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Just accepted Urgent Care Position - What should I brush up on while I wait on credentialing?


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New Grad.

 

What are some things I should look over while I have the free time (common disorders, etc.)? From what I read, Minor Emergencies was a good resource to have as far as supplemental reading.

 

 

 

Any random input would be great!

 

Thanks

It would be awesome if you could hang out with whoever is working there now to learn more about how things are done. The system. Who is who. Make notes about what complaints they see a lot. That would probably help just as much as studying!

 

 

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  • 1 month later...

Read Minor Emergencies. Then read it again. Hopefully some will be familiar to you from your. EM clinicals...Get a subscription to UpToDate!! and use it! Can't stress that enough... Let's see...make sure you keep reading and learning. Like anythingelse, so much is gestalt and experience...make sure you know your rules and criteria ( CENTOR, PERC, Canada head rules, Ottawa joint rules, croup score, etc...). Read some good articles onruling in and out ACS (tintinalli is good) but there especially is an area that comes down so much to clinician gut gestalt more that simply rules and ecgs...try to trust your gut (but always cover your butt!)...Get the EMRA antibiotic guide, it's great....EMRA also has a EM mini guidebook that's good for quick ddx thoughts...take notes of everything when you observe otherproviders there, if you have that opportunity...

 

Typical stuff I see in UC:

URIs

URIs

Did I mention URIs

Cough

Sore throat

Rashs (allergic, fungal, eczema, zoster...)

Pediatric rashs (coxsackie, exanthems, seborreah, candida)

Earaches (a lot more serous effusions than you would think!)

Headache/dizzy (make sure you can do fast full Neuro exams!)

Chest pain

Nausea/vomiting (zofran is your friend)

Diahrreah/constipation

Lacs

Abscesses

Nail injuries

Red eyes

School/work physicals

Vaginal discharge

Asthma

Backache

Weird stuff

 

And...make sure you work for a supervising Doctor Who is friendly and is okay with you calling when you have questions!

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Oh and of course document everything!!! most importantly document why you are ruling out serious conditions.If a patient with shortness of breath comes in, make sure you write down why you don't think they're having a PE. Always always if it's something you wishing that you think could potentially be serious, but pretty sure is not, make sure you document very clearly that you thought of everything else, you have to cover yourself at all times so that later on nobody can say anything even if a serious outcome happens.

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