{"id":1032,"date":"2016-10-17T09:23:37","date_gmt":"2016-10-17T09:23:37","guid":{"rendered":"http:\/\/emedsa.org.au\/CoreMed\/?p=1032"},"modified":"2017-11-23T23:11:37","modified_gmt":"2017-11-23T23:11:37","slug":"stress-management","status":"publish","type":"post","link":"http:\/\/emedsa.org.au\/CoreMed\/2016\/10\/17\/stress-management\/","title":{"rendered":"Stress Management"},"content":{"rendered":"<p><a href=\"http:\/\/twitter.com\/share?url=http%3A%2F%2Femedsa.org.au%2FCoreMed%2F2016%2F10%2F17%2Fstress-management%2F&amp;count=none&amp;text=Stress Management - CoreMed\" class=\"twitter-share-button\">Tweet<\/a><\/p><p><b>Manage your thoughts<\/b><\/p>\n<ul>\n<li>Know the main issues with your patients and anticipate problems that may arise including non-response to treatment<\/li>\n<li>Have previously rehearsed strategies to deal with undifferentiated or defined problems<\/li>\n<li>Understand the thought processes of your seniors when they launch into a set of investigations or management strategy<\/li>\n<li>See patterns in your tasks<\/li>\n<li>Rehearse your referrals \/ discussions before calling someone so it is clear and succinct. \u00a0Learn to get to the point<\/li>\n<li>Memorise the hospital Emergency number<\/li>\n<li>Memorise MET criteria<\/li>\n<li>Know how to deal with common emergencies and drug doses e.g. anaphylaxis, dyspnoea, shock, oliguria, seizures, agitation, altered conscious state, coma<\/li>\n<li>Be familiar with the common conditions and treatments\/procedures on your unit<\/li>\n<li>Always think &#8216;have I not considered something?&#8217;, &#8216;Is there something I haven&#8217;t done?&#8217;, &#8216;What happens if this doesn&#8217;t work out?&#8217;<\/li>\n<li>Regularly get informal feedback from your seniors to recalibrate expectations. \u00a0&#8216;How am I doing&#8217;, &#8216;Is there anything I do better?&#8217;, &#8216;What do you suggest would help me?&#8217;<\/li>\n<\/ul>\n<p><b>Manage your skills<\/b><\/p>\n<ul>\n<li>Be efficient and proficient at common tasks e.g. venipuncture, IV access, ABG, NGT, IDC<\/li>\n<li>Refresh your BLS skills<\/li>\n<\/ul>\n<p><b>Managing your time<\/b><\/p>\n<ul>\n<li>Anticipate tasks before you are asked<\/li>\n<li>Order bloods tests, discharge scripts the evening before.<\/li>\n<li>Finalise discharge summaries before day of discharge<\/li>\n<li>Anticipate the type of information required that will influence patient management and disposition<\/li>\n<li>Be prepared for important questions and decisions during the ward round<\/li>\n<li>Promptly instigate requests that require time to mobilise &#8211; e.g. ward consults, imaging requests, respite care, transport home<\/li>\n<li>Develop routines to deal with common scenarios<\/li>\n<li>Check results at the end of the day and keep seniors aware of significant changes or evidence of improvement<\/li>\n<li>Complete fluid orders and drug chart rewrites at the end of the day for the next 24 hour period<\/li>\n<\/ul>\n<p><b>Manage your information<\/b><\/p>\n<ul>\n<li>Make a ready reference of cheat sheets &#8211; ward protocols, clinical guidelines, drug doses, therapeutic regimes. \u00a0Begin memorising them<\/li>\n<li>Keep a list of important phone numbers &#8211; consultants mobile, registrars pager, lab and imaging results, \u00a0radiology registrar, transfusion lab, HDU, ICU. theatre, anaesthesia registrar, ICU consults, PICC lines, theatre bookings, ward clerk, CSC etc<\/li>\n<li>Keep Important patient details, labs and imaging together<\/li>\n<li>Have patient&#8217;s results, nursing chart and case notes in front of you when you make a referral<\/li>\n<\/ul>\n<p><b>Manage your team &#8211; i.e. seniors, nurses, allied health etc<\/b><\/p>\n<ul>\n<li>Know your team members by name<\/li>\n<li>Learn to communicate succinctly, effectively and respectfully with your team<\/li>\n<li>Keep your team regularly abreast of your patients&#8217; condition and your thought processes<\/li>\n<li>Listen carefully to concerns, advice or suggestions and consider them appropriately<\/li>\n<li>Get assistance promptly if you are unsure of something<\/li>\n<li>Anticipate the needs and routines of your team. \u00a0Don&#8217;t interrupt unnecessarily or let your disorganisation become a burden to others.<\/li>\n<li>Learn to deal with conflict professionally<\/li>\n<li>Learn to co-ordinate your team and capitalise on their strengths.<\/li>\n<li>Don&#8217;t delegate inappropriately or recklessly<\/li>\n<\/ul>\n<p><b>Manage your bedside manner<\/b><\/p>\n<ul>\n<li>Apply everything as above with your patient and their relatives<\/li>\n<\/ul>\n<p><b>Manage your social supports<\/b><\/p>\n<ul>\n<li>Maintain contact with your peers<\/li>\n<li>Make time for family<\/li>\n<\/ul>\n<p><b>Manage your emotions<\/b><\/p>\n<ul>\n<li>Allocate time to regularly debrief about the day\/week\/month with a sympathetic ear<\/li>\n<li>Recognise when you are being pre-occupied with unproductive thoughts\/feelings<\/li>\n<li>Learn to take &#8216;time out&#8217; to gather yourself together<\/li>\n<\/ul>\n<p><b>Manage your &#8216;outside time&#8217;<\/b><\/p>\n<ul>\n<li>Learn to &#8216;have fun&#8217;<\/li>\n<li>Make time beyond work<\/li>\n<li>Don&#8217;t &#8216;hover&#8217; around at work once it is finished<\/li>\n<li>Stay physically healthy &#8211; diet, exercise<\/li>\n<li>Keep or start a manageable hobby<\/li>\n<\/ul>\n<p><b>Common sources of stress for the &#8216;doctor in difficulty&#8217;<\/b><\/p>\n<ul>\n<li>Sketchy clinical knowledge &gt; unfocussed clinical assessments<\/li>\n<li>Haphazard clinical skills &gt; missed critical clinical signs<\/li>\n<li>Lack of practical application of knowledge and skills &gt; inability to prioritise or identify key issues<\/li>\n<li>Unsystematic approach to problem-solving &gt; incomplete assessments<\/li>\n<li>Lack of practise with procedural skills &gt; time wasting<\/li>\n<li>Poor organisation &gt; tasks not completed in time, frustrated colleagues<\/li>\n<li>Poor communication &gt; frustrated and angry team members, colleagues, patients and relatives<\/li>\n<li>Isolationism &gt; pent-up stress<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>TweetManage your thoughts Know the main issues with your patients and anticipate problems that may arise including non-response to treatment Have previously rehearsed strategies to deal with undifferentiated or defined&#8230; <a href=\"http:\/\/emedsa.org.au\/CoreMed\/2016\/10\/17\/stress-management\/\">Read more &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":1035,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"episode_type":"","audio_file":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","date_recorded":"","explicit":"","block":"","filesize_raw":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-1032","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/1032","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/comments?post=1032"}],"version-history":[{"count":2,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/1032\/revisions"}],"predecessor-version":[{"id":1038,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/posts\/1032\/revisions\/1038"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/media\/1035"}],"wp:attachment":[{"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/media?parent=1032"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/categories?post=1032"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/emedsa.org.au\/CoreMed\/wp-json\/wp\/v2\/tags?post=1032"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}