This Place is Sick
Place you can gain knowledge of board-relevant material, friendship, and occasionally food
Noon Lecture
A nurse tells you that your patient has a heart rate of 180 and looks different from earlier. What is your first step.
A new mom is overwhelmed and wonders if you could help change a diaper
Change the diaper
You crushed your presentation of a 5 year old admitted for viral gastritis, but the next day you wake up with the same symptoms.
Chief on Call!
Picture 1
Place you can find advice like "Eat right and the pants won't be tight."
The Stairwell
It is getting close to sign-out but you still have to write your notes, check on patients, ordering labs, and update the sign-out. Prioritize these tasks in most to least important.
1. Check on patients
2. Orders
3. Sign-out
4. Notes
A parent refuses a recommended vaccine.
Ask why to seek understanding of the refusal
You weaned a patient's HFNC and they continue to look stable
The Nurse
Picture 2
Nina
Place to find chest physiotherapy cups
The Treatment rooms
A previously interactive toddler is suddenly difficult to arouse. What is your first step after calling for support?
ABCs!
A parent asks you a question that you are unsure of the answer.
Be honest, state what you know, and commit to finding the answer.
You are on the floors and unsure how to complete a task given on rounds.
Your Senior!
Picture 3
Caroline
Place to find consent forms
Nursing Stations
You receive unexpected negative feedback from an attending. How do you respond?
Seek understanding, request examples if needed, and identify action steps for improvement.
2 Family members begin a physical altercation in the patient's room
Call Security
You are doing your pre-rounds in the morning, talking with your teenage patient, when they suddenly stiffen and appear to start to have a seizure.
Rapid Response
Picture 4
Dr. Wait
Place to find open computers, quiet, and DMC employees sleeping
CHM Library
You are concerned about a patient, but your senior says they are fine. How do you respond?
Describe your personal concerns, request assessment and explanation from the senior, and escalate if needed.
A parent says "the last doctor told us something completely different."
Acknowledge the discrepancy, clarify what was communicated, and reconcile the plan
You had a 24 month WCC in clinic and the Anemia screening shows a Hgb of 5.
GPAM Hotline (313-832-8569)
Picture 5 (2 Docs, must get both right!)
Dr. Leja and Amber