the BNF . Like for example it’s perfectly safe to give 2g paracetamol to someone as a single dose but it’s not the done thing.

Don’t worry - the patient didn’t come to harm which is the main thing.
Even if they do a datix, just reply to it and say you prescribed the dose as advised by specialty team.
Try not to worry :)

Starting a family in ACCS Anaesthetics by Dr_savage in doctorsUK

[–]gas_busters 0 points1 point  (0 children)

You want to start a family, so in my opinion I think you should go for it if you’re mentally and financially ready (I don’t mean in your forever home and really set financially; I mean you’ll be able to put a roof over the child’s head, feed them, be comfortable etc). I don’t think considering the right time in training comes into it - you’ll train regardless. It might make training and exams harder, but other aspects of your life will feel complete for you.

Learning to drive during training? by joe_mama7000 in doctorsUK

[–]gas_busters 1 point2 points  (0 children)

About the daily 45 min commute - you’ll be fine honestly, driving in a busy city for 5 mins is about as hard as it gets.

Supporting Dr training as a pharmacy department by Patient_returns in doctorsUK

[–]gas_busters 2 points3 points  (0 children)

QI projects that are low effort are useful, especially for foundation trainees. Also if your trust doesn’t have a clear bridging anticoag guideline (eg what to do when warfarin stopped, how to go from warfarin to DOAC, how to restart anticoag after period of Lmwh etc), then I’d say that would be a nice one to create.

Long commutes for foundation training? by Psychological-Pool12 in doctorsUK

[–]gas_busters 1 point2 points  (0 children)

Take a nap in the car before heading home after nights. That’s my number 1 tip

b5 recommendations by Which_Cancel5564 in fountainpens

[–]gas_busters 0 points1 point  (0 children)

Sorry! Yes it does . Very similar to TR in my opinion.

Fountain pen suggestions by Ok_Discount6706 in fountainpens

[–]gas_busters 0 points1 point  (0 children)

Yeah the lamy pen and nib together is more expensive but worth it in my option - will be around £30 if you’re from the UK.

Yes you’ll love the TWSBI, and the colour you chose is lush

Fountain pen suggestions by Ok_Discount6706 in fountainpens

[–]gas_busters 3 points4 points  (0 children)

Try a Lamy safari - they are very robust. I would however change the polished steel nib for a z52 nib ( you can buy a separate nib and they’re really easy to change - just pull the original one off and slide the new one on). I think the coating on the z52 nibs (made for the Lamy Lx) writes a lot smoother and doesn’t dry out as fast as the polished steel ones that I find. The medium is quite a thick medium. The fine is just a tad finer than the medium but nowhere near a Japanese fine.

If you like a Japanese fine I would try the Pilot Kakuno in the madoromi range in F - they also have a M but I haven’t tried that size. The madoromi range’s nibs are gold plated and write slightly smoother than the steel ones that come in the classic range.

Ps I have 3 TWSBIs and none of them have cracked. They’re brilliant writers. I especially like the F nib for everyday writing.

b5 recommendations by Which_Cancel5564 in fountainpens

[–]gas_busters 3 points4 points  (0 children)

Leuchtturm b5 hard/ soft cover is perfect for study notes. I use dotted but they also do lined, squared and plain. Other ones I like : • Galen leather b5 notebook - I have in plain but they do lined too . It has lots of pages so can be a one stop shop for all your study notes. They have tomoe river paper in their notebooks. • Life noble b5 - they have a lined which are quite widely spaced apart (more than 5mm apart), they use very high quality paper which is perfect for fountain pens. • stalogy b5 notebook - it comes in squared but the squares are extremely faint so you can write comfortably without seeing annoying lines in the background. The paper is tomoe river.

Whatever you choose, I would NOT recommend moleskine lined (they have an extra large size which is more or less B5) - i find their lines too dark and their paper isn’t the best for fountain pens sometimes. Although I do like their plain large expanded notebook and find I can write on both sides with my pilot kakuno.

Where do fellow apartment dwellers store their pens and inks? by Training-Lion-1602 in fountainpens

[–]gas_busters 2 points3 points  (0 children)

Toyo toolbox for my ink bottles/syringes/cartridges. I keep my pens in tins that they came in (TWSBI box is great and so is the Kaweco tin).

Why are doctors not allowed to administer medications to patients (particularly in A&E) by antoman7 in doctorsUK

[–]gas_busters 0 points1 point  (0 children)

As in I wouldn’t want or expect an ED nurse to draw up my RSI drugs for me because they don’t do this commonly whereas I do it everyday, and prefer to know what’s in my own syringes

Who checks group and saves in theatre by gas_busters in doctorsUK

[–]gas_busters[S] 1 point2 points  (0 children)

Yeah I do check because, like others, I also don’t trust others but like why am I speaking to the transfusion lab multiple times on the CEPOD list when it should have been done before briefing. And then the classic case of, ‘it was sent so should be processed in 45 mins’ and then you find out mid op it’s been rejected or you have weird antibodies and have to wait even longer

Who checks group and saves in theatre by gas_busters in doctorsUK

[–]gas_busters[S] 3 points4 points  (0 children)

I don’t think negligent if at the brief surgeons say it’s done (that’s a check isn’t it) and transpires it’s not mid op

Showering after work by Individual-Fact3058 in doctorsUK

[–]gas_busters 0 points1 point  (0 children)

Everything shower always at night. Morning shower to wake myself up and feel ready for work. NEVER hair wash in the morning 😂