OK so I haven’t found it yet just so you know. But I’m a little happier with my current set up at least.
Since starting back I’ve been trying to find a way to arrange and record my activity in the ED.
- Ultrasound: While I’ve been using it for ages, I’m not officially signed off through the college process. This is part due to a lack of people in departments I’ve worked in who are able to sign me off and part a lack of a good log book on my part
- Procedures: When I worked in NZ in my ICU job I kept a little note of all my tubes, lines, chest drains and LPs. I was at about 70 subclavians without a pop when I left. In changing phones back in 2007 I lost the txt file somewhere and so lose all the proof… I’m determined for that not to happen again, so that in 5 years time when I want to introduce mandatory fascia ilaica blocks for all fractured NOFs then I’ll have evidence to say I’ve been doing it for years
- Cases: this is a record of basic clinical details with anonymised images if available held privately and offline so that I can use them in teaching sessions and follow up on outcome.
Key to this is a tiny little notebook:
This helps me keep track of people on shift and helps me follow up. We have a decent (though far from perfect) computerised tracking system but it’s still on XP and isn’t exactly the most pleasant user experience.
When I get a bit of down time on shift (or more usually once my shift is finished…) I can get the images I need off the US machine or the PACS. Both systems allow easy anonymisation at source.
This what my ultrasound log book looks like:
Each US has a link to a folder of images which are all in gdoc format and so don’t use any of my google drive storage. GDrive allows vids and images all for free so you get the nice little 4 second of the SX view as well the stills of the RUQ. It looks like this when I click on the link.
Having files stored and organised like this will also make it pretty easy to add good stuff to GMEP.
The procedure log book looks like this:
One problem I do have is that the GDrive app on iOS is still a bit shit. I find it slow and the lack of offline editing (in an ED with poor mobile reception) makes life a tad difficult. That being said I still find the spreadsheet format invaluable over the likes of Evernote which I trialled and never really liked (heresy I know).
Have your own thoughts or tips? Let us know in the comments.