Performing Arterial Blood Gases (ABGs)
Thanks to Geeky Medics for an excellent video demonstration Equipment Gloves Alcohol wipe Cotton wool/ gauze ABG syringe (ensure it
Welcome to our "Prepare for FY1" course
Please arrive promptly at 9:30 am. We will allocate you to small groups for the day. The leads of your first group will introduce you to what’s expected from the day & they will be your mentors to help & support you with any questions or concerns you have throughout the day.
You will rotate through 6 stations covering core aspects of being an FY1 including ward round documentation, prioritising jobs whilst on call, dealing with unwell patients, communicating with families, procedures, admitting a patient and requesting imaging. There will be lunch halfway!
After this, we’ve worked with “The Next Step” team to organise an expert panel of junior doctors who will answer your submitted questions & provide top tips for FY1. This will be followed by dinner which should finish around 7 pm.
Course Materials
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Cannulation
Demonstration video thanks to Geeky Medics Equipment Gloves Hand sanitiser Tourniquet Appropriate size cannula Alcohol swab Gauze Syringe 0.9% sodium
Venepuncture
Equipment Gloves Hand sanitiser Alcohol wipe Tourniquet Cotton wool/ gauze Needle Syringe or vacutainer Blood bottles Specimen bag Plaster or
Mental Capacity
Mental Capacity is the ability to make your own decisions at the time at which the decision needs to be
Palliative Care
Dying is a natural process and unfortunately, something that we all come across in our daily jobs, including whilst on
Discussing Treatment Escalation & DNAR
As an FY1 you should not be expected to make decisions regarding treatment escalation and DNAR, but you may need
Handover
Handover occurs between shifts to ensure everyone is up to speed with patients. The exact nature of how it occurs
Sepsis
Sepsis is an infection with evidence of organ dysfunction. Septic shock is when a patient with sepsis is hypotensive despite
Upper GI bleed
These patients have the potential to become haemodynamically unstable extremely quickly; try to avoid delays in reviewing them. In-hospital mortality
Maximise Points for Specialty Applications
With the recent removal of additional degrees counting for points towards all specialty applications for 2023 recruitment, it’s now even
Pre & Post Operative Care
As a junior doctor, you will frequently look after patients prior to and after their operation. You may be asked
Hypotension
Expect many bleeps about hypotension from concerned nursing staff. It is a useful way to flag up which patients might
Requesting scans
Requesting scans can be a scary daily occurrence for new doctors. It is one of few times where you liaise
Self-discharge
Frequently patients wish to self-discharge from hospitals. This article pertains to adult patients only (18y+) and these patients can be
Delirium
Acute confusion, otherwise known as delirium, is very common in hospitals: 20-30% on medical wards, and between 10-50% of those
Preparing for FY1
It is common for FY1s to feel anxious & feel like they’re not ready to start. We expect you to
Prioritising Jobs
I’m going to try and be as generic as possible so that hopefully these tips work across different specialities and
Common Prescribing Errors
When I supervise and teach FY1s, prescribing is in the top three things they are most concerned about. Usually, they’re
Writing SLEs
SLEs are supervised learning events that include Mini-CEX (mini clinical evaluation exercise) CBD (case-based discussion) DOPS (direct observation of procedural
Prescribing analgesia
When assessing pain, ensure you begin by taking a history to characterise the pain as neuropathic pain, inflammatory pain and
Hypoxia
As an FY1, you will be called to review hypoxic ward patients. Here we discuss common causes of generalised hypoxia
Hyperglycaemia
Hyperglycaemia is something you will encounter frequently. In this article, we focus on how to approach hyperglycaemia and identify diabetic
Falls
As an F1, you will quite frequently get bleeped to review a patient who has had a fall on the
Surviving Ward Rounds
It takes time to get used to the ward round. Particularly, when patients are being seen so fast it seems
Prescribing IV Fluids
There are certain situations where you need to prescribe IV fluids which vary from fluid resuscitation to maintenance fluids if
ePortfolio
Your eportfolio is a tool to store and record evidence that demonstrates your progress, clinical competencies and reflections. Try to