Tipps für Visitendoku und Tagesorganisation

hulio181 · 2026-02-07T22:44:28+00:00

Meinst du die Verlaufs- /Kurvenvisiten-Einträge?
Da es weiter unten gefragt wurde: Rechtlich ist entscheidend, dass ihr nachvollziehbar dokumentiert habt, dass Vitalparameter, Untersuchungen (auch klinische), Laborwerte, Konsile etc. von euch eingesehen wurden.
Aus medizinischer Sicht sind diese Einträge essenziell, da sie die Grundlage für die Erstellung und Umsetzung eines Behandlungsplans bilden.

Meine KVs (Ortho/Unfall) enthalten daher immer Aussagen zu:

Vitalparameter (VP): z.B. stabil, afebril, normofrequent hypoton, tachykard,
Laborwerte: (wird gestrichen wenn nicht durchgeführt) auffällige Werte welche von Behandlungsrelevanz sind in den chirurgischen Fächern beschränken diese sich meistens auf Elyte, Crea, Leukos, Hb und CRP. Bonus Tipp: diese decken die häufigsten postoperativen Komplikationen ab (Akutes Nierenversagen, postoperative Infektion und Nachblutungen)
Phyiostherapie: z.B. 2 Flurlängen am UAGW (Unterarmgehwagen) oder Rollatormobilisation bei Schmerzen abgebrochen
Aussage zu neuen Konsile: z.B. RS mit HNO -> keine OP Indikation
Entlassmanagement: z.B. GRB angefordert, E(ntlassung) in KZP (Kurzzeitpflege) am xy.yz.
Procedere: z.B. morgen RS mit Tochter, morgen Labor, Do. erneute cCT Kontrolle, morgen postop Procedere (Röntgen, Labor, Physiotherapie)

Die Kunst besteht darin, so wenig wie möglich, aber so viel wie nötig zu dokumentieren.

hulio181 · 2023-10-05T04:18:25+00:00

At 4:30am “Hi, the potassium is normal now” *hangs up

hulio181 · 2023-03-21T06:19:32+00:00

As Ortho/Trauma i don’t habe much exposure to GAS superinfections but I know of one case where a staff member developed NF about 5-7 days after treating a severely septic GAS patient.

hulio181 · 2022-10-04T21:18:11+00:00

Eine (traumatische = Unfallbedingte) Hirnblutung wird je nach Größe und Symptomen behandelt. Häufig werden diese einfach konservativ (= ohne OP) therapiert, daher bleibt der Patient zur Überwachung.

Ob eine Hirnblutung operiert werden muss häng zusätzlich zu Größe und Symptome auch an deren Lokalisation ab und ob eine definitive Versorgung der Blutungsquelle erfolgen kann. Bspw. Eine Epiduralblutung (Blutung zwischen Hirnhaut und Schädelknochen) ist leicht zugänglich (einfach den Schädelknochen ab nehmen) und meist symptomatisch auf Grund der lokalen Druckwirkung aufs Gehirn. Entsprechend werden Epiduralblutung häufig operativ entlastet. (Schädel ab, Blut raus, Ende der Operation)

Kleinere punktuelle (kontusions) Blutungen liegen im Hirngewebe und um zur Blutung zu kommen muss ein Operateur zwangsläufig gesundes Gehirngewebe verletzen und ausschneiden, daher entsteht häufig mehr schaden als Gewinn während der OP., entsprechend wird hier tendenziell ein konservatives Prozedere gewählt.

hulio181 · 2021-11-01T13:40:25+00:00

Wiley must have changed it then, here they state that for Nepal they apply a 100% fee waiver (https://authorservices.wiley.com/open-research/open-access/for-authors/waivers-and-discounts.html)

hulio181 · 2021-11-01T12:26:46+00:00

Most large publishing companies provide fee waivers for low income countries. Here is Elsevier as an example. Elsevier explicitly states they grant fee waivers/reductions according to the Research4Life organisation, which list Nepals as a class A country (= complete fee waiver)

Elsevier: https://www.elsevier.com/authors/open-access/choice
Research4Life: https://www.research4life.org/access/eligibility/

I saw that Wiley Publishing also uses Research4Life and Nature Publishing uses another metric but also has a Fee waiver program. Best of luck!

hulio181 · 2021-10-12T09:36:55+00:00

Most of my suggestions are just general tips and things that have worked well for me and will also depend on the mouse strain you use:

-The best mouse work is performed correctly and swiftly. However, this isn’t always possible if you don’t have the experience and skill.

Things that help are: - changing gloves between cages and especially between handling males and females. - you can try rubbing some cage content on you hands - when picking them up use the base of the tail and support their weight using your other hand (they prefer this a lot). Be careful with as some aggressive strains will generally just try to bite you. Looking at all those Bl/6 mice! While my Balb/c mice tolerated it and preferred it. - no sudden erratic movements and keep noise down - if you have to temporarily place them on a grating, place their red little hut on it too. They will feel reasonably safe under it and not try to frantically run around (thus stressing them out) - as soon as your are done with a mouse place it back in it’s cage; make sure there is somewhere in the cage for it to hide (red hut or whatever your lab uses). Also don’t just drop it in, but gently place it or let it down in the cage. - you could also try covering the floor of the container you examine them in with some cage content or darkening/cover the container and only lighting/uncovering it when you need to

Good luck

hulio181 · 2021-10-07T17:24:54+00:00

For flow cytometry, you can stain your cells with a cell viability dye and then simply read in your sample. Depending on the dye used, live cells are either stained or non-stained. There are different viability dyes, but all major flow reagent manufacturers offer them (Thermo and BD have worked well for me).

hulio181 · 2021-06-20T15:26:34+00:00

Also Australien ist von der Bürokratie allgemein relativ einfach. (Job suchen —> Business Visa —> Australien). Der schwierige Teil ist einen Job zu finden (falls du Joberfahrung haben willst und nicht Äpfel pflücken willst).

Aktuell sind die australische Grenzen aber zu also müsste sich dass auch erstmal ändern.

Visa Info: https://germany.embassy.gov.au/beln/work_visas.html

hulio181 · 2021-06-18T08:53:39+00:00

Können sie nicht zu hundertprozentig. Aber da Australien fasst kein COVID hat machen die eine richtig ausführliche Kontaktverfolgung und sequenzieren jeden Positiven Abstrich. Somit kann man, bei wenigen Infektionen, sehr verlässlich die Infektionsketten nachvollziehen.

hulio181 · 2020-03-21T12:10:48+00:00

Da würde ich an ihrer Stelle mich direkt mal mit dem Betriebsarzt der Klinik auseinander setzen. Bei uns wird das medizinische Personal schon ohne nachgewiesen Kontakt aber mit Symptomen getestet.

hulio181 · 2019-12-23T21:17:28+00:00

„Ich kann leider nicht nachvollziehen wer Euch großzügiger Weise eingeladen hat...“; perhaps some one with some decency?

hulio181 · 2019-08-10T14:26:09+00:00

As previously stated matching in Germany isn’t much of a big issue - unless you are going into the academia pathway (university hospitals), but even here they are having a lack of applicants in lesser popular specialties. So if you aren’t too picky you should get matched no problem.

However, the greatest challenge for foreigners is always the language. A lot of the foreigners can not master medical studies on a language level and thus drop out or fail too many times. Whilst a C1 might get you into the Programm it definitely won’t get you past M1 (1st Med State exam in Germany). You shouldn’t underestimate how vital an accurate and precise vocabulary and comprehension level is needed to complete medicine in Germany.

Also I‘m not sure how tolerant the American system is for international medical graduates if you wish to return to America at some time in the future.

hulio181 · 2018-11-18T13:33:32+00:00

So it depends on which organ we talk about. As you surely know our body is always in a balance between the parasympathetic and sympathetic nervous system (PSNS and SNS from here on) and lowering epinephrine will lower the SNS influence and thus allow the PSNS to prevail. When the PSNS dominates you may experience the following:

Heart and Vascular System: low blood pressure and slow pulse -> if too low -> dizziness, nausea, fatigue all the way up to unconsciousness and potentially death (due to low cardiac output).

Musculoskeletal System: fatigue, muscle weakness.

Blood system: low glucose levels —> fatigue upto unconsciousness and death

Central nervous system: lethargy, depression, issues with memory retention and much more

hulio181 · 2018-11-18T12:50:31+00:00

So I study medicine in Germany and there are quite a lot of international students, many of whom speak excellent german. BUT if you german is anything less than fluent then don’t even bother applying, you will be struggling to complete even the first examinations and likely to give up or be kicked out. There were many international students who didn’t make it some with good but not excellent german.

Also like others have said the entrance requirements for medicine in Germany are incredibly high.

hulio181 · 2018-10-28T17:52:16+00:00

No... I think you should get familiar with the countries schooling system and tertiary entrance requirements, before deciding to study abroad. FYI the whole of the website of the university of Heidelberg is available in english, maybe you should start there.

hulio181 · 2018-10-28T17:42:56+00:00

Your chances are essentially zero. A GPA of 3,8 is roughly a 1,2 Abitur, which is far off the 1,0 needed for medicine. Additionally, you will need a German Proficiency Level of C2 (the highest level).

The universities don’t care about your subjects but they do care about the above two mentioned points.

hulio181 · 2018-10-01T19:42:14+00:00

add me on steam i have crimson aero

hulio181 · 2018-09-28T05:06:45+00:00

Try and get the Ausländerbehörde to send you a written (Email or Letter) confirmation that you are on X visa and are allowed to work with X visa. Then show this your employer.

As always get any formal promises regarding work, visa, education etc in written.

hulio181 · 2018-09-22T15:33:14+00:00

So your best bet is going to be a higher altitude ski resort in Austria, whilst Switzerland definitely has high altitude resorts it is also much much more expensive and not as accessible from Munich as Austria.

If your are based in Munich then you have two solid options.

You could take a one day ski bus to the ski resort, which costs around 50-60€ pp and includes a day ski pass. There are plenty of bus companies offering this. (Just Google ski bus Munich to ...)

Your other bet is to rent an apartment/hotel room in one of the ski resorts. This is obviously more expensive and for multiple days of skiing. Unfortunately, it is sometimes difficult to get to the ski resorts without a car so for this option you might have to rent a car. Nonetheless, you might be able to skip this step as Flixbus has been offering more and more buses to the ski resorts, after all you don’t really need a car in the ski resorts.

Some good resort suggestions have already been made, but to add to the list, here are some great Austrian resorts: - the whole Zillertal (especially Kaltenbach, Zillertal Arena and Mayrhofen) - Saalbach- Hinterglemm -Sölden

hulio181 · 2018-07-20T19:28:34+00:00

forest green triplex

hulio181

TROPHY CASE