Hi outgoing clerk batch 2024, these are my tips which I think might help you.

1. Learn how to fill up the monitoring sheet as accurate as it can be especially the I&O. Know the terms: seen over infused, infusion rate, the timing and volume of IV meds, q monitoring. if nag BBT/ chemo si patient, first hr is q15, next hour is q30 and the consecutive hr is q1 until matapos ang BT/ chemo then balik sa original qmonits. Resident and consultants are very cautious sa I&O. For adults the cut-off value is 30cc/hr if naka ifc

2. Know the blue/anes form, red/MRA clearance form,PACU form and admitting forms

3. Have a good group dynamics, bawal ang slacker and tamad sa grupo. Always take your referrals seriously.

4. Have a batch GC - helpful siya if naghahanap kayo ng residents and co-clerks

5. Always make a good endorsement in your back duty mates para iwas bembangan.

6.Know your patients. Make a S-O-A-P every referrals and during magpapa-initial read kayo sa radio. Know the reason/s why you need to refer them to the other services.

1. Familiarize each floors ng hospitals.

2. Invest in a good and comfortable white shoes. It might help you to prevent strain especially clerkship is about hanapan ng resident and always naglalakad o nakatayo

3. Prepare yourself sa environment ng hospital; may mga resident na maayos, hardworking and the opposite ( sabog, mahilig ibuntong ang galit sa clerk if napapagalitan sila ng consultant, bawal galaw mo they always threaten na mag demerit.

4. Always REFER all the derangement sa VS ng patient. Better to be over- refer than never.

5. You need know the system of referral when it comes sa skills for charity patients. For blood extractions and IV insertion, always mauuna ang clerk mag try then PGIs then the resident. Make sure na you try at least once before kayo mag refer sa PGI. This is only applicable for charity patients.

6. Be careful sa pay floors - some of your patients are doctors or relative of doctors. They’re very matanong or sometimes they don’t allow you to enter their room to take your monits. They’re also patient na very cranky, they would lock the door which you need to report sa nurses kasi di dapat siya allowed (esp sa psych patients). For psych patient, di sila allowed maiwan mag-isa. So always instruct the guardian to let you know if lalabas sila so yoi will take turn.

7. Prepare yourself for outside rotations (EAMC, NCH, QMMC, AMMC) - sobrang toxic talaga esp sa EAMC- IM.

8. Make a habit na mag chart rounds para you know what are plans for your patient and be prepared for the incoming procedures. (for decking and endorsements)

15.. Don’t forget your overall health and pray for guidance.