Day 1 Of My Final Posting – Day 647 Of Housemanship
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My first day of my final posting, The Emergency & Trauma Department, commenced on the 11th of April 2025.
Day 647, finally. Finally! I’ve pulled through and entered the last pit stop of my journey as a House Officer.
In every posting, I have always looked forward to this posting. Prior to joining, I’ve always had mixed feelings and initially wanted to join Anaesthesiology. However, a few weeks prior to entering, the other postings such as Psychiatry, Klinik Kesihatan and Anaesthesiology were removed from our options and everyone had to rotate in the Emergency and Trauma Department.
This is good. This meant more manpower.
However, just as the previous postings, prior to joining any new department, I’ve always had this fear and mixed feelings because it is after a new environment.
My fear was stumbling too badly on my first day. Thus, of course, I did my research and questioned the people I knew who were already in the posting.
My First Day began on a Friday in the “Yellow Respi Zone“.
The Yellow Respi Zone consists of patients who are unable to saturate well under room air, usually less than 90%. Having just completed the Medical Posting, the patients allocated there are primarily Medical patients or in particular, having respiratory issues such as patients developing acute pulmonary oedema or fluid overload secondary to non-compliance to their fluid restriction.
Thankfully, I have just completed Medical. Thus, I am able to apply my knowledge learnt which was still fresh at that time.
I arrived a little before 7am since the tagging shift is from 7am till 10pm, introduced myself to the medical officers and talked to a fellow friend who arrived and would be working in the same zone as well. I went through the triages and casenotes of the patients to see if there were any active cases or cases that were due tracing of bloods or referrals.
The day started off rather quietly and it was manageable. I followed the morning handover rounds at 7:45am and after that attended to any new patients or refer if needed.
Basically, when a patient comes in, especially to this zone where the patients’ chief complaint is “shortness of breath“, the first person who attends would usually auscultate or “listen” to the lungs and check the vital sigs prior to taking blood or doing a “full clerking” such as obtaining their past medical history or history of presenting illness.
The next person that steps in usually helps with the bloods and fills the forms.
Everyone worked together as a team and somehow indirectly we were communicating with one another without actually voicing it out. It seemed almost like a dance, or a workout.
Afternoon came and afternoon handovers started at 2:45pm. I met a lovely medical officer who is a junior herself but one who was extremely upbeat and more than happy to guide me.
I learnt a lot during my first day with her. She even encouraged me to consider joining this department during my floating period.
The evenings became extremely busy to which I did not really realise. Maybe because it was my first day or maybe because I have just completed my Medical Posting (and it was much busier over there), or perhaps because I simply enjoyed working with my superior or team on that day.
The day ended at 10pm and I walked back home. Thankfully, I lived within walking distance thus I saved time and did not have to worry regarding transportation or parking issues.
My first day in my last posting or rotation started off well which is something I’m more than thankful for.
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